Patient information

Ivan Starý

Simulated actor
Patient Identity Source
Last modifier
Anonymous
Last modified date
6/16/21 1:18:24 PM (CEST GMT+0200)
First name
Ivan
Last name
Starý
Mother's maiden name
Malík
Gender
Male
Date of Birth
1/22/52
Marital status
Identity Reliability Code

Home

Street address line
náměstí 17. listopadu
Zip Code
27201
City
Kladno
Country
CZE
Patient Identifiers
  • DDS-72362^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN10383^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
a713e19d-a022-44a2-8421-cfd89bb89d2f
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1952
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action