Patient Details - Dominique Smit

Basic Information

ID Number: 9109160356085

Name: Dominique Smit

Date of Birth: 16 September 1991

Gender: Female

Account Number: DAD1551

Account Name: Miss Dominique Smit

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 073 275 6205

Cell: 082 611 4408

Email: dq.dalmeida@gmail.com

Occupation: Controller

Next of Kin

Name: Marnitz

Relation:

Phone: 0732756205

Email:

Addresses

Home:
121 St Andries Street
Inchanga
Kwazulu-natal
3670

Medical Aid Information

Medical Aid Name

Discovery

Medical Aid Number

620294670

Main Member Name

Dominique

Main Member ID

9109160356085

Option Name

Delta Saver Classic 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.