Patient Details - Shireen Mulla

Basic Information

ID Number: 5701220129082

Name: Shireen Mulla

Date of Birth: 22 January 1957

Gender: Female

Account Number: DAD1536

Account Name: Mr Mahomed Mulla

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 073 786 2313

Cell:

Email: fmulla@sai.co.za

Occupation: Secretary

Next of Kin

Name: Farouk

Relation:

Phone: 0845128756

Email:

Addresses

Home:
16 Patricia Road
Chase Valley
Pietermaritzburg
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Profmed

Medical Aid Number

36164

Main Member Name

M Farouk Mulla

Main Member ID

5008650070862

Option Name

Pro Active Plan

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

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Appointment History

Upload History

No appointments recorded.