Patient information

Cunegonde Herisson

Simulated actor
Patient Demographic Supplier
Last modifier
Gwenaelle Fleury
Last modified date
9/25/23 11:02:20 AM (CEST GMT+0200)
First name
Cunegonde
Last name
Herisson
Mother's maiden name
Bernard
Gender
Female
Date of Birth
10/18/51
Marital status
Identity Reliability Code

Home

Street address line
Voie AZ/14
Zip Code
75014
City
Paris
Country
FRA
Patient Identifiers
  • 0606126525538365023416^^^ASIP-SANTE-INS-C&1.2.250.1.213.1.4.6&ISO (NH)
  • DDS-74154^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN11763^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
cf4eddcf-0d27-4d4c-bf1e-72049c874425
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1951
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
  • 2023-09-25 11:02:25.584 - Patient has been created by hoppen_gfleury
Visit number
Patient status
Patient class
Last modified date
Action