Patient Details

Basic Information

ID Number: 5611010736089

Name: Td Xulu

Date of Birth: 01 November 1956

Gender: Female

Account Number: DAD3552

Account Name: Miss Samukelisiwe Xulu

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone:

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
Unit F
Mpumalanga
33 Buthelezi Road

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

860357

Main Member Name

Main Member ID

Option Name

Tanzanite One 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

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.