H|DEMO0000|
P|198005507|PARTRIDGE|CLARISSA|D|PRE|20041021|1055|OK|123456|25SU|
L|LAB1|37839954|235985254|20041022|0959|UR||COMP|20041022|1230|CONCENTRA|T|F|
R1|AMP||||COMP|NEG|
R2|COC||||COMP|NEG|
R3|THC||||COMP|NEG|
R4|PCP||||COMP|NEG|
R5|OPI||||COMP|NEG|
M|UNISERV|NEG|20041022||20041021|20041025||
CM|
CM|
CM|
CM|
EPR|