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Biographical Data

Name: “Boy Bungot”

Room #: Male Ward 6

Age: 42 years old

Civil Status: Married

Occupation: Farmer

Address: P-5 Kianggat Dangcagan 8719 Bukidnon

Birthday: March 24, 1967

Sex: Male

Weight: 60.5 kg

Height: 5’5”

Nationality: Filipino

Religious Affiliation: Roman Catholic

Highest Educational attainment: 2nd year High school

Usual health care provider: Health Center

Date of confinement: February 01, 2010

Source of history information: Patient and patient’s wife, chart

Attending Physician: Dr. Chuvaness

Chief Complaints: Jaundice

Impression/ Diagnosis: R/I Liver Cirrhosis, Colelithiasis

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