Patient Details - Lance Jordan

Basic Information

ID Number: 6912175072081

Name: Lance Jordan

Date of Birth: 17 December 1969

Gender: Male

Account Number: DAD1588

Account Name: Mr Lance Jordan

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 082 311 8691

Cell:

Email:

Occupation: Operator

Next of Kin

Name: Vironica

Relation:

Phone: 0713542820

Email:

Addresses

Home:
10 Magwolia Road
Woodlands
Pietermaritzburg
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Bonitas Boncap

Medical Aid Number

47002519057

Main Member Name

Lance

Main Member ID

6912175072081

Option Name

Boncap 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.