Patient Details - Basetsane Modise

Basic Information

ID Number: 0004240681082

Name: Basetsane Modise

Date of Birth: 24 April 2000

Gender: Female

Account Number:

Account Name:

Account Type:

Registration Date: 20 August 2025

Contact Information

Phone: 067 305 1437

Cell: 067 305 1437

Email: kgalalelo.basetsane24@gmail.com

Occupation: Account Controller

Next of Kin

Name: Orateng Motsoe

Relation: Spouse

Phone: 0796258039

Email:

Addresses

Home:
House 10,hilton College Campus
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

Digital Chart

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Appointment History

Upload History

Date	Time	Type	Status
15 November 2025	08:30	Braces Follow Up	Scheduled
25 October 2025	13:00	Braces Follow Up	Scheduled
11 October 2025	12:00	Braces Follow Up	Scheduled
30 September 2025	08:30	Braces Follow Up	Scheduled
06 September 2025	09:00	Braces Follow Up	Scheduled