Patient Overview
Personal Information
| Full Name | Ethan Nguyen |
| Date of Birth | 1989-03-17 |
| Gender | male |
| Blood Group | — |
| MRN | — |
| Status | Inactive |
Contact & Address
| Phone | +1-503-555-7004 |
| ethan.nguyen@example.com | |
| Address | 3456 Burnside St |
| City | Portland |
| Insurance | — |
| Emergency | — |