Patient information

Saša Mika

Simulated actor
Patient Identity Source
Last modifier
aberge
Last modified date
10/4/18 3:37:09 PM (IST GMT+0100)
First name
Saša
Last name
Mika
Mother's maiden name
Šafařík
Gender
Female
Date of Birth
4/25/11
Marital status
Identity Reliability Code

Home

Street address line
Znojemská
Zip Code
586 01
City
Jihlava
Country
CZE
Patient Identifiers
  • DDS-79^^^DDS&1.3.6.1.4.1.12559.11.35.11&ISO (PI)
  • GZLPID7^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO (PI)
Email
Account number
GZLAN7^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
d042c04d-2cc9-4375-830e-24c59b5e3882
Socio-professional occupation
Socio-professional group
Lunar Date
- - 2011
Number of weeks of gestation
SMS Consent
No
Patient history
Visit number
Patient status
Patient class
Last modified date
Action
10/4/18 3:37:13 PM (IST GMT+0100)
GZLVN2^^^GZL&1.3.6.1.4.1.12559.11.35.8.1&ISO^VN ADMITTED I 10/4/18 3:37:14 PM (IST GMT+0100)