Patient Details

Basic Information

ID Number: 1111145230086

Name: K Moepa

Date of Birth: 14 November 2011

Gender: Male

Account Number: DAD3466

Account Name: Mr Mahlatsi Phillip Moepa

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 078 259 2759

Cell:

Email: mahlatsi.moepa@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
Room 1 Centre De Lavie
Emalahleni
Beatty Avenue
Kzn
1034

Medical Aid Information

Medical Aid Name

Private Patient

Medical Aid Number

911639561

Main Member Name

Main Member ID

Option Name

Private Patient 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.