N S 123456AF Y EPatId001 EInv001 N X Sampras Peter 25/12/1944 M 15 Tree Hill Road Sydney 2000 Y 9988770W STS 123456 200823 2111-11111-1 1 0351424K Paul Walker Dr 52 Test Street Bankstown NSW 2200 0290000000 029111 0000 DrPaulWalker@ReferringDr.com 29/06/2016 12 2 13918 31/10/2016 N N N 125.40 13945 31/10/2016 N N N 57.00