Patient Details - Jaiyana Ashraf Motala

Basic Information

ID Number: 110908

Name: Jaiyana Ashraf Motala

Date of Birth: 08 September 2011

Gender: Female

Account Number:

Account Name:

Account Type:

Registration Date: 05 August 2025

Contact Information

Phone: 076 700 8634

Cell: 076 700 8634

Email: ashraf.jacz@gmail.com

Occupation: Scholar

Next of Kin

Name: Ashram Motala

Relation: Parent

Phone: 0767008634

Email:

Addresses

Home:
199 Hutchillson Street
Greytown
Pietermaritzburg
Kwazulu-natal
3201

Medical Aid Information

Medical Aid Name

Not Specified

Medical Aid Number

Not specified

Main Member Name

Main Member ID

Option Name

Not Specified

Dependent Number

Not specified

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

Date	Time	Type	Status	Notes	Actions
27 August 2025	09:30	Cleaning	Scheduled