kndadmin 20/03/202219/10/2024 ← Go back Unique ID00208NameMohammad Bilal ElhershDate of Birth01/07/1989Phone0789300110Addressamman, ammanMap ItDocumentPrivilege'sInternal MedicineConsent I agree toI confirm that the all files and information attached above are complete and correct. I authorize the hospital to verify them according to the instructions and regulations in the hospital, and I sign on all the above.Signature