Patient Details

Basic Information

ID Number: 1609050862082

Name: A Gwala

Date of Birth: 05 September 2016

Gender: Female

Account Number: DAD2671

Account Name: Miss Samkelisiwe Gasa

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 073 607 8225

Cell:

Email: samkelisiwe96@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
M1322 Mfinyeza Roadd
Kwamashu
4360

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1325189

Main Member Name

Main Member ID

Option Name

Beryl Acute

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.