Patient Details

Basic Information

ID Number: 7505265689084

Name: Sa Zuma

Date of Birth: 26 May 1975

Gender: Male

Account Number: DAD2370

Account Name: Mr Sifiso Zuma

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone:

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

GS550562

Main Member Name

Main Member ID

Option Name

Emerald Value Dentistry

Dependent Number

Medical History

Allergies

None recorded

Current Medications

None recorded

Existing Conditions

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Previous Medical Treatments

None recorded

Examination History

New Examination

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Appointment History

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