Patient Details - Samantha Maharaj

Basic Information

ID Number: 1007060402082

Name: Samantha Maharaj

Date of Birth: 06 July 2010

Gender: Female

Account Number: DAD1490

Account Name: Ms Mbali Madondo

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 078 687 0273

Cell: 082 373 6944

Email:

Occupation:

Next of Kin

Name: Mbali Madondo

Relation:

Phone: 0786870273

Email:

Addresses

Home:
Esigodini Location
520749
Pmb
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

001305606

Main Member Name

M.p Madondo

Main Member ID

8901240664087

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

No examinations recorded.

Documents

No documents uploaded yet.

Digital Hard Tissue Chart

Digital Chart

No digital chart recorded

Create Chart

Appointment History

Upload History

No appointments recorded.