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21 views2 pages

E Prescription

Uploaded by

tanziddipto
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Health Cline - e-Prescription

Patient Information

Name: Nithya Jayakumar

Age: 32

Gender: Female

Contact Info: 8764535432

Allergies: Peanut, Lactose

Latest Vitals

Blood Glucose (Pre-meal): 120 mg/dt (11/03/23)

Blood Glucose (Post-meal): 120 mg/dt (11/03/23)

Temperature: 98.1°F

Blood Pressure: 120/80 mmHg

Height: 160 cm

Weight: 55 kg

Diagnosis

Reason: Heart Burn - Diagnosis Type: Pending - Details: TBD

Reason: Fever - Diagnosis Type: Pending - Details: TBD

Medications

Medication: Pepcid AC - Frequency: TBD - Dosage: TBD ml - Duration: TBD days - Instructions: TBD

Follow-Up

Follow-Up Date: TBD


Doctor's Signature:

___________________________

Dr. James Martin - Cardiac Surgeon

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