Patient information

Laďa Bureš

Simulated actor
ADT
Last modifier
Anonymous
Last modified date
5/28/21 8:59:43 AM (CEST GMT+0200)
First name
Laďa
Last name
Bureš
Mother's maiden name
Novotný
Gender
Male
Date of Birth
9/4/55
Marital status
Identity Reliability Code

Home

Street address line
Kozinova
Zip Code
78701
City
Šumperk
Country
CZE
Patient Identifiers
  • DDS-72176^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10245^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
aec1c891-af3d-426a-a349-c05c0757e93f
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1955
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action