You are on page 1of 1

Name of Patient: M.T.

S Address: Tondo Manila Age: 50 years old Sex: Male days Date of Birth: July 27, 1960 Place of Birth: Dagupan City Civil Status: Married Occupation: Businessman

Informant: Patient Date of Admission: July 9, 2011 Order of Admission: Ambulatory No. of Days at the Hospital: 4

Chief Complaints: Masakit ang paa ko kasi two weeks ago natusok ng pako ang paa ko, pabalik-balik din ang lagnat ko. Namaga din sya at kumikirot. as verbalized by the client. History of Present Illness: 2 weeks prior to admission; patient was punctured with a rusty nail, (+) swelling, (+) pain, (+) fever, (-) active bleeding. No consultation was done. 1 week prior to admision patient had persistent swelling of left foot, (+) undocumental fever, (+) erythema of the left foot Childhood Illness: None Adult Illness: Diabetes Milletus Immunization: Complete but unrecalled Previous Hospitalization: Bulacan Operation: None Injuries: None Medication Taken prior to confinement: Antibiotic/ Antitetanus Allergies: None

You might also like