Free Hospital Medical Records

Simplify hospital record-keeping with Template.net’s Hospital Medical Records Template. Fully customizable and editable in our AI Editor Tool, this template is ideal for documenting patient history, treatments, and medical procedures. Its professional design ensures accurate, organized records for efficient hospital administration and patient care. Get this template today, for free!

Field	Details
Patient Name	Dexter Dicken
Date of Birth	01/15/2050
Gender	Male
Address	Boise, ID 83701
Contact Number	222 555 7777
Emergency Contact	Sarah Dicken (Spouse)
Emergency Contact Number	222 555 7777

Field	Details
Hospital Name	[YOUR COMPANY NAME]
Hospital ID	HOSP-2090-4587
Attending Physician	Dr. [YOUR NAME]
Department	Cardiology
Date of Admission	11/28/2090
Date of Discharge	12/02/2090

Condition	Details
Known Allergies	Penicillin
Chronic Conditions	Hypertension, Type 2 Diabetes
Past Surgeries	Appendectomy (2068), Knee Replacement (2085)
Family Medical History	History of cardiovascular disease in paternal lineage

Measurement	Value
Heart Rate	85 BPM
Blood Pressure	140/90 mmHg
Temperature	98.6°F
Respiratory Rate	18 breaths per minute

Field	Details
Primary Diagnosis	Acute Myocardial Infarction
Secondary Diagnosis	Hyperlipidemia

Free Hospital Medical Records

PATIENT INFORMATION

HOSPITAL DETAILS

MEDICAL HISTORY

CURRENT MEDICAL RECORDS

Vital Signs:

Diagnosis:

Medications:

LAB TESTS AND RESULTS

TREATMENT PLAN

NOTES AND OBSERVATIONS

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Medication Name	Dosage	Frequency
Atorvastatin	20 mg	Once daily
Aspirin	81 mg	Once daily
Metoprolol	50 mg	Twice daily

Test Name	Date	Result	Reference Range
Lipid Panel	11/29/2090	Elevated LDL: 190 mg/dL	LDL: <100 mg/dL
Troponin	11/29/2090	0.8 ng/mL	<0.03 ng/mL
Complete Blood Count	11/29/2090	Normal	Normal Ranges

Treatment	Start Date	End Date	Notes
Percutaneous Coronary Intervention (PCI)	11/29/2090	11/29/2090	Successful stent placement
Lifestyle Modification Counseling	12/01/2090	Ongoing	Focus on diet and exercise