Patient Details - Sa Dladla

Basic Information

ID Number: 904215509087

Name: Sa Dladla

Date of Birth: 21 April 2009

Gender: Male

Account Number: DAD2096

Account Name: Mr Siyabongacyprian Ntombela

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 033 897 7674

Cell:

Email: siyabongantombelamobile@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:
20 Chesterfield Road
Pmburg
Willowton
Kzn
3201

Medical Aid Information

Medical Aid Name

Bonitas

Medical Aid Number

27705084005

Main Member Name

Main Member ID

Option Name

Primary 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.