Patient information

Rastislav Veselý

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
5/28/21 8:59:25 AM (CEST GMT+0200)
First name
Rastislav
Last name
Veselý
Mother's maiden name
Dvořák
Gender
Male
Date of Birth
4/23/89
Marital status
Identity Reliability Code

Home

Street address line
Hradecká
Zip Code
74601
City
Opava
Country
CZE
Patient Identifiers
  • DDS-72175^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10244^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
68077635-660b-454d-95eb-800b664f1c83
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1989
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action