<%- displayName %>

Date of Birth <%- dateOfBirth %> (<%- age %>)

Gender <%- gender %>

Work <% if (phoneNumberWork) { %> <%- phoneNumberWork %> <% } else { %> No Data Found <% } %>

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

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

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

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

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

Address <% 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

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

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

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

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