New Encounter Note

Suresh Patel · UHID-00234

Date & Time

Encounter Type

Department

Consulting Doctor

SSubjective — Chief Complaint & History

OObjective — Examination Findings

BP (mmHg)

HR (bpm)

SpO₂

Temp (°C)

RR (breaths/min)

Weight (kg)

AAssessment — Impression & Diagnosis

PPlan — Management & Orders

I10Hypertension

E11Type 2 DM

E78.5Hyperlipidaemia

• Amlodipine 5mg OD

• Metformin 500mg BD

• Atorvastatin 40mg ON

• Aspirin 75mg OD

BP138/88 mmHg

HR78 bpm

SpO₂98%

Weight82 kg

⚠ Penicillin — Anaphylaxis

⚠ Shellfish — Urticaria