Patient Information - {{selected.Name}}
MRN: | {{selected.MRN}} |
Scheduled Time: | {{selected.ScheduleTime}} |
DOB: | {{selected.DOB}} |
Gender: | {{selected.Gender}} |
Medical History
No Problem | Medical Problem | Surgery | |||
---|---|---|---|---|---|
1: | Eyes (cataracts, glaucoma) | ||||
2: | Ears, nose, sinuses or tonsils | ||||
3: | Thyroid or parathyroid glands | ||||
4: | Heart valves or abnormal heart rhythm | ||||
5: | Coronory (heart) arteries (angina) | ||||
6: | Arteries (aorta, arteries to head, arms, legs) | ||||