Patient information

Fanoušek Čermák

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
5/28/21 8:58:00 AM (CEST GMT+0200)
First name
Fanoušek
Last name
Čermák
Mother's maiden name
Horák
Gender
Male
Date of Birth
4/2/81
Marital status
Identity Reliability Code

Home

Street address line
Velké náměstí
Zip Code
38601
City
Strakonice
Country
CZE
Patient Identifiers
  • DDS-72173^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10242^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
9af7af86-5b89-4fe0-8f94-d50dc56c16a6
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1981
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN13115^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN ADMITTED I 6/25/21 11:54:00 AM (CEST GMT+0200)