Patient Details

Basic Information

ID Number: 1406160628085

Name: A Goba

Date of Birth: 16 June 2014

Gender: Female

Account Number: DAD2851

Account Name: Ms Mbali Goba

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 083 428 8309

Cell:

Email: mbaligoba11@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email:

Addresses

Home:

Medical Aid Information

Medical Aid Name

Gems

Medical Aid Number

1599004

Main Member Name

Main Member ID

Option Name

Emerald 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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Digital Hard Tissue Chart

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Appointment History

Upload History

No appointments recorded.