Patient information

Vendy Kučera

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
3/3/21 10:04:19 AM (CET GMT+0100)
First name
Vendy
Last name
Kučera
Mother's maiden name
Veselý
Gender
Female
Date of Birth
7/11/19
Marital status
Identity Reliability Code

Home

Street address line
Růmy
Zip Code
76001
City
Zlín
Country
CZE
Patient Identifiers
  • DDS-71873^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10034^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f4ce0f09-3a77-4e58-afc8-d5740a7fd259
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2019
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action