Emergency Contacts
Emergency Contact Name: Lee Lee
Emergency Contact Number: 9835412365
Notes
some notes go here.
Medical Insurances
Policy No.: AHGFP45879
Cust ID.: ddd
Certificate No.: saa
TPA ID: eeee
Valid From: 1 February, 2022
Valid Till: 1 February, 2023
Company Name: SSS
Amount: Rs.1000000
Agent Name: cccc
Agent Phone: eeee
Policy No.: OOK45879654
Cust ID.:
Certificate No.:
TPA ID:
Valid From: 2 February, 2022
Valid Till: 2 February, 2024
Company Name:
Amount: Rs.500000
Agent Name:
Agent Phone:
Preferred Hospitals
AMRI, Apollo
Preferred Diets
Regular Diet
Past Conditions
Diabetes, High Blood Pressure, High Cholesterol
Diabetes Type
Type - C
Family History Details
Relation: Father
Status: Alive
Known Issues: Angina, Heart Attack
Recent Issues
General: Fatigue, Weakness
Heart/Lungs: Chest Pain, Palpitations
Blood: Anemia
Consulting Physicians
Name: Dr. Some Name
Speciality: Cardiology
Phone: 5456465456465
Name: Dr. Another Name
Speciality: Pulmonology
Phone: 87895641321
Medicine Details
Medicine: Met XL 50 50mg
Frequency: 2 times daily
Tenure: 1 months
Start Date: 1 September, 2022
End Date: 20 October, 2022
Opening Stock: 20
Present Stock: 0
Medicine: Atorac 20mg
Frequency: 1 times daily
Tenure: 1 weeks
Start Date: 6 September, 2022
End Date: 7 October, 2022
Opening Stock: 10
Present Stock: 0
Allergies
Item: Eggplant
Reaction: Rashes
Tobacco
Used: yes
Presently Using: yes
Period: 5 years
Frequency: 4 times / day
Alcohol
Used: yes
Presently Using: no
Period: 3 years
Frequency: 1 times / week
Pain Medicines
Used: no
Presently Using: no
Period:
Frequency:
Sleeping Pills
Used: no
Presently Using: no
Period:
Frequency:
Medical Records
| Files | Type | Name | Date | Physician | Diagnostic | Hospital | Store |
|---|---|---|---|---|---|---|---|
| Prescriptions | LOA Signed | 20, Feb 2022 | Dr. Some Name |