🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-09-10 10:29:06
Transcript
Doctor: Patient is a case of acute febrile illness, having cold, cough and fever since last 5 days. Taking medicines Paracetamol 650 twice daily. After food for 5 days. AZ 500 daily once for 5 days. Moxiforce CV 650 twice daily for 5 days. After food investigation advised. LFT, KFT, CBC follow up after 5 days. Instructions avoid hot, chilly, cold food. Take liquid diets and take regular rest. Visit www.FEMA.gov
Clinical Notes
Allergies
No significant allergy history.
Chief Complaints / HOPI / Examination
- Acute febrile illness
- Cold
- Cough
- Fever for the last 5 days
Provisional Diagnosis/Diagnosis:
- NA
Investigations / Medication Advised
Laboratory:
- Liver Function Test (LFT)
- Kidney Function Test (KFT)
- Complete Blood Count (CBC)
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Paracetamol 650mg | Oral | 650mg | Twice daily | 5 days | After food |
| 2 | AZ 500 | Oral | 500mg | Once daily | 5 days | - |
| 3 | Moxiforce CV 650 | Oral | 650mg | Twice daily | 5 days | After food |
Advice / Follow-Up
- Avoid hot, chilly, cold food
- Take liquid diets
- Take regular rest
- Follow up after 5 days