Patient information

Jiřík Kučera

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
5/28/21 8:58:47 AM (CEST GMT+0200)
First name
Jiřík
Last name
Kučera
Mother's maiden name
Dvořák
Gender
Male
Date of Birth
8/30/58
Marital status
Identity Reliability Code

Home

Street address line
U Lomu
Zip Code
761 50
City
Zlín
Country
CZE
Patient Identifiers
  • DDS-72174^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10243^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
8b11db96-10c9-4108-9949-b8fc63840b78
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1958
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action