| Parent File | Name | Number | Package | 
|---|---|---|---|
| 9000045.11 | DATE APPLICATION SUBMITTED | 9000045.1101 | IHS Patient | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | DATE APPLICATION SUBMITTED | 0;1 | DATE | 
 | 
| .02 | APPLICATION SUBMITTED VIA | 0;2 | SET | 
 
 | 
| .03 | REASON FOR SUBMISSION | 0;3 | FREE TEXT | 
 | 
| .04 | SUBMITTED BY | 0;4 | POINTER TO NEW PERSON FILE (#200) | NEW PERSON(#200) 
 | 
| 11010101 | STATUS DATE | 1;0 | DATE Multiple #9000045.110101 | 9000045.110101 |