True
False
True
False
True
False
For about 6 years
For about 5 months
For about 5 years
For about 6 months
True
False
Single
Divorced
Married
Widowed
Marital Status
Alcohol intake
Smoking
Current medication
Occupation
Allergies
Drug History (DH)
Social History (SH)
Past Medical History (PMH)
Family History (FH)
History of the Presenting Complaint (HPC)
Presenting Complaint (PC)
Investigations (X-rays, scans, blood tests etc)
Follow-up (review the patient after treatment)
Physical Examination (inspection, palpation, auscultation, percussion)