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ArogyaUDHC

Care-seeker

Sex	TBF
Name	ACORUS462CALAMUS
History	Anaemia Jaundice Cyanosis Clubbing Edema
Addiction History	Type of addiction Caffeine Absinthe Substance Years of usage past present NEVER Type of addiction beedi cigarette paan paan_masala zarda khaini other tobacco snuff modern alcohol Counselling YES NO Any other addiction?
Comorbidity	Comorbidity Diabetes Mellitus Severity of Hypertension Severity High blood pressure Ischemic Heart Disease HEART DISEASE tb disease status
Major problems	What was the problem/diagnosis/treatment? Age when detected Current Status
Major surgeries	What was the procedure? Current status? Age when done? Current Status
Family history	What was the procedure? Current status? Age when diagnosed? Relationship Current Status
Medication	Medicine name Dosage Frequency Currently taking? Yes No Start date End date

Mon, Jun 17, '13

63 year old lady with Periodic episodes of headache and vomitting for 3-4 days since 15 years