Patient Details

Basic Information

ID Number: 709140277084

Name: E Gwala

Date of Birth: 14 September 2007

Gender: Female

Account Number: DAD5219

Account Name: Ms Ngelusiwe Gwala

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 078 284 9095

Cell:

Email: ngelusiwel@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1184216

Main Member Name

Main Member ID

Option Name

Emerald Value Dentistry

Dependent Number

Medical History

Allergies

None recorded

Current Medications

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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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