Patient information

Reno Dvořák

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
5/28/21 9:01:01 AM (CEST GMT+0200)
First name
Reno
Last name
Dvořák
Mother's maiden name
Veselý
Gender
Male
Date of Birth
10/21/39
Marital status
Identity Reliability Code

Home

Street address line
Mlýnská
Zip Code
43111
City
Jirkov
Country
CZE
Patient Identifiers
  • DDS-72177^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10246^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9c34b1f4-692f-423d-bf92-ebacb62cd2d1
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1939
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action