Patient Details - Ld Stillies

Basic Information

ID Number: 6101115123085

Name: Ld Stillies

Date of Birth: 11 January 1961

Gender: Male

Account Number: DAD822

Account Name: Mr Lionel Stillies

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone:

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
17 Palman Drive
Pietermaritzburg
Eastwood
Kzn
3201

Medical Aid Information

Medical Aid Name

Polmed

Medical Aid Number

64004426705

Main Member Name

Main Member ID

Option Name

Marine Acute

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.