Patient ID: TC-CL-45454545 Name: Steven Last Name: Brown Gender: Male Date of Birth: 04/04/1940 Age: 75 Height: 5'9 Weight: 165 Blood Type: AB+ Mobile Number: 917-246-0000 Home Number: 509-147-5284 Person of Contact: 509-147-5284 Phone Number: 917-246-0000 Primary Doctor: Wiliam Moore,
Beth Israel-Mont Sinai Hospital,
UNION SQUARE NYC. PD Phone: 870-632-4748 Insurance Provider: Empire Blue Cross,
Blue Shield PPO plan Allergies: Aspirine,Related Drugs,NSAIDs group.
Ibuprophene and such. Effects:Obstruction/swwelling in the airways and agressive facial inflammation.
DIABETES TYPE II (ICD-250), HYPERTENSION and BENIGN TUMOR (on left lung, removed last June/2015) (ICD-401.1).
Had a bening tumor, left lung, removed on June /2015. At this moment doesn't show coughing, wheezing, dyspnea, hemoptysis.
Current Medications: HUMUL COMPOUND INJ 70/30. INSULIN REG and ISOPHANE 20 units. Intake:ac breakfast. Last Refill: #60 x 1.