BDIMS

BLOCKCHAIN DIGITAL IDENTITY MANAGEMENT SYSTEM™

Patient ID:

Notification Node:

Patient Name:

Date of Birth (YYYY-MM-DD):

Social Security Number:

Passport Number:

Email:

Phone:

Address:

Blood Type:

Allergies:

Known Diagnoses:

Gender:

Current Diagnosis:

Treatment Notes:

Doctor Name:

Visit Date (YYYY-MM-DD):

Height (cm):

Weight (kg):

BMI:

Blood Pressure (mmHg):

Blood Oxygen Level (%):

Symptoms:

Monitoring:

Doctor Email:

Patient Photo: No image selected