Patient Details - Fazila Banu Mahomed

Basic Information

ID Number: 6002050234087

Name: Fazila Banu Mahomed

Date of Birth: 05 February 1960

Gender: Female

Account Number: DAD755

Account Name: Miss Fazila Mahomed

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 079 494 5221

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone: 0794946141

Email:

Addresses

Home:
35 Garnet
Crescent
Copesville
Kwazulu-natal

Medical Aid Information

Medical Aid Name

Momentum Excello

Medical Aid Number

912706443

Main Member Name

F.b Mahomed

Main Member ID

6002050234087

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.