![]() | Personal Information: Reg.No:123 Bar Code: 2011320 Patient Name Category: General Sex: Female First Name: Mrs. Reagene
Middle Name: Bautista Last Name: Fernando Date of Birth:May 2, 1952 Age:60 Father/Husband Name: Michael Fernando Religion: Catholic Chief Complaint: Dizziness
Past Health History The client verbalized “Kumpleto ako sa mga bakuna na dapat makuha, kasi alam ko na kailangan ito ng aking katawan para mas mabawasan ang panganib na magkaroon ng sakit lalo na sa edad ko kinakailangan din ng suporta para hindi ako kaagad magkaroon ng malalang karamdaman.” Mrs. Fernando stated had undergone episiotomy and experienced pre-eclampsia when she delivered her second child. Mrs. Fernando stated “Hindi ko rin kasi alam kung may history ang pamilya ko ng hypertension." She also added " hindi naman ako nag out of town". Contact Information: Address: 345 Bagong Barrio, Caloocan City Manila, Philippines Telephone: 417-3784 Pin/Zip Code: 123456 Mobile: 09353507212 E-mail: ReaFernando@yahoo.com Name of Kin: Lyka Fernando Country: Philippines Designation: Admin Officer City:Caloocan Reference Doctor: Dr. Samonte Blood Group: O Positive Date of Entry: 05-02-13 Time of Entry: 12:51 |
