🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-09-10 10:14:26
Transcript
Doctor: Patient Rajesh is a case of acute febrile illness, having fever, cold, cough from last 5 days. Medication advised, paracetamol, moxiforce CV for 5 days, twice daily, follow-up after 5 days.
Clinical Notes
Allergies
No significant allergy history.
Chief Complaints / HOPI / Examination
- Acute febrile illness
- Fever
- Cold
- Cough for the last 5 days
Provisional Diagnosis/Diagnosis:
- NA
Investigations / Medication Advised
Laboratory:
- NA
Radiology:
- NA
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Paracetamol | Oral | - | - | - | - |
| 2 | Moxiforce CV | Oral | - | BD (twice daily) | 5 days | - |
Advice / Follow-Up
- Follow-up after 5 days