Patient Details

Basic Information

ID Number: 306271099088

Name: A Gwala

Date of Birth: 27 June 2003

Gender: Female

Account Number: DAD2534

Account Name: Miss Goodnessgugu Mdunge

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 073 607 8225

Cell:

Email: samkelisiwe96@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1046237

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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