Patient Details

Basic Information

ID Number: 9009180895080

Name: P Zama

Date of Birth: 18 September 1990

Gender: Female

Account Number: DAD4044

Account Name: Miss Philisiwe Zama

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 073 372 8702

Cell:

Email: sqomsqom@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1199387

Main Member Name

Main Member ID

Option Name

Emerald Value 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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