Patient Details

Basic Information

ID Number: 9310065490082

Name: Lp Gasa

Date of Birth: 06 October 1993

Gender: Male

Account Number: DAD2147

Account Name: Mr Lindokuhlepercival Gasa

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 076 896 0057

Cell:

Email: lindogasa@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1559747

Main Member Name

Main Member ID

Option Name

Emerald 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

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Appointment History

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