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    Prescription Pad111

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    ZE Mart Danmark
    The document appears to be a medical record template containing fields for a patient's personal information like name, age, sex, and contact details. It also includes fields for vital signs, medical history, examination results, diagnoses, prescribed medications and treatments, any lab tests or further referrals. The template is designed to collect all relevant health information for a patient in a standardized format.

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    Prescription Pad111

    Uploaded by

    ZE Mart Danmark
    3 views2 pages
    The document appears to be a medical record template containing fields for a patient's personal information like name, age, sex, and contact details. It also includes fields for vital signs, medical history, examination results, diagnoses, prescribed medications and treatments, any lab tests or further referrals. The template is designed to collect all relevant health information for a patient in a standardized format.

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    The document appears to be a medical record template containing fields for a patient's personal information like name, age, sex, and contact details. It also includes fields for vital signs, medical history, examination results, diagnoses, prescribed medications and treatments, any lab tests or further referrals. The template is designed to collect all relevant health information for a patient in a standardized format.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    3 views2 pages

    Prescription Pad111

    Uploaded by

    ZE Mart Danmark
    The document appears to be a medical record template containing fields for a patient's personal information like name, age, sex, and contact details. It also includes fields for vital signs, medical history, examination results, diagnoses, prescribed medications and treatments, any lab tests or further referrals. The template is designed to collect all relevant health information for a patient in a standardized format.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    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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