Hospital ERP - Dashboard

Add Patients

Personal Information

Patient Type

First Name

Date of Birth

Gender

Marital Status

Address

City

State

Zip Code

Contact Information

Phone Number

Emergency Contact Name

Emergency Contact Phone

Profile Photo

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Blood Type

Height (cm)

Weight (kg)

Allergies

Current Medications

Chronic Conditions

Medical History

Past Surgeries

Previous Hospitalizations

Family Medical History Hold Ctrl (Windows) or Cmd (Mac) to select multiple options.

Additional Family History Notes

Lifestyle Information

Smoking Status

Alcohol Consumption

Exercise Frequency

Dietary Habits

Primary Insurance

Insurance Provider

Policy Number

Group Number

Policy Holder Name

Relationship to Patient

Insurance Phone Number

Secondary Insurance

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Insurance Provider

Policy Number

Billing Preferences

Preferred Billing Method

Payment Methods

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Choose Skin

General Settings

Add Patients

Personal Information

Contact Information

Profile Photo

Medical History

Lifestyle Information

Primary Insurance

Secondary Insurance

Billing Preferences

Choose Skin

General Settings

Add Patients

Personal Information

Contact Information

Profile Photo

Medical History

Lifestyle Information

Primary Insurance

Secondary Insurance

Billing Preferences

Required Consent Forms

Additional Documents

Communication Preferences