Blood Pressure: 157/96

Pulse: 104

Weight: 110.8

Temperature: 36.0

Glucose: 9.2mmol/l

History
known with peptic ulcer disease known with hypertension presents dyspnea nyha class 2,no chest pain,oedema,PND, insmonia

Diagnosis
PUD ADHF

Medication
furosemide 20mg ivi stat tramazac 50mg ivi stat furosemide 20mg bd cimetidine 50mg tbd refer to hospital

Sick Leave
0