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This document appears to be a medical record template containing fields for a patient's name, age, gender, classification, medical history including hereditary diseases and allergies, date and time of visit, vital signs, examination details, lab results, diagnosis, and treatment plan. The template would be filled out for each patient encounter to document their medical evaluation and care.

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CHRISTIAN ELEAZAR LAZANAS
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64 views1 page

File1 PDF

This document appears to be a medical record template containing fields for a patient's name, age, gender, classification, medical history including hereditary diseases and allergies, date and time of visit, vital signs, examination details, lab results, diagnosis, and treatment plan. The template would be filled out for each patient encounter to document their medical evaluation and care.

Uploaded by

CHRISTIAN ELEAZAR LAZANAS
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Name Age Gender Classification

Date * Time Vital Signs History * Physical Examination * Laboratory results Diagnosis Treatment
T:
P:
R:
BP
Snellen Reading: L- R-
Ishihara Reading: L- R-

Name Age Gender Classification


Heredofamilial disease
Hypertension Bronchial asthma Diabetes Mellitus Cancer Others
Allergies to food and medications

Date/Time Vital signs Ailment * Problem Diagnosis Treatment * Recommendations

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