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Clinical Findings
Internal record only โ not included on the printed prescription.
Visit & patient
File No
Date
Patient Name *
Age / Gender
Nationality
Emirates ID
Mobile No
Email (optional)
Company
Insurance
Address
Doctor Name
Select doctor
Dr. Darakshan Jabeen
Vitals & history
Blood Pressure
Pulse Rate
Blood Sugar
Allergy
Other medical conditions
Chief Complaint & Clinical Findings
Diagnosis
Treatment(s) given
+ Add treatment
Prescription
This is the only part printed and handed to the patient.
Medications
Medication
Dosage
Frequency
Duration
+ Add medication
Additional instructions
Next review date
Patient age on the printed prescription is taken automatically from Age / Gender above.
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