ICF EVENT Patient Records
| HTML Block | Attending Physician |
|---|---|
| Attending Physician | Glenn Ekstrand |
| Sport | WAKO Kickboxing |
| Event Role | Athlete |
| Representing Country | Netherlands |
| Passport Given Name | Mylo |
| Passport Family Name | Van Bakel |
| Responsible Organization | Icf |
| Gender | Male |
| Date of Birth | 10/06/2012 |
| Date of Treatment | 08/10/2024 |
| Signature | |
| Terms & Conditions |  I agree to the Terms & Conditions |
| New Patient | 1 |
| Pain Type |
|
| Region |
|
| Working Diagnosis | Chronc lumbago |
| Therapy |
|
| Return to Play | 1 |
| HTML Block | Patient Satisfaction Survey(To be completed by patient) |
| Referred To | zero |