Patient Details

Basic Information

ID Number: 9306220508081

Name: M Duma

Date of Birth: 22 June 1993

Gender: Female

Account Number: DAD3367

Account Name: Mr Sphamandla Duma

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

1551580

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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