II.

PATIENT’S PROFILE

PATIENT’S PROFILE

Hospital No.: 246959

Ward/Room: OB-Gyne Ward, Bed # 3

Patient’s name: Patient X

Sex: Female

Age: 32 years old

Birthdate: March 20, 1984

Birthplace: Davao City

Permanent Address: Brgy. Pook, Sta. Maria, Laguna

Nationality: Filipino

Religion: Roman Catholic

Education: High School Graduate

Admission:

Date: March 9, 2017

Time: 5:53 PM

Admitting Physician: Linniet A. Ercillo, M.D

Admission Diagnosis: G4P3 H-mole

Principal Diagnosis: H-mole