Patient Information
Basic demographics and contact details
Born: 7/22/1982
(555) 402-2345
maria.garcia@email.com
456 Maple Ave, Los Angeles, CA
Emergency Contact:
Carlos Garcia
(555) 402-6789
Insurance:
INS002345
Medical History
Chronic conditions and diagnoses
Type 2 Diabetes
Type 2 diabetes, HbA1c well controlled
Diagnosed: 3/10/2019ICD: E11