Sample Patient Medical Record
[YOUR COMPANY NAME]
Patient Information
Name: | Beverly Haley |
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Date of Birth: | 01/01/2051 |
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Gender: | Female |
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Contact Number: | 222 555 7777 |
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Medical History
Beverly Haley has a history of hypertension and diabetes mellitus. She underwent appendectomy in 2075 and has no known drug allergies. Recent blood tests indicate elevated cholesterol levels.
Current Medications
Lisinopril 10mg once daily
Metformin 500mg twice daily
Atorvastatin 20mg once daily
Recent Visits
Date | Reason for Visit | Physician |
|---|
10/15/2083 | Routine Check-up | Dr. [YOUR NAME] |
08/08/2083 | Blood Pressure Follow-up | Dr. [YOUR NAME] |
Laboratory Results
Most recent laboratory results from 09/20/2083 show the following values:
Test | Result | Normal Range |
|---|
Hemoglobin A1c | 7.2% | 4.0% - 5.6% |
Total Cholesterol | 240 mg/dL | Less than 200 mg/dL |
Plan
Beverly Haley is advised to continue her current medication regimen. Recommended lifestyle modifications include a low-sodium, low-sugar diet, and engaging in at least 30 minutes of exercise daily. Follow-up visit scheduled for 12/15/2083 to reassess treatment efficacy and manage any new or ongoing health concerns.
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