Patient information

俊豪 蔡

Simulated actor
Patient Encounter Supplier
Last modifier
Anonymous
Last modified date
4/25/19 11:09:07 AM (CEST GMT+0200)
First name
俊豪
Last name
Mother's maiden name
Gender
Male
Date of Birth
10/23/58
Marital status
Identity Reliability Code

Home

Street address line
Siping Road
Zip Code
64050
City
Douliu
Country
TWN
Patient Identifiers
  • DDS-65501^^^DDS&1.3.6.1.4.1.12559.11.1.4.1.2&ISO (PI)
Email
Account number
AN8857^^^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
- - 1958
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action