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Patient Medication Profile Baguio

This patient medication profile summarizes Letty T. Chamos' medical history. It lists her medications from 2013 to 2018, including Losartan and Deltiazem prescribed in 2013 for maintenance, and Furosemide prescribed in 2018 for leg swelling. Her Poten-Cee and vitamin C supplement started in April 2018 is also documented. The profile reminds the patient to keep it updated by marking discontinued medications and adding new ones.
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100% found this document useful (2 votes)
7K views1 page

Patient Medication Profile Baguio

This patient medication profile summarizes Letty T. Chamos' medical history. It lists her medications from 2013 to 2018, including Losartan and Deltiazem prescribed in 2013 for maintenance, and Furosemide prescribed in 2018 for leg swelling. Her Poten-Cee and vitamin C supplement started in April 2018 is also documented. The profile reminds the patient to keep it updated by marking discontinued medications and adding new ones.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PATIENT MEDICATION PROFILE

Name: LETTY T. CHAMOS Sex: FEMALE Physician: DR. JULIE C. COBATO Phone: NONE
Address: #97 UPPER SAN CARLOS HEIGHTS, IRISAN Address: CABATO CLINIC, MAGSAYSAY
BAGUIO CITY
City: BAGUIO CITY Zip: 2600 Age: 47 Birthdate: 02/26/1972 Physician: Phone:
Emergency Contact: 09500602811 Pharmacy: Phone:
Height: 5’2” Weight: 53kg Phone: Pharmacy: Phone:
Drug Allergies: NONE

MEDICAL INFORMATION
DATE MEDICATION DOSAGE COMMENTS DATE MEDICATION DOSAGE COMMENTS
STRENGTH STRENGTH
2013 Losartan 100mg tablet For 2018 Furosemide 10 mg tablet The medicine
maintenance was
Signa: Take Signa: Take one prescribed
one tablet tablet once a day when her right
once a day leg bulged

The medicine
was
discontinued
last October
2018
2013 Deltiazem 60 mg tablet The medicine April 2018 Poten- Cee + 1 Capsule For food
was Prescribed Vitamin C supplment
Signa: Take a month after Signa: Take one
two tablets Losartan was capsule once a a
once a day given for day
maintenance.

*REMEMBER TO UPDATE YOUR MEDICATIONS – Mark out medications that are discontinued. Add new medications started.
SAINT LOUIS UNIVERSITY, BAGUIO CITY

_____________________________________________ _______________________ ____________________________________________


PATIENT/GUARDIAN’S SIGNATURE DATE SIGNATURE OF THE PHARMACIST

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