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BIOGRAPHICAL DATA:

NAME: Patient X
AGE: 68 years old
GENDER: Male
CIVIL STATUS: Married
ADDRESS: 185 Poblacion 3 General Emilio

Aguinaldo Cavite
DATE OF BIRTH: April 11,1948
PLACE OF BIRTH: GEAC
EDUCATIONAL ATTAINMENT: College Graduate

(Criminology)
RELIGION: Roman Catholic
DIALECT/LANGUAGE: English, Tagalog
NATIONALITY: Filipino
DATE OF ADMISSION: June 26,2016
DATE OF DISCHARGE: July 26, 2016
CHIEF COMPLAINT: DOB (Difficulty of Breathing)

HISTORY OF PRESENT ILLNESS:

2 months PTC the patient consulted to a clinic for


having DOB, SOB, the patient went to tagaytay for
consultation.
1day PTC, patient cant more already because of
his swollen left leg.

Past medical history:

Fever, Flu, took medications, adult-appendix


(swollen), 50+ (appendectomy), tipus
(hospitalized) 25 years old.
Didnt take herbal as medications.

Family medical History:

Parents (deceased) stroke father 78 yrs old, mother


76 yrs old
4 Childrens

Personal/social/environmental history:

High school graduate, vocational


(-)drinking, (-)smoking

Children (+) smoking

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