Patient Details

Basic Information

ID Number: 104265589085

Name: M Fono

Date of Birth: 26 April 2001

Gender: Male

Account Number: DAD1989

Account Name: Mr Vilizwiharrisfono Fono

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone:

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
71 Baijoo Road
Pietermaritzburg
Northdale
Kzn
3201

Medical Aid Information

Medical Aid Name

Polmed

Medical Aid Number

64004435143

Main Member Name

Main Member ID

Option Name

Marine Renal Dialysis

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.