Medicine Record

[YOUR COMPANY NAME]
Date: April 15, 2090

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1. PATIENT INFORMATION

• Full Name: Hank Wilkins

• Date of Birth: May 12, 2050

• Gender: Male

• Contact Information: hank@you.mail

• Address: Fort Wayne, IN 46801

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2. MEDICAL HISTORY

• Known Allergies: Penicillin

• Chronic Conditions: Type 2 Diabetes, Hypertension

• Current Medications:

  • Metformin 500mg (Twice Daily)

  • Losartan 50mg (Once Daily)

• Past Surgeries: Appendectomy (2075)

• Family Medical History:

  • Mother: Breast Cancer

  • Father: Heart Disease

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3. MEDICINE DETAILS

• Medication Name: Simvastatin

• Dosage: 20mg

• Frequency: Once daily at bedtime

• Route of Administration: Oral

• Prescribed By: Dr. [YOUR NAME], MD

• Start Date: April 10, 2090

• End Date: April 10, 2091

• Purpose: To lower cholesterol and reduce the risk of cardiovascular events

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4. MONITORING AND FOLLOW-UP

• Side Effects Observed: Mild muscle soreness reported after two days

• Next Appointment: May 15, 2090, at 10:00 AM

• Special Instructions:

  • Take medication with water and avoid grapefruit juice.

  • Schedule a fasting lipid panel test before the next appointment.

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5. NOTES

Patient advised on the importance of maintaining a low-fat diet and regular exercise to enhance medication efficacy.

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