Do you have a group in your report on the patient name/date formula or are you just using it to create your count? If you're just using it for the counts, how is your data grouped?
How are you doing your counts - in formulas, summaries, or running totals? If it's in formulas, please post them here.
I know of a way to do this, but I need the above information to tailor it so that it works with what you have.
-Dell