Patient information

FirstName LastName

Simulated actor
ADT
Last modifier
fwermelskirchen
Last modified date
6/16/21 2:00:32 PM (CEST GMT+0200)
First name
FirstName
Last name
LastName
Mother's maiden name
MothersMaidenName
Gender
Male
Date of Birth
12/11/04
Marital status
Divorced
Identity Reliability Code

Home

Street address line
OakStreet
Zip Code
110033
City
BestCity
Country
SAU
Patient Identifiers
  • 5589989/5562
  • anotheridentifier
Email
theaddress@google.com
Account number
AN10389^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
BirthLocation
UUID
a26f7029-24e2-43ff-823a-908908f3b5e9
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2004
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
Visit01 ADMITTED I 6/17/21 4:42:05 PM (CEST GMT+0200)