Patient information

Musunuri Kashyap

Simulated actor
Patient Demographic Supplier
Last modifier
massimo.bertorel
Last modified date
4/4/19 2:13:14 PM (CEST GMT+0200)
First name
Musunuri
Last name
Kashyap
Mother's maiden name
Manmeet
Gender
Male
Date of Birth
9/20/60
Marital status
Identity Reliability Code

Home

Street address line
NH43
Zip Code
835204
City
Lotang
Country
IND
Patient Identifiers
  • DDS-65096^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8646^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
Socio-professional occupation
Socio-professional group
Lunar Date
- - 1960
Number of weeks of gestation
SMS Consent
No
Patient history
  • 2019-04-04 14:13:18.302 - Patient has been created by massimo.bertorel
  • 2019-04-04 14:13:18.581 - Patient has been sent to SUT (GPI HOPERA) within a ADT^A28^ADT_A05 message by massimo.bertorel
Visit number
Patient status
Patient class
Last modified date
Action