🩺 Record Detail

Patient Info

Name: Unknown
Age: Unknown
Date: 2025-09-02 04:57:32

Transcript

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                                             <tbody><tr><td id="fragmentid_1"><div><p><strong class="Doctor">Doctor</strong>: Patient Rajesh have fever since last 5 days, throat congested, chest clear, ephebrile illness detected, acute ephebrile illness, viral fever.</p></div></td></tr><tr><td id="fragmentid_2"><div><p><strong class="Doctor">Doctor</strong>: Patient is having loss of appetite, cold and cough with sneezing, white phlegm. All these symptoms are from last 5 days.</p></div></td></tr><tr><td id="fragmentid_3"><div><p><strong class="Doctor">Doctor</strong>: Advised investigation, CBC, LFT, KFT, instructions, take rest for 5 days, avoid oily spicy food, follow-up notes, follow-up after 5 days with reports, medicines to be prescribed, Moxiforce CV 650 twice daily before food, PAN 40 before food, once daily, Dolo 650 twice daily after food.</p></div></td></tr></tbody>

Clinical Notes

Symptoms : Fever for the last 5 days, throat congestion, loss of appetite, cold, cough with sneezing, and white phlegm.

Findings : Throat congested, chest clear, acute ephebrile illness, viral fever.

Medical History: Symptoms have been present for the last 5 days.

Medicines : Moxiforce CV 650 twice daily before food, PAN 40 once daily before food, Dolo 650 twice daily after food.

Diagnosis : Acute ephebrile illness, viral fever.

Investigation : Advised CBC, LFT, KFT.

Instruction : Take rest for 5 days, avoid oily and spicy food.

Follow up : Follow-up after 5 days with reports.

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