Daily Progress Notes

Chronological clinical progress notes for admitted patients

23 Jun 2026 — 08:45

Dr. P. Sharma · Rajan Kumar, 58M · G-1

SOAP

Subjective

Patient reports no chest pain. Appetite improving. Slept 6 hours.

Objective

BP: 118/76, PR: 72 regular, SpO2: 98% RA. Heart sounds dual, no murmur. Groin (PCI site) clean.

Assessment

NSTEMI Day 3 post-PCI. Stable. Troponin trending down (0.3).

Plan

Continue DAPT. Echo today. Mobilise with physio. Target discharge Day 5 if echo satisfactory.

22 Jun 2026 — 09:20

Dr. P. Sharma · Rajan Kumar, 58M · G-1

SOAP