Patient information

Vundavalli Neeraj

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/15/21 12:19:24 PM (CEST GMT+0200)
First name
Vundavalli
Last name
Neeraj
Mother's maiden name
Sangawar
Gender
Female
Date of Birth
4/25/88
Marital status
Identity Reliability Code

Home

Street address line
SH150
Zip Code
387315
City
Chaklasi
Country
IND
Patient Identifiers
  • DDS-72346^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10366^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
f419a488-b2a1-4257-a5f5-587fc81d32d7
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1988
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2021-06-15 12:19:26.103 - Patient has been created
Visit number
Patient status
Patient class
Last modified date
Action