Patient information

Fatima Behum

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
3/30/21 10:35:39 AM (CEST GMT+0200)
First name
Fatima
Last name
Behum
Mother's maiden name
Sanmugasunderam
Gender
Female
Date of Birth
6/24/79
Marital status
Identity Reliability Code

Home

Street address line
Muzaffar Nagar Highway
Zip Code
247776
City
Shamli
Country
IND
Patient Identifiers
  • DDS-71961^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10084^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
c859efcc-643e-483d-a8d3-f8e8ae5a7784
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1979
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
  • 2021-03-30 10:36:00.096 - Patient has been created
  • 2021-03-30 10:36:00.374 - Patient has been sent to SUT (AA ArcusAir) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action