kndadmin 20/03/202219/10/2024 ← Go back Unique ID00465NameMazen mohammad issa kurdiehDate of Birth05/12/1957Phone0795544993AddressAmman, ammanMap ItDocumentPrivilege'sOrthopedicConsent 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