Patient Details - E Khenisa

Basic Information

ID Number: 8801155388088

Name: E Khenisa

Date of Birth: 15 January 1988

Gender: Male

Account Number: DAD1413

Account Name: Mr Emmanuel Khenisa

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 039 834 7567

Cell:

Email: genkhenisa@webmail.co.za

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
P O Box 1146
Donnybrooke
Kzn
3237

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1476059

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

No digital chart recorded

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Appointment History

Upload History

No appointments recorded.