🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-10-01 10:37:03
Transcript
Doctor: So, let's say patient Rajesh is a case of hypertension since last 5 years and taking medicines Telma 40, Moxifos CV 650, rest advised, instructions monitor blood pressure and sugar on a daily basis, keep a trend record and follow up after one month with reports.
Clinical Notes
Allergies
No significant allergy history.
Chief Complaints / HOPI / Examination
- Hypertension for the last 5 years
Provisional Diagnosis/Diagnosis:
- Hypertension
Investigations / Medication Advised
Laboratory:
- Monitor blood pressure
- Monitor blood sugar
Radiology:
- NA
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Telma 40 | Oral | - | - | - | - |
| 2 | Moxifos CV 650 | Oral | - | - | - | - |
Advice / Follow-Up
- Rest advised
- Monitor blood pressure and sugar on a daily basis
- Keep a trend record
- Follow up after one month with reports