The information in this health record is the sole and exclusive responsibility of the person who owns it (the holder or his or her legal guardian or agent). This person considers that this information is "public data" voluntarily placed on the LIFEBADGE (the patient or the patient's legal guardian). The user is responsible for all use of this information digital platform and can be used by anyone assisting him if necessary. Any use by a third person will be under the responsibility of this third party who is responsible for verifying the relevance of information if necessary.

EMERGENCY

General info

Date record started :

2001-9-9 - 15:32:13

Date records last updated :

2024-1-17 - 13:54:57

These questions were answered
with the assistance of a doctor (ideal !) :

Tel/Mobile 1st pers. to contact :

+32 9876543210

Tel/Mobile 2nd pers. to contact :

+33 9876543212

Tel/Mobile 3d pers. to contact :

+39 123123123

Tel/Mobile 4th pers. to contact :

+450 21212121

Tel of family doctor/specialist :

+32 987654321

Fax of the family doctor / specialist :

mail : mondocteur@mail.com

Year of birth : (year only)

1956

First letter of NAME: (not mandatory)

Mona

First letter of first name : (not mandatory)

Lisa

Sex :

Male

Female

Blood group :

Rhesus

Remarks - insurance :

DOSSIER MEDICAL professionnel :
www.rsw.be
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Traducteur GOOGLE :

translate.google.com/?hl=fr
______________________
Contrat universassistance numéro 123456789
***
contrat bris de vitre numéro
987654321
***
police tout risque
numéro 6574839201
***
tél assureur :
+32 4498723678

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PHR Personnal Health Record

en.wikipedia.org/wiki/Personal_health_record