Pt. name:  Mada Meade                          Admitting Physician:   Dr. Cane        
Age:64                                            DOB:1/27/1949                              
Admitting diagnosis: CHF, COPD
Pt. ID # 542768                                                Med Rec #:  78543
Wt. lbs: 140    kg: 68.2                 Ht.: 5 ft  2 in                                 Race:American- Hispanic
Major Support:  Husband                                                                     Religion:Catholic

Immunizations: not current
Allergies: NKDA