Address:
S-05 ORCHARD CENTRE
QUATRE BORNES
Mega-Care
Emergency telephone: 116
TEL/FAX: 42 42 116
email: megacare@intnet.mu
web site: http://login.intnet.mu/megacare
Personal particulars:
Surname
Sex
Male
Female
Other names
Date of birth
Address: Building
Marital Status
Single
Married
Divorced
Widow
No Street
Vehicles used
Town
Res. Phone no
Blood group
Employment particulars
Workplace
Address
Occupation
Phone
Response particulars
Priority 1
Priority 2
Priority 3
Notify party
Relationship
Res.phone
Work phone
Preferences
Clinics
Yes
No
Doctors
Yes
No
Doctors' phones
1.
2.
3.
4.
5.
Medical particulars
Suffering from
Epilepsy
Cardiac
HBP
Diabetes
Pulmonary
Asthma
Allergies
Penicilline
Aspirin
Paracetamol
Sulpha-drugs
Other allergies
Other diseases
Current medical condition
Medication in use