Hl -PRECISION DIAGNOSTICS

MEDICAL REPORT

PHILCARE:S657 2/18/2021 11:13:32AM

VASQUEZ, MELCHOR REGIS 08/10/1989

CIVIL STATUS TEL NO OCCUPATION
Single 09773725058
HEIGHT BLD. PRESSURE RESPIRATION B¥i.4 kgrm2 Normal
168cm 1 3 1 /84 20/min
MEDICAL HISTORY For an es answers, lease see Remarks
Yes NO
1. Head or neck injury X 10. Heart problem 19.Psychiatric/psychological [ I I X I
2. Eye problem X 11. Stomach pain or ulcer problem
3. Ear problem or X 12. Hernia (ruptured)
deaf ness 13. Kidney or bladder problem 20. Fainting spells or seizures I I [X]

4. Nose or throat I I [X] 14. Other abdominal problem

problem 15. Rheumatism, joint/ back 21. Cancer or tumor I I [X]

5. Asthma I I [X] problem

6.Otherlungdisease [ I [X] 16. Frequentheadaches/ I ] I X I 22. Sexuallytransmitted [ ] [X]

7.Endocrine I I [X] dizziness disease

8.Diabetesmellitus I I [X] 17.Hepatitis I I [X]
9.Highbloodpressure I I [ X I 18.GeneticoriaTmilialdisorder[ I I X I

23. Tuberculosis yes, when? treated?

24. Malaria yes, when? treated?
25. Hospitalization yes, what?
26. Operations yes, what?
27. Smoker 1 sticks/day for 8 years
28. Alcoholic bev. 1 bottles/session :i65alsional
drinker
29. Last menstrual period: G. OP. 0( 0- 0- 0- 0)
30. Present medications:
PHYSICAL EXAMINATION

Uncorrected
Corrected

4. Skin
5. Head, Scalp Normal
6. Eyes Normal
7. Ears Normal
8. Nose, Sinuses Normal
9. Mouth, Throat Normal

11. Breast - Axilla Normal

12. Lungs Normal
13. Heart Normal
14. Abdomen Normal
15. Back Normal
16. Anus-rectum Normal .e
17. G-U System Normal
18. Inguinals, Genitals Normal
19, Extremities

Physician : DR. JANET W. ELCANO

VASQUEZ, MELCHOR REGIS -CT1453467

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