III- PATIENTS PROFILE

A. Personal Data

Name: Mrs. X

Age: 72 yrs old

Sex: female

Address: P4 Catagman, Samal Island

Date of Birth: Dec. 29, 1938

Religion: R.C

Educational Attainment: Elementary Graduate

Occupation: Meat Vendor

Socioeconomic Status: Middle Class

Type of Community: Rural

B. Clinical Data

Hospital: Samal District Hospital

Room & Bed No.: Chapel

Date of Admission: Dec. 6, 2010

Time of Admission: 2:15am

Chief Complaint: Abdominal Pain

Attending Physician: Dra. Miyake

Diagnosis: Acute Peptic Ulcer Disease