Modality worklist

Patient Information

Name: John Doe

Date of Birth: January 1, 1980

Sex: Male

Study Information

Study ID: 123456

Procedure: MRI Brain

Scheduled Date: November 20, 2023

Ordering Physician Information

Name: Dr. Smith

Contact: dr.smith@example.com

Procedure Code

ABC123

Scheduled Location

Radiology Department, Building A