Patient Details

Basic Information

ID Number: 1808175992085

Name: A Khan

Date of Birth: 17 August 2018

Gender: Male

Account Number: DAD5461

Account Name: Ms Nazneen Kassim

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 078 019 2687

Cell:

Email: nazk7862@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1227190

Main Member Name

Main Member ID

Option Name

Emerald Value Dentistry

Dependent Number

Medical History

Allergies

None recorded

Current Medications

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Existing Conditions

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Previous Medical Treatments

None recorded

Examination History

New Examination

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Appointment History

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