EnsoMed

In-Patient Master

From Date

To Date

Incharge Doctor

Patient Name

Patient ID	Patient Name	Date Admitted	Service Area	Doctor In-Charge	Status

Pre-Appointment Screening Questionnaire.

Patient Information
Search Item 1

Patient ID:		Patient Name:

Questionnaire
NO QUESTIONNAIRE TO DISPLAY

Patient Name:
Diagnosis:
Complaint:
Remarks:

Other Diagnosis:

Reason for Admission

History of Present Illness

Pertinent Past Medical History

Medical History

Vitals

Date Time	Height	Weight	Blood Pressure	Temparature	Pulse Rate

Notes

Prescriptions

Lab Works

Date Time	Test Name	Description	Remarks
NO LAB WORKS TO DISPLAY

Triage Assessment History

Date Time	Category	Questions	Answers
NO TRIAGE HISTORY TO DISPLAY

Lab Work

Remarks

Attachment

Lab Tests:

Name	Result	Range