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  • Prescription 123456

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    ZE Mart Danmark
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    This medical record document contains fields for a patient's personal information such as name, age, sex, and contact details. It also includes spaces to record vital signs, medical history, examination results, diagnoses, treatments and medications prescribed, any lab tests or further referrals, and notes for follow-up visits. The purpose is to document all relevant details of a patient's medical case.

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    Prescription123456

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    This medical record document contains fields for a patient's personal information such as name, age, sex, and contact details. It also includes spaces to record vital signs, medical history, examination results, diagnoses, treatments and medications prescribed, any lab tests or further referrals, and notes for follow-up visits. The purpose is to document all relevant details of a patient's medical case.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    5 views1 page

    Prescription 123456

    Uploaded by

    ZE Mart Danmark
    This medical record document contains fields for a patient's personal information such as name, age, sex, and contact details. It also includes spaces to record vital signs, medical history, examination results, diagnoses, treatments and medications prescribed, any lab tests or further referrals, and notes for follow-up visits. The purpose is to document all relevant details of a patient's medical case.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Kachary Chowk,Opposite Naseeb Welfare Hospital,Pakpattun Road,Okara.

    Ph: 03061671479

    Patient Name Age Sex Date

    Temperature Blood Pressure Pulse Rate Weight (Kg) Height

    Medication Allergies Health Conditions

    Food Allergy (Specify ) Social and Family History H/O Present Complaints Possible Diagnosis

    VA With Glasses VA AR PH IOP Correction Near Addition

    Medication Strength Dosage Form Dosage Route SE/Interaction/Precautions

    Any Lab Investigation Referral for further Assessment and Management

    Followup Visit

    PWDT

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