ID Number

910 310 5057 083

Contact Number

078 654 9432

Email Address 

me@gmail.com

Family Member Name

Attie

Family Member Number

065 439 8576

Physical address

1 Home Street 

Medical aid name 

Discovery

Medical aid number 

12315325463

Medical conditions 

Diabetes

Blood Type 

A+

Chronic conditions 

Epilipse

Medication taken 

Epilum

HIV Status 

Negative

Special Notes

Allergic to morphine