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PAST MEDICAL HISTORY

A. Pediatric and Adult Illness


Mumps ✗ Pertussis ✗ Hypertension ✗
Measles ✗ Rheumatic ✗ Heart Disease ✗
Chicken Pox ✗ Pneumonia ✗ Hepatitis ✗
Rubella ✗ Tuberculosis ✗ Others ✗
B. Immunizations / Tests
BCG  Hepa B  Pneumonia 
DPT  Measles  Others
OPV  Flu 
C. Hospitalizations May, 2023- San Marcelino Zambales
May, 2023- BGHMC
D. Injuries N/A
E. Transfusions N/A
F. Medications Cefixime 200/5ml (1.2ml q 12° x 7days)
Warfarin 3mg/pp tab (1pp tab OD)
Levetiracetam 100mg/ 5ml (4.5ml x 12°)
Phenobarbital 20mg/ tab (1 tab AM , 1 ½ tab PM)
G. Allergies N/A

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