Patient Details - Celine Pietersen

Basic Information

ID Number: 50524

Name: Celine Pietersen

Date of Birth: 24 May 2005

Gender: Female

Account Number: DAD5750

Account Name: Ms Celine Lekisha Pietersen

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 081 561 7388

Cell:

Email:

Occupation:

Next of Kin

Name: Henry Pietersen

Relation: Parent

Phone: 0815647388

Email:

Addresses

Home:
01 Avondale Townhouse Complex, 21tregawmex Street, Bisley
Pietermaritzburg
Kwazulu-natal
3200

Medical Aid Information

Medical Aid Name

Dischem Health

Medical Aid Number

KH124875

Main Member Name

Main Member ID

Option Name

Myhealth Plus Medical Insurance 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

Date	Time	Type	Status	Notes	Actions
17 September 2025	09:00	Aligner Follow Up	Scheduled