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  1. or download this
    Patient_ID || Med_Hist || Sur_Hist 
    ZZZZZ00DFL ||   [R] [R]No pertinent past medical history  [R] [R] ||  
    + [R]UNREMARKABLE  [R] [R] 
    ZZZZZ00DFL ||   [R] [R]No pertinent past medical history  [R] [R] ||  
    + [R]UNREMARKABLE  [R] [R] [R] 
    ZZZZZ00C4H ||   ||   
    ZZZZZ00C4H ||   [R] [R]High Blood Pressure  [R]Kidney stones  [R] [R]S
    +OAPP-R Score : Moderate/High Risk:  19  [R] [R]Sleep Apnea Assessment
    +(STOP-BANG): ( 2/4 );  7/2/2014  [R] [R]Orthotic brace tried for pain
    + relief: Yes: limited benefit  [R]TENS Unit tried for pain relief: Ye
    +s: limited benefit  [R]Tried Topical Compound Cream?: Yes: limited be
    +nefit  [R] [R]Acupuncture therapy tried for pain relief: Yes: limited
    + benefit  [R]Chiropractic therapy tried for pain relief: Yes: limited
    + benefit  [R] [R]Physical therapy tried for pain relief: Yes: limited
    + benefit  [R]Massage therapy tried for pain relief: Yes: limited bene
    +fit  \[R\] \[R\] ||   [R] [R]Hysterectomy  [R]Spinal Fusion: L4-5, L5
    +-S!; 2010  \[R\] \[R\]
    
  2. or download this
    open (OUTFILE, "< C:\\Scripts\\TEST\\History21.txt") or die "Could not
    + open source file. $!";
     open (NEW_MED, "> C:\\Scripts\\TEST\\History_MED1.txt") or die "Could
    + not open source file. $!";
    ...
      
    close(NEW_MED);
    close(NEW_SUR);