Republic of the Philippines Founded 1907 RA 9299

NEGROS ORIENTAL STATE UNIVERSITY

Dumaguete, Bais, Guihulngan, Mabinay, Pamplona, Siaton and Bayawan-Sta. Catalina
COLLEGE OF NURSING, PHARMACY AND ALLIED HEALTH SCIENCES

CLINICAL DATA

Name : Mendez, Dinah

Address : Mayabon, Zamboanguita, Negros Oriental

Age : 24 years old

Religion : Roman Catholic

Nationality : Filipino

Birthdate : November 28, 1994

Marital Status : Single

Educational level : College Graduate

Occupation : Housewife

Health Insurance : PhilHealth

Date and Time of Admission : January 27, 2019 @ 2:00 PM

Source and reliability : Patient 80%, Chart 20%

Attending Physician : Dr. Cariňo

Final diagnosis : G1P1 (1001) Pregnancy uterine delivered to a live baby

girl AS = 9, 10, BW = 3, 550 gms via NSVD,
PROM 33 hrs, Gestational Hypertension.
 HEALTH HISTORY

CHIEF COMPLAINTS:
The patient has been complaining of pain at the right flank area

ADMITTING IMPRESSION/DIAGNOSIS:

HISTORY OF PRESENT ILLNESS:

CURRENT HEALTH STATUS:

PAST HEALTH HISTORY:

 Hospitalizations and surgeries :

 Serious Injuries :

 Serious/Chronic Illness :

 Immunizations :

 Allergies :

 Medications :

 Travel :