Blood Pressure: 147/75

Pulse: 84

Weight: NA

Temperature: 37.5

Glucose: 9.9mmol

History
patient reported to be having loss of appetite and general body malaise ,generalized body weakness, no coughing, no loss of weight, no sweating, diarrhea, x 3 loose stools, unclear to duration, no vomiting, colicky abdominal pain

Diagnosis
acute gastroenteritis no dehydration

Medication
buscopan 10mg imi stat tto primodium 2mg aels po hydrol x3 sachets painblock 1 tds po multivitamin 1 tab daily contromet 1 prn po

Sick Leave
0