Electronic Health record

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1. Personal Details
Name
Address
0 /
Age
Contact No.
Height
Weight
BMI
2. Habits
1.Smoking:No. of Bidi/ Cigarette
SinceHow many Years:
2.Tabacco Chewing:Type of Tobacco
SinceHow many Years:
3.Alcohol:Type of Tobacco
How Much
SinceHow many Years:
4.Others:
Pulse:Per Minute
Blood Presure :
RBS
Previous Medical History for Any major illness:
0 /
Systemic Examination
RS :more details
0 /
CVS :more details
0 /
PA :more details
0 /
CNS :more details
0 /
Any Investigation Done :
0 /
Further advice :
0 /
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