Patient Details - Nelisiwe Venetia Mpungose

Basic Information

ID Number: 7912130554081

Name: Nelisiwe Venetia Mpungose

Date of Birth: 13 December 1979

Gender: Female

Account Number: DAD1092

Account Name: Ms Nelisiwe Mpungose

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 063579153

Cell: 072 583 1977

Email: nellympungose79@gmail.com

Occupation:

Next of Kin

Name: Samuel

Relation: Spouse

Phone: 0794315005

Email:

Addresses

Home:
10 Marwick Road
Prestbury
Prestbury
Pietermaritzburg
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Discovery

Medical Aid Number

378659462

Main Member Name

Nelisiwe Mpungose

Main Member ID

7912130554081

Option Name

Coastal Saver

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.