Patient Details - Mariam Moola

Basic Information

ID Number: 090908

Name: Mariam Moola

Date of Birth: 08 September 2009

Gender: Female

Account Number:

Account Name:

Account Type:

Registration Date: 18 August 2025

Contact Information

Phone:

Cell: 071 896 2386

Email: mumtaazmoola@hotmail.com

Occupation: Student

Next of Kin

Name: Mumtaaz Shakoor

Relation: Parent

Phone: 0718962386

Email:

Addresses

Home:
Sydenham Road, Mountain Rise
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

No documents uploaded yet.

Digital Hard Tissue Chart

Digital Chart

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Appointment History

Upload History

Date	Time	Type	Status	Notes	Actions
30 August 2025	13:00	Braces Follow Up	Scheduled