Personal Information

Address: Lokanthali, Bhaktapur

Phone: +977 9658751244

DOB: 07/02/2007 (17 years)

Gender: Male

SSN: 4422-12-4567

Medical Information

Blood Group: A+

Weight: 75 kg

Height: 175 cm

Medical Conditions: Type 2 Diabetes, Hypertension

Allergies: Penicillin, Peanuts

Medications: Metformin (500mg), Lisinopril (10mg)

Insurance Information

Provider: Rastriya Jiban Beema Company Limited

Policy Number: HCP987654321