Patient Details - Phezisile Clementine Goba

Basic Information

ID Number: 7211130330083

Name: Phezisile Clementine Goba

Date of Birth: 13 November 1972

Gender: Female

Account Number: DAD4734

Account Name: Miss Phezizileclementine Goba

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 079 802 7595

Cell:

Email:

Occupation: Nutritional Adviser

Next of Kin

Name: Nokwazi

Relation: Sibling

Phone: 0725594612

Email:

Addresses

Home:
D1215 Mdutshini Gravel Road
Elandskop
Pmb
Kwazulu-natal
3226

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

001861313

Main Member Name

Phezisile Clementine

Main Member ID

7211130330083

Option Name

Tanzanite One 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

No examinations recorded.

Documents

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Appointment History

Upload History

No appointments recorded.