REPUBLIC OF THE PHILIPPINES Annual Physical Examinations PROVINCE OF NUEVA ECA Patient No.:__0032 MUNICPALITY OF PENARANDA Exam Date:___August 28, 2023 RURAL HEALT UNIT Name:____ RAMOS, CARIZZA ANNE INGALLA 22_ Birthdate:03/18/01 Civil Status: Home Address:__VILLA BENITA, CABANATUAN CITY. Gender:__ FEMALE Home Address:_CEBU PACIFIC Mobilei#:_09984716353 PERSONAL HISTORY NTHROPOMETRIC and VITAL SIGNS Unremarkble IHeight_175cm__—Welght:_55 ka ‘Smoking _sticks/day_ years, PR:_88 RR:_18 BP:_110/70__ Alcohol bottles_1-2 bottles on accasion Color vi Hearing Jothers: ‘Adequate intact AD Inadequate intact. AS [PAST MEDICAL HISTORY Visual Aculty [Far Vision’ ‘Near Vision Unremarkable lUncorrected____‘fODcorr_ 2029 ~~~ ODI__ OS|_ corrected “7 ___ffoscorr_2020_ODI___OS)__ PHYSICAL EXAMINATION. Kin: no gross lesion Keyes: “equally reactive to light, EOMS intact [Mouth: no grasslesion FAMILY HISTORY ENT: “grossivnormal IBrochial Asthma None INeck/Thyroid: no cervical iymphadenopathy Pulmonary TB None. lBreast/axilla: ‘rossly normal kypertension Paternal, ichest/Lungs: sua chest evga, Sen breath suns joiter None. Heart: adymamic precordium, no murmur Diabetes Maternal bdomen, sot, nontender, normoactive BS Heart Disease None. leack: ‘grossly normal cancer Paternal \nus/Rectum: DRE — normal lothers: jenito-Urinary: ‘grossly normal IREVIEW OF SYSTEMS INeurological: {G0515,5/5 inal extremities Unremarkable lExtremities: Tull equal pulses, no edema’ 1B-GYNE HISTORY loental Findings: Menstrual Cycle: regular [Dental : V- Caries; X - Extension; M- Missing lLp:_8/20/2023 Days:__4: 876543211-12345678 lpuip:__7/18/2023 Interval:__28-32 days UPPER los score:_GO Lower Delivery: ___NSD __cs2 [Complications: LABORATORY AND DIAGNOSTIC EXAMINATION chest-PA: essentially normal radiologic findings (7-31-23) Icac: slightly elevated monocytes (8/1/2023) Urinalysis (Routine): essentially normal (7/31/2023) Fecalysis (Routine): essentially normal (8/1/2023) h2-Lead ECG: NONE Pap smear: NONE Lipid profile: Total cholesterol: essentially normal (8/1/2023) Triglycerides essentially normal (8/1/2023) HDL: essentially normal (8/1/2023) LoL: ‘below normal (8/1/2023) LoL: essentially normal (8/1/2023) HOL: essentially normal (8/1/2023) ‘CLINICAL ASSESTMENT AND RECCOMENDATIONS ICLASS A: PATIENT |S PHYSICALLY FIT FOR ANY WORK ‘XAVIERA JIHAN V. BAUTISTA, MD Municipal Health Officer #0130587