$TP_insco_1 | $TP_insco_2 | $TP_insco_3 | $TP_insco_4 | $TP_insco_5 | $TP_insco_6-->
$TP_enc_insurance_nr
$TP_enc_insurance_name
$TP_enc_insurance_subarea
$title $name_last, $name_first $TP_date_birth
| $LDSickReport $TP_main_address $LDSickConfirm
$LDSickUntil: $TP_date_end $TP_href_des $TP_img_calendar $TP_href_end $LDStartingFrom: $TP_date_start $TP_href_dss $TP_img_calendar $TP_href_end $LDConfirmedOn: $TP_date_confirm $TP_href_dcs $TP_img_calendar $TP_href_end | $TP_dept_sigstamp
$LDInsurersCopy $LDDiagnosis2: $TP_diagnosis