<%= displayName %>

<%= dateOfBirth %> (<%= age %>)

<%= gender %>

<% if (typeof phoneNumberWork !== 'undefined' && phoneNumberWork) { %> <%= phoneNumberWork %> <% } else { %> No Data Found <% } %>

<% if (phoneNumberHome) { %> <%= phoneNumberHome %> <% } else { %> No Data Found <% } %>

<% if (phoneNumberMobile) { %> <%= phoneNumberMobile %> <% } else { %> No Data Found <% } %>

<% if (phoneNumberPager) { %> <%= phoneNumberPager %> <% } else { %> No Data Found <% } %>

<% if (emailAddress) { %> <%= emailAddress %> <% } else { %> No Data Found <% } %>

<% if (inpatient) { if (wardLocation && roombed) { %> <%= wardLocation %>, <%= roombed %> <% } else if (wardLocation) { %> <%= wardLocation %> <% } else if (roombed) { %> <%= roombed %> <% } else { %> No Data Found <% } } else { %> Not Currently Admitted <% } %>

<% if (address && address.streetAddressLine1) { %> <%= address.streetAddressLine1 %> <% } else { %> No Data Found <% } %>

<% if (address && address.streetAddressLine2) { %> <%= address.streetAddressLine2 %> <% } else { %> No Data Found <% } %>

<% if (address && address.streetAddressLine3) { %> <%= address.streetAddressLine3 %> <% } else { %> No Data Found <% } %>

<% if (address && (address.city || address.state || address.zip)) { if (address.city) { %> <%= address.city %> <% } if (address.state) { if (address.city) { %> , <% } %> <%= address.state %> <% } if (address.zip) { %> <%= address.zip %> <% } } else { %> No Data Found <% } %>

Next Of Kin

<% if (nextOfKin && nextOfKin.relationship) { %> <%= nextOfKin.relationship %> <% } else { %> No Data Found <% } %>

<% if (nextOfKin && nextOfKin.name) { %> <%= nextOfKin.name %> <% } else { %> No Data Found <% } %>

<% if (nextOfKin && nextOfKin.phoneNumber) { %> <%= nextOfKin.phoneNumber %> <% } else { %> No Data Found <% } %>

To update your demographic data, contact the Health Eligibility Center: 1-800-929-8387