Patient Medical Statement
Patient Information
Full Name: | Myron Burton |
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Date of Birth: | January 1, 2050 |
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Patient ID: | 123456 |
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Contact Information: | Springfield, IL 62704 |
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Medical History
Diabetes: Diagnosed in 2070
Hypertension: Diagnosed in 2075
Asthma: Diagnosed in childhood
Allergies: Penicillin
Surgeries:
Appendectomy: 2060
Knee Replacement: 2078
Current Medications
Metformin 500 mg: Twice daily
Lisinopril 10 mg: Once daily
Albuterol Inhaler: As needed
Levothyroxine 100 mcg: Once daily
Recent Vital Signs and Lab Results
Measurement | Result | Date |
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Blood Pressure | 130/85 mm Hg | September 20, 2083 |
Hemoglobin A1c | 7.2% | August 15, 2083 |
Cholesterol | Total: 180 mg/dL | August 15, 2083 |
Weight | 180 lbs | September 20, 2083 |
Physician's Notes
Mr. Myron Burton has shown stable responses to his medication regimen. Blood pressure and blood sugar levels are within acceptable ranges, though continued monitoring is advised. The patient reports occasional shortness of breath, which may be attributed to asthma. Regular follow-ups are strongly recommended.
Signature
[YOUR NAME], Physician
Date: 09/28/2083
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