Free Medicine Record

[YOUR COMPANY NAME]
Date: April 15, 2090
1. PATIENT INFORMATION
Full Name: Hank Wilkins
Date of Birth: May 12, 2050
Gender: Male
Contact Information: hank@you.mail
Address: Fort Wayne, IN 46801
2. MEDICAL HISTORY
Known Allergies: Penicillin
Chronic Conditions: Type 2 Diabetes, Hypertension
Current Medications:
Metformin 500mg (Twice Daily)
Losartan 50mg (Once Daily)
Past Surgeries: Appendectomy (2075)
Family Medical History:
Mother: Breast Cancer
Father: Heart Disease
3. MEDICINE DETAILS
Medication Name: Simvastatin
Dosage: 20mg
Frequency: Once daily at bedtime
Route of Administration: Oral
Prescribed By: Dr. [YOUR NAME], MD
Start Date: April 10, 2090
End Date: April 10, 2091
Purpose: To lower cholesterol and reduce the risk of cardiovascular events
4. MONITORING AND FOLLOW-UP
Side Effects Observed: Mild muscle soreness reported after two days
Next Appointment: May 15, 2090, at 10:00 AM
Special Instructions:
Take medication with water and avoid grapefruit juice.
Schedule a fasting lipid panel test before the next appointment.
5. NOTES
Patient advised on the importance of maintaining a low-fat diet and regular exercise to enhance medication efficacy.
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