15 lines (14 with data), 403 Bytes

Patient 1	Note 1
0	0	# M
11	15	# KEEN.	Last Name (ambig)
17	19	# MY 
27	39	123-456-7890.	Telephone/Fax (2)
61	71	01/01/2020.	Month/Day/Year
94	110	ABCDEF@HELLO.COM.	E-mail address
127	130	# OLD.	Last Name (ambig)
143	152	NEW HAVEN,	Location (un)
154	165	# CONNECTICUT.
170	174	# HOME 	Last Name (ambig)
186	197	123 EAST ST,	Street Address
207	216	NEW HAVEN,	Location (un)
218	225	CT06511.	State/Zipcode