SECTION 2: CONTENT

a) PATIENT DEMOGRAPHIC AND PERSONAL HISTORY

PERSONAL DATA

Name MR. K

Identification number 420718-07-XXXX

Register number 159XXXX

Age 81yrs old

Sex Male

Race Indian

Religion Hindu

Occupation Ex National Corch

Address Bukit Mertajam Penang.

Weight 80kg

Height 175cm

Marital Status Married and bless with 3 children.

Surgical history Nil

Sosial history Non smoker

Allergic history No allergic history.

Permorbid Very active person, Activity daily living (ADL) independent.

Family History Both maternal parents under lying with Diabetic Mellitus, both passed
away long years ago.

NAME Miss N

Identification number

Register number

AGE 34 Years old

GENDER Female

RACE Malay

Religion

Occupation

Address

Weight

Height

Marital Status

Surgical history

Sosial history

Allergic history

Permorbid

DATE OF ADMISSION 12 Disember 2023 at 0329hr

DATE OF ICU ADMISSION 12 Disember 2023 at 0650hr

SOURCE OF ADMISSION ED HOSPITAL PULAU PINANG

DIAGNOSIS Acute Severe Life Threatening Bronchiol Asthma in Exacerbation Secondary

to Community Acquired Pneumonia

PRIMARY UNIT Medical

FAMILY / SOCIAL HISTORY No family history of asthma

No family returned from outside Malaysia

Work as babysitter