JMJ Marist Brothers

Notre Dame of Marbel University

Alunan Avenue, City of Koronadal
College of Arts and Sciences
NURSING DEPARTMENT

Initial Data Base

Name Patient D
Sex Female
Date of Birth July 22, 1954
Age 66 years old
Address Sitio Kalawag, Brgy. Zone II, Koronadal City

South Cotabato
Religion Catholic
Status Married
Tribe Ilonggo
Nationality Filipino
Educational Attainment High School Graduate
Occupation Housekeeper
Date of Interview May 8, 2021
Informant Patient D
Name of Spouse RDJ
Age 67
Educational Attainment High School Graduate
Occupation Tricycle Driver
Approximate Monthly Income of the Family
Patient D Php 3,000 – 5,000
RDJ Php 2,000 – 4,000
Others: None
TOTAL: Php 5,000 – 9,000
Date and Time Admitted: March 17, 2021 /9:50 pm
Date and Time Discharged March 19, 2021 /6:00 pm
Chief Complaint Shortness of Breath
Bed no: B
Allergies: None
Physician’s Initial: MPMF
Admitting Diagnosis: Parkinson’s Disease
Final Diagnosis: Parkinson’s Disease, H & Y 2; Hypertension,

Controlled
Procedure Performed N/A