Patient Details

Basic Information

ID Number: 8311010072083

Name: A Khan

Date of Birth: 01 November 1983

Gender: Female

Account Number: DAD1368

Account Name: Mrs Aayesha Khan

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 078 019 2687

Cell:

Email: nazk7862@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
20 Kenilworth Road
Pietermaritzburg
Mountain Rise
Kzn
3201

Medical Aid Information

Medical Aid Name

Discovery Drc

Medical Aid Number

170057

Main Member Name

Main Member ID

Option Name

Keycare Plus 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.