Patient information

Rebbapragada Mallika

Simulated actor
Patient Demographic Supplier
Last modifier
Mary Iannuzzi
Last modified date
10/20/21 4:17:42 PM (CEST GMT+0200)
First name
Rebbapragada
Last name
Mallika
Mother's maiden name
Priyodarshi
Gender
Female
Date of Birth
1/25/98
Marital status
Identity Reliability Code

Home

Street address line
Ajanur Kadappuram Road
Zip Code
671329
City
Kanhangad
Country
IND
Patient Identifiers
  • DDS-72669^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10646^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
1af76d5e-3077-4646-8412-8f2c35bca66c
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1998
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
  • 2021-10-20 16:17:44.298 - Patient has been created by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action