Patient information

Honcek Kučera

Simulated actor
Patient Encounter Supplier
Last modifier
Anonymous
Last modified date
6/15/21 9:51:54 AM (CEST GMT+0200)
First name
Honcek
Last name
Kučera
Mother's maiden name
Veselý
Gender
Male
Date of Birth
11/30/11
Marital status
Identity Reliability Code

Home

Street address line
Nerudova
Zip Code
74101
City
Nový Jičín
Country
CZE
Patient Identifiers
  • DDS-72340^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10363^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9b770a0a-e490-44b1-b787-b6e1bc86f652
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2011
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action