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Title
General Appearance
Well
Unwell
Distressed
Other
Weight
.g., 70 kg
Height
e.g., 170 cm
Body Mass Index (BMI)
[Calculated Field] based on weight and height
Subject Of Visit
Initial Diagnosis
Annual Check-up
Treatment Sequence
Emergency
Vaacination
Specialty Examination
Chronic Disease Management
Preventive Examinations
Surgical Procedure Sequence
Service
Vaccination
Newborn Screening
Growth Monitoring
Developmental Assessment
Hearing Test
Vision Test
Nutritional Counseling
Behavioral Assessment
Speech Therapy
Physical Therapy
Autism Assessment
School Readiness Check
ADHD Management
Asthma and Allergy Management
Diabetes Management
Immunization Update
Emergency Care
Sick Visit
Health Certificate
Travel Advice
Home Visits
Breastfeeding Consultation
Child Development Monitoring
Vaccination Certificate
Febrile Illness Management
Minor Injuries Care
Newborn Care Advice
Parental Counseling
Baby Sleep Support
Toddler Development Check
Teenage Health Screening
Scoliosis Screening
Sports Physical
Dental Health Check
Skin Allergies Management
Vaccine Reaction Management
Flu and Cold Care
Otitis Management
Skin Rash Management
Urinary Tract Infection Care
Pediatric Cardiology Screening
Nutritional Supplement Advice
Mental Health Assessment
Immunization Schedule
Preventive Medicine
Weight Management
Vaccination Side Effects
Child Psychology Support
Endocrine Disorder Screening
Preoperative Medical Check
Allergy Testing
Genetic Counseling
Neonatal Intensive Care
Pediatric Gastroenterology
Pediatric Orthopedics
Pediatric Neurology
Pediatric Dermatology
Pediatric Hematology
Vaccination Counseling
Puberty Development Check
Heart Rate
Regular
Irregular
Heart Sounds
Normal
Murmur
Gallop
Rub
Peripheral Pulses
Present
Absent
Weak
Strong
Breath Sounds
Normal
Wheezing
Crackles
Rhonchi
Respiratory Rate
Normal
Increased
Decreased
Chest Expansion
Symmetrical
Asymmetrical
Abdominal Examination
Soft
Distendet
Tender
Guarding
Mental Status
Alert
Confused
Agitated
Lethargic
Sensory Function
Normal
Decreased
Absent
Range of Motion
Full
Limited
Ear Examination
Normal
Infection
Wax Buildup
Thyroid
Normal
Enlarged
Nodules
Bladder
Normal
Distended
Bowel Sounds
Normal
Absent
Hyperactive
Cranial Nerves
Intact
Impaired
Joint Examination
Normal
Swelling
Tenderness
Deformity
Skin
Normal
Rush
Ulcer
Bruising
Jaundice
Nasal Passage
Normal
Obstructed
Discharge
Genitalia
Normal
Lesions
Discharge
Masses
Other Glands
Normal
Abnormalities
Liver and Spleen Size
Normal
Enlarged
Motor Function
Normal
Weakness
Paralysis
Muscle Strength
Normal
Week
Nails
Normal
Clubbing
Cyanosis
Onychomycosis
Throat
Normal
Redness
Tonsillar Swelling
Exudate
Kidney
Normal
Tenderness
Enlarged
Mood
Stable
Anxious
Depressed
Euphoric
Thought Process
Coherent
Disorganized
Delusions
Hallucinations
Blood Pressure
e.g., 120/80 mmHg
Respiratory Rate
e.g., 16 breaths/min
Heart Rate
e.g., 72 bpm
Oxygen Saturation
e.g., 98%
Temperature
e.g., 98.6°F or 37°C
Main Complaint
Symptom Description
Symptoms
Fever
Cough
Pain
Fatigue
Nausea
Other
Duration of Symptoms
Couple of Days
1-2 weeks
2-4 weeks
more than 4 weeks
Severity of Symptoms
Mild
Moderate
Severe
Sugar
Possible Conditions
Differential Diagnosis
Lab Results
Title
result
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Medication Prescribed
Name
Dosage
Frequency
Morning
Lunch
Evening
Night
duration
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Referral to Specialist
Follow-up Appointment
Additional Observations
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