Patient Details - Ex Mahlaba

Basic Information

ID Number: 7812145502085

Name: Ex Mahlaba

Date of Birth: 14 December 1978

Gender: Male

Account Number: DAD1813

Account Name: Mr Erick Mahlaba

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone:

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
2615 Mtholampilo Road
Mpophomeni
Kzn
3290

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

445788

Main Member Name

Main Member ID

Option Name

Emerald 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.