Patient Details - Mondli Shabane

Basic Information

ID Number: 8508305699088

Name: Mondli Shabane

Date of Birth: 30 August 1985

Gender: Male

Account Number: DAD518

Account Name: Mr Mondli Shabane

Account Type: Individual

Registration Date: 15 April 2025

Contact Information

Phone: 073 011 4127

Cell:

Email: mondlistan1@gmail.com

Occupation:

Next of Kin

Name:

Relation:

Phone: 0721238171

Email:

Addresses

Home:
House No 4060
Imbali Unit 14
Imbali Unit 14
Pietermaritzburg
Kwazulu-natal
3200

Medical Aid Information

Medical Aid Name

La Health

Medical Aid Number

473665050

Main Member Name

Mondli Shabane

Main Member ID

8508305699088

Option Name

La Active

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

No appointments recorded.