Riz,
You can do this by clicking on the "patient" heading, which alphabetizes them. (Maybe that is what you mean by "scrolling through things by Alpha").
I think I put the link describing our system for reconciling orders in a response to one of your previous posts. It involves creating a fake provider, "Reconcile", to whom all such orders are sent. A message is generated and sent to that provider. (If you click "Save and send" on your orders, it will also generate such a message). If you click on the message, you will view a list of just that patient's orders.