Patient information

Juan Pérez

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/15/21 12:21:04 PM (CEST GMT+0200)
First name
Juan
Last name
Pérez
Mother's maiden name
García
Gender
Female
Date of Birth
12/15/39
Marital status
Identity Reliability Code

Home

Street address line
A-364a
Zip Code
41620
City
Marchena
Country
ESP
Patient Identifiers
  • DDS-72347^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10367^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
882f687e-ad9e-4b07-87c4-63fcd88707d6
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1939
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-15 12:21:06.097 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action