Medical Records Summary
PATIENT INFORMATION
Field | Information |
|---|
Name | Amelia Pagac |
Date of Birth | 05/12/2050 |
Gender | Female |
Address | Tampa, FL 33601 |
Contact Number | 222 555 7777 |
Email | amelia@you.mail |
MEDICAL HISTORY
Category | Details |
|---|
Allergies | Penicillin, Nuts |
Chronic Conditions | Type 2 Diabetes, Asthma |
Past Surgeries | Appendectomy (2075) |
Medications | Metformin, Albuterol |
Family Medical History | Father: Heart Disease, Mother: Osteoporosis |
RECENT VISITS
Date | Reason for Visit | Diagnoses | Treatment Plan |
|---|
02/14/2089 | Persistent cough, fatigue | Bronchitis | Antibiotics, rest, follow-up in 2 weeks |
01/10/2089 | Routine check-up | None | Maintain diet and exercise routine |
TEST RESULTS
Test Name | Date Conducted | Result Summary |
|---|
Complete Blood Count | 02/12/2089 | Normal |
Chest X-Ray | 02/13/2089 | Mild inflammation in lungs |
CURRENT STATUS
Field | Details |
|---|
Primary Physician | Dr. Emily Carter |
Ongoing Concerns | Controlled asthma symptoms |
Current Treatment | Using inhaler as needed |
Next Appointment | 03/01/2089 |
NOTES
Patient is adhering to treatment plans effectively. Recommended follow-up for diabetes management scheduled for 04/15/2089.
Prepared By: [YOUR NAME]
[YOUR COMPANY NAME]
Date: 02/15/2089
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