PATIENT RECORD

Surname : Umamah

First name : Nurul Umamah

Gender : Female

DOB : 13 Maret 2000

Place of birth : Probolinggo

Occupation : mahasiswa

Marital status : Single

Next of kin Contact no. : Mother, 0822-4249-3865

Smoking intake : no smoking

Alcohol intake : no alkohol

Reason for admission : for three days dizzy and coughing

Family history

Mental illness Hypertension

Diabetes Tuberculosis

HIV/AIDS

Allergies
Summary

Nurul umamah is female who was born on 13 march 2000, she is a student, her marital status
in not marrid. The reason for being hospitalized is suspected to be for three days feeling dizzy
and coughing. Has the closest family namel mother with contact number 082242493865. She
is non smoker woman and she non consume alkohol. in his family history she has a history
off hypertension and don’t have any allergies.