Logout

Demo: This is a demo site. Please only enter fake data into this site. Data may be reset at any point.

Charise 'Nicki' Altenwerth
CLO364

NHS: 943-476-5919
MRN: voluptatem
30 yrs (16/10/1995)
charise_altenwerth@example.com 07596 3386612 / 06475 9637503 40447 Deon Lodge, Suite 653, North Marsha, TS86 9RO
GP: Borer Group, totam
Demographics missing
Contact
Flo Klocko (aunt/uncle)
CLO312
32 yrs (5/4/1993)
0704 6335473 / 077 9248622 primary carer
Uploaded at Case File

New hospital case
Enter details

*

Please use one of the following formats where possible: 'Side Room A, Bed 12' or 'Bay 3, Bed 6'.

Please use one of the following formats where possible: 'Side Room A, Bed 12' or 'Bay 3, Bed 6'.

*

Additional referral sources (if applicable)