Patient information

Max Lillepea

Simulated actor
Patient Demographic Supplier
Last modifier
m.trabace
Last modified date
6/9/21 2:10:19 PM (CEST GMT+0200)
First name
Max
Last name
Lillepea
Mother's maiden name
Ainsalu
Gender
Male
Date of Birth
8/12/57
Marital status
Identity Reliability Code

Home

Street address line
Sõtke
Zip Code
40231
City
Sillamäe linn
Country
EST
Patient Identifiers
  • DDS-72304^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10323^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
27fcc9b9-4635-4be3-a40f-110c5053869a
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1957
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-09 14:10:19.264 - Patient has been created by m.trabace
Visit number
Patient status
Patient class
Last modified date
Action