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Antipas, Cotabato

DISCHARGE SUMMARY
Name: INGAY, RENAMAE Age: 1 Sex: F Case #: 05-5757

Address: MAHONGKOG MAGPET COT


Date admitted: 3/30/2019 Date Discharge: 4/4/2019

BPN MR, AGE


Admitting Diagnosis:
Final Diagnosis:
Brief History/ PPE: FEVER ON AND OFF, COUGH AND LBM.

Course in the ward: + Medications given: CEFUROXIME 300MG Q8 IVTT, SALBUTAMOL NEB Q8
CETIRIZINE SYRUP 2ML BID, PARACETAMOL 250/5 2ML Q4, NYSTATIN 1.5ML TID.

Laboratory Procedures and Operation Done ( Major & Minor Operation, if Any):

CBC,URINALSIS
Home Medicines:
Medication: Dosage/ Frequency : Time: Du ration:

Special Instructions:
FOLLOW-UP CHECK-UP ON APRIL 8, 2019 @ OPD
Discharged by : ADVISED Received by:
Signature over Printed Name Signature over Printed Name
RODOLFO D. SUMUGAT JR RN

Attending
AMOR Physician/ RODMD
H. SUMAMPONG

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