Overview
Wirdah Hani binti Osman Allergy · Peanuts
66y · Female · MRN MV-719116- Visit
- OP · Cornea & External Eye · 11:40
- Clinician
- Dr. Michael S. H. Law
- Patient
- 5 of 5
Resident
- IC
- 600322-10-4102
- DOB
- 22/03/1960 · 66Y 6M 13D
Vitals
- BCVA
- OD6/6
- OS6/7.5
- IOP
- OD18
- OS15
- BP142/63
- Fall risk
- Not assessed
- Pain
- 2/10 NRS · 05/10
- Payor
- TNB
- GL
- RM 290 Issued
- Precaution
- None
- Allergies
- Peanuts
- Isolation
- None · no biohazard
- Diet / NBM
- None
- Blood
- A Rh+
- Ht / Wt
- 156cm · 61.2kg
- BMI
- · BSA 1.63 25.1
- NOK
- Ahmad Firdaus bin Ibrahim · Child
Diagnosis
4| H04.1 | Other disorders of lacrimal gland (dry eye) Primary | |
| E78.0 | Hypercholesterolaemia | |
| I10 | Hypertension | |
| E11.9 | Type 2 Diabetes Mellitus |
Patient Visit
| Last Admission | None |
| Last Visit | 18/08 · Follow UpCornea & External Eye · Dr. Michael |
| Next Appointment | 03/01/27 · Review 3 moDr. Michael · Cornea & External Eye |
| This Visit | 05/10 · OP Follow UpCornea & External Eye · Dr. Michael · TNB |
Medical / Surgical History
1| Surg | Tonsillectomy | 24/10/14 |
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
3| 11:00 | Front desk | Completed |
Eye Results
6| 05/10 | 18/08 | 06/07 | ||
|---|---|---|---|---|
| BCVA | OD 6/6OS 6/7.5 | OD 6/6OS 6/7.5 | OD 6/6OS 6/7.5 | |
| IOP | OD 18OS 15 | OD 19OS 14 | OD 18OS 15 | |
| CMT | -- | -- | -- |
Laboratory
No laboratory results. Order with +.
Diagnostic
Nothing recorded yet.