Patient information

Mukkamala Pulkit

Simulated actor
Patient Demographic Supplier
Last modifier
Anonymous
Last modified date
6/19/25 2:12:15 PM (CEST GMT+0200)
First name
Mukkamala
Last name
Pulkit
Mother's maiden name
Sathaye
Gender
Female
Date of Birth
2009/04/13
Marital status
Identity Reliability Code

Home

Street address line
NH 66 (under construction)
Zip Code
670502
City
Koran peedika
Country
IND
Patient Identifiers
  • 5887^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO (PI)
  • P0619130952.2^^^&1.3.6.1.4.1.21367.13.20.1000&ISO
Email
Account number
AN12331^^^IHEPAM&1.3.6.1.4.1.12559.11.1.2.2.5&ISO^AN
Blood group
VIP Indicator
Birth Place Name
UUID
96430e66-3608-4be1-b57a-a87cbfe1fc28
Socio-professional occupation
Socio-professional group
Number of weeks of gestation
SMS Consent
No
Date de naissance carte Vitale
- - 2009
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
  • 2025-06-19 14:12:15.698 - Patient has been created
  • 2025-06-19 14:17:12.864 - Patient has been sent to SUT (IHE PatientManager) within a ADT^A47^ADT_A30 message
  • 2025-06-19 14:19:47.516 - Patient has been sent to SUT (IHE PatientManager) within a ADT^A28^ADT_A05 message
  • 2025-06-19 17:20:25.7 - Patient has been sent to SUT (IHE PatientManager) within a ADT^A28^ADT_A05 message
Visit number
Patient status
Patient class
Last modified date
Action
Patient's PHR status
Status collection date
Closing date
Information et opposition à l'alimentation
Date de recueil de l'information et opposition à l'alimentation
Information et consentement à la consultation du DMP
Date de recueil de l'information et consentement à la consultation