Patient information

chagantipati Saligrama

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
4/25/19 8:01:28 AM (CEST GMT+0200)
First name
chagantipati
Last name
Saligrama
Mother's maiden name
Chowdhury
Gender
Male
Date of Birth
6/4/57
Marital status
Identity Reliability Code

Home

Street address line
SH65
Zip Code
457226
City
Jaora
Country
IND
Patient Identifiers
  • DDS-65499^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8856^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8e5f91e5-3355-4789-98ea-9444cfa99712
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1957
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
  • 2019-04-25 08:01:35.457 - Patient has been created
  • 2019-04-25 08:01:39.944 - Patient has been sent to SUT (1.3.6.1.4.1.12559.11.1.2.2.5.1 1.3.6.1.4.1.12559.11.1.2.2.5.11) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action
VN14128^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/24/22 4:34:25 AM (CEST GMT+0200)