Patient Details - Azad Ally Mahomed

Basic Information

ID Number: 6207055198084

Name: Azad Ally Mahomed

Date of Birth: 05 July 1962

Gender: Male

Account Number: DAD755

Account Name: Miss Fazila Mahomed

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 079 494 6141

Cell:

Email: AZADMAHOMED786@GMAIL.COM

Occupation:

Next of Kin

Name: Hassan

Relation: Sibling

Phone: 0825447983

Email:

Addresses

Home:
65 Garnet Crescent
Coppesville
Pmb
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Momentum Excello

Medical Aid Number

859283071

Main Member Name

Mahomedazad Ally

Main Member ID

6207055198084

Option Name

Ingwe Primary Care Any Dentistry

Dependent Number

Medical History

Allergies

None recorded

Current Medications

None recorded

Existing Conditions

None recorded

Previous Medical Treatments

None recorded

Examination History

New Examination

No examinations recorded.

Documents

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Digital Hard Tissue Chart

Digital Chart

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Appointment History

Upload History

No appointments recorded.