Patient information

Viera Dvořák

Simulated actor
Patient Encounter Supplier
Last modifier
Anonymous
Last modified date
3/31/21 3:56:43 PM (CEST GMT+0200)
First name
Viera
Last name
Dvořák
Mother's maiden name
Kovařík
Gender
Female
Date of Birth
6/19/20
Marital status
Identity Reliability Code

Home

Street address line
Dukelských bojovníků
Zip Code
39003
City
Tábor
Country
CZE
Patient Identifiers
  • DDS-71979^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10103^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
634e9b65-f8ea-43a3-92b9-08d9535effd6
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2020
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
VN12660^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^VN REGISTERED O 3/31/21 3:56:49 PM (CEST GMT+0200)