Patient information

Pandala Suppiah

Simulated actor
Patient Identity Source
Last modifier
Lewis Pickles
Last modified date
3/25/24 12:55:16 PM (CET GMT+0100)
First name
Pandala
Last name
Suppiah
Mother's maiden name
Sudevi
Gender
Male
Date of Birth
11/18/65
Marital status
Identity Reliability Code

Home

Street address line
Chandpur Bijnor Road
Zip Code
246725
City
Chandpur
Country
IND
Patient Identifiers
  • IHERED-3115^^^IHERED&1.3.6.1.4.1.21367.13.20.1000&ISO (PI)
Email
Account number
AN9825^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a49eeb51-e53d-4fb5-a258-d48dad36e052
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 1965
Date de naissance corrigé
No
Mode d'obtention de l'identité
Justificatif d'identité
Valide jusqu'au
Date d'interrogation du téléservice INSi
Patient history
  • 2024-03-25 12:55:22.212 - Patient has been created by lpickles
  • 2024-03-25 12:55:22.216 - Patient has been sent to SUT (1.3.6.1.4.1.21367.2011.2.7.5695 1.3.6.1.4.1.21367.2011.2.4.668) within a PRPA_IN201302UV02 message by lpickles
  • 2024-03-25 12:59:57.062 - Patient has been sent to SUT (1.3.6.1.4.1.21367.2011.2.7.5695 1.3.6.1.4.1.21367.2011.2.4.668) within a PRPA_IN201301UV02 message
Visit number
Patient status
Patient class
Last modified date
Action