This document appears to be a medical form containing fields for a patient's name, date of examination, gender, age, address, occupation, as well as sections for summarizing the patient's medical clues, problems, initial diagnosis, planning for diagnosis, therapy, monitoring, and education. The form is collecting personal and medical information on a patient.
This document appears to be a medical form containing fields for a patient's name, date of examination, gender, age, address, occupation, as well as sections for summarizing the patient's medical clues, problems, initial diagnosis, planning for diagnosis, therapy, monitoring, and education. The form is collecting personal and medical information on a patient.
This document appears to be a medical form containing fields for a patient's name, date of examination, gender, age, address, occupation, as well as sections for summarizing the patient's medical clues, problems, initial diagnosis, planning for diagnosis, therapy, monitoring, and education. The form is collecting personal and medical information on a patient.
DATA BASE CUE DIAGNOSIS DIAGNOSIS THERAPY MONITORING EDUCATION SUMMARY OF CLUE AND PROBLEM LIST INITIAL PLANNING DATA BASE CUE DIAGNOSIS DIAGNOSIS THERAPY MONITORING EDUCATION