Overview
Balqis Zahra binti Ismail Allergy · Peanuts
90y · Female · MRN MV-710723- Visit
- OP
- Clinician
- Dr. Michael S. H. Law
- Patient
- 4 of 5
Resident
- IC
- 360203-11-4926
- DOB
- 03/02/1936 · 90Y 8M 2D
Vitals
- BCVA
- OD—
- OS—
- IOP
- —not taken
- —not taken
- BP111/67
- Fall risk
- Not assessed
- Pain
- 1/10 NRS · 05/10
- Payor
- ETIQA INSURANCE & TAKAFUL - STAFF
- GL
- RM 150 Issued
- Precaution
- None
- Allergies
- Peanuts
- Isolation
- None · no biohazard
- Diet / NBM
- None
- Blood
- A Rh+
- Ht / Wt
- 169cm · 60.3kg
- BMI
- 21.1 · BSA 1.68
- NOK
- Nur Syafiqah binti Ismail · Child
Diagnosis
4| H25.1 | Age-related nuclear cataract Primary | |
| E11.9 | Type 2 Diabetes Mellitus | |
| I10 | Hypertension | |
| H40.1 | Primary open-angle glaucomaOU |
Patient Visit
| Last Admission | None |
| Last Visit | 14/07 · Follow UpCataract & Refractive · Dr. Michael |
| Next Appointment | 03/01/27 · Review 3 moDr. Michael · Cataract & Refractive |
| This Visit | 05/10 · OP Follow UpCataract & Refractive · Dr. Michael · ETIQA INSURANCE & TAKAFUL - STAFF |
Medical / Surgical History
1| Surg | Cataract Extraction with IOL Phacoemulsification | 17/12/08 |
Family / Social History
Nothing recorded. Add family or social history with +.
Medication History
| None |
Internal Referral
No internal referral. Refer with +.
Service Charges
1 RM 70.00| Consultation · Subsequent · Simple | 70.00 |
OT Booking
No theatre booking. Book with +.
Checkpoint History
1| 11:00 | Front desk | Arrived |
Eye Results
6| 05/10 | 14/07 | 21/04 | ||
|---|---|---|---|---|
| BCVA | -- | OD 6/18OS 6/7.5 | OD 6/12OS 6/7.5 | |
| IOP | -- | OD 15OS 18 | OD 15OS 19 | |
| CMT | -- | -- | -- |
Laboratory
No laboratory results. Order with +.
Diagnostic
Nothing recorded yet.