Patient Personal Details
Encik Mukhriz Fahim bin Rahman PDPA signed 30/05/2025
47y 10m 16d / MV-714569- IC
- 781119-12-9909
- DOB
- 19/11/1978
- Payer
- AXIS Assistance Network (M) SDN BHD
Identity
- Name
- Encik Mukhriz Fahim bin Rahman
- MyKad
- 781119-12-9909 · Malaysian
- Born
- 19/11/1978 · 47y 10m 16d · Male
- Race · religion
- Malay · Islam
- Blood group
- Not recorded
Contact & NOK
- Mobile
- +60 17-695 3196
- mukhriz106@mail.my
- Messages
- Address
- No 70, Jalan Setia Murni U13/52, 40274, Shah Alam
- Next of kin
Payer
- Payer
- AXIS ASSISTANCE NETWORK (M) SDN BHD
- Member no.
- MBR78117
- Cover
- Limit exhausted
- Today
- EPI-2610-71166 · Dr. Chan Jan Bond
PDPA
- Status
- Signed
- Signed
- 30/05/2025
- Channel
- Kiosk
- Marketing
- Consented
Visits
7 visitsLast 05/10/2026- 05/10/2026 Outpatient · Dr. Chan Jan Bond
- 05/09/2026 Day case · Dr. Chan Jan Bond
- 17/07/2026 Outpatient · Dr. Chan Jan Bond