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                                                       PROFILE:4



            Name:   Mr. Keith, Alta      Address: 2020 Bill Blvd., NY

            Height:  6’ 3"  Age: 40      Weight:  220 lbs.    Sex: Male      Allergy:  NK

            Primary Diagnosis:    1. Hypertension
                                 2. Asthma
                                 3. Depression
                                 4. Diabetes


            Secondary diagnosis:



            Lab Results          Values                Date

            Blood glucose        180mg/dl              08/28/2025
             +
            K                    5.5 mEqs/L            08/28/2025
              +
            Na                   135 mEqs/L            08/28/2025
            Cl                   95 mEqs/L             08/28/2025
             -



             RX No    Drug Name                                    Prescriber   Qty     Date            Refills

             1105     Questran, i/po /pack/q.d.                    Jack         30      08/30/2025      5
             1106     Zocor 20mg, i/po/q.d.                        Jack         30      08/30/2025      5
             1107     Elavil 50mg, i/po/hs                         Jack         30      08/30/2025      5
             1108     Minipress 1mg, 1/po/hs                       Jack         30      08/30/2025      5
             1109     Micronase 2.5mg, i/po/b.i.d.                 Jack         60      09/05/2025      5
             1110     Precose 50mg, i/po/b.i.d.                    Jack         60      09/05/2025      5
             1111     Zaroxolyn 2.5mg, i/po/q.d.                   Jack         30      09/05/2025      5
             1112     Prozac 20mg, i/po/q.d.                       Jack         30      09/05/2025      5
             1113     Tornalate MDI, iii/puffs/b.i.d.              Jack         1       09/14/2025      5
             1114     Beclovent MDI, ii/puffs/q.i.d.               Jack         1       08/30/2025      5
             1115     Atrovent MDI, ii/puffs/q.i.d.                Jack         1       08/30/2025      5
             1116     Motrin 400mg, ii/po/tid/prn                  Jack         30      08/18/2025      5
             1117     Coumadin 2.5mg, i/po/qd                      Jack         30      09/25/2025      0

             Pharmacist Notes:














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