Patient Details

Basic Information

ID Number: 604080692089

Name: A Ntuli

Date of Birth: 08 April 2006

Gender: Female

Account Number: DAD2870

Account Name: Mr Khiphizwi Ntuli

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone:

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

633980

Main Member Name

Main Member ID

Option Name

Emerald Value 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

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Appointment History

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