John Doe

36 year old Male,
from Pretoria, Gauteng
Medical Aid Provider

Policy/Plan:

BMedPlus

Account No:

BMP123456789

Main Member:

John Doe

ID Number:

8906175087031

01
John Doe
26 Oct 1977

ID Number:

8906175087031

Date of Birth:

17/06/1989

Blood Type:

AB+

Height:

173cm

Weight:

78kg

Organ Donor:

Yes

Injury: Cervical Spinal Cord Injury (SCI)
Procedure: C4-C6 ACDF | C5 Cage
Hospital: Groenkloof – Life (Pretoria)
Doctor 1: Dr. Vermaak (Groenkloof)
Doctor 2: Dr. Theron (Muelmed)
Date: 14 November 2025.

Injury: Femoral Shaft Fracture (Right)
Procedure: ORIF | Plate & 8 Pins
Hospital: Groenkloof – Life (Pretoria)
Doctor: Dr. Froeling (Groenkloof)
Date: 14 November 2025

High Blood Pressure

Cervical Spinal Cord Injury (SCI) Survivor
Quadriplegia: ASIA D (Motor Incomplete)

Nuts & Dairy

Diltiazem | 5g | Daily

Registered Organ Donor

The Organ Donor Foundation of South Africa (ODF)

Membership | Reference | Registration Number:

8906175087031

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