Patient Details - Khethelo Mabiyase Ziqubu

Basic Information

ID Number: 011095320088

Name: Khethelo Mabiyase Ziqubu

Date of Birth: 09 October 2001

Gender: Male

Account Number: DAD527

Account Name: Miss Maria Ziqubu

Account Type: Individual

Registration Date: 29 May 2025

Contact Information

Phone: 068 171 2448

Cell:

Email:

Occupation:

Next of Kin

Name:

Relation:

Phone:

Email: khethelobiyase@gmail.com

Addresses

Home:
09 Hontensia
Nappierville
Pmb
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Medical Aid Number

Main Member Name

Main Member ID

Option Name

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.