MRN: 987573
Allergies: No Known Drug Allergies
Medical History: Hypertension, Seasonal Allergies
| Time | Provider | Notes |
|---|---|---|
| 0800 | Mary Rolland, CNA | Patient presents to primary care office complaining of persistent cough. Patient vital signs = HR 78, BP 128/74, POX 98% on RA, RR 18. Awaiting RN assessment. |
| Time | 0800 |
|---|---|
| Heart Rate | 81 |
| Blood Pressure | 119/78 |
| Respiratory Rate | 20 |
| Pulse Ox | 97% on Room Air |
| Temperature | 98.6 F Oral |
| Pain | 0/10 |