Pt. name:  Juan Manuel                          Admitting Physician:   Dr. Cane        
Age:64                                            DOB:1/27/1949                           
Admitting diagnosis: CHF, COPD
Pt. ID # 542768                                                Med Rec #:  78543
Wt. lbs: 200    kg: 90.9                  Ht.: 5 ft  2 in                                 Race:American- Hispanic
Major Support:  wife                                                                     Religion:Catholic

Immunizations: not current
Allergies: NKDA

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