Patient information

chandu malli

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
11/28/20 10:45:09 AM (CET GMT+0100)
First name
chandu
Last name
malli
Mother's maiden name
Raviprakash
Gender
Male
Date of Birth
12/13/42
Marital status
Identity Reliability Code

Home

Street address line
NH148D
Zip Code
323801
City
Jajawar
Country
IND
Patient Identifiers
  • 5571^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
Email
Account number
AN9686^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
2a135b94-1f0e-4767-9814-0806947497dd
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1942
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
  • 2020-11-28 10:45:09.565 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action