$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

 
$TP_main_address

 

   
  $TP_date_end
   
  $TP_date_start
   
  $TP_date_confirm

 

$TP_dept_sigstamp
   
   
  $TP_diagnosis