Simple Discharge Note Template
save
save
copy
save
save
save
copy
copy

Simple Discharge Note

Patient Name: Jean Harris
Patient ID: 123456
Date of Admission: October 1, 2050
Date of Discharge: October 8, 2050
Admitting Physician: Dr. [Your Name]
Diagnosis: Pneumonia

Summary of Hospital Stay:

Jean Harris was admitted on October 1, 2050, with a diagnosis of pneumonia. During her stay, she received intravenous antibiotics, respiratory therapy, and supportive care. She showed significant improvement, with a decrease in symptoms such as cough and shortness of breath.

Discharge Medications:

  1. Amoxicillin 500 mg, take one tablet three times a day for 7 days.

  2. Albuterol inhaler, use as needed for wheezing.

Follow-up Instructions:

  • Follow up with your primary care physician in one week.

  • Return to the ER if you experience worsening symptoms such as difficulty breathing, chest pain, or fever above 101°F.

Patient Education:

  • It is important to complete the full course of antibiotics.

  • Stay hydrated and rest as needed.

  • Monitor for any signs of relapse.

Physician Signature:


Dr. [Your Name], MD
Date: October 8, 2050

Note Templates @ Template.net