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DHA Phase 5, Lahore DHA Phase 5
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Muhammad Imran10-2478145 y · MCNIC 35202-•••••••-1
Allergy: SulfonamidesHTNSelf pay
OPD · Token A-24 · Dr. Ayesha Siddiqui · Room 2 Not this patient?
  1. Check-in
  2. Vitals
  3. Doctor
  4. Billing
  5. Pharmacy or lab
Clinic

Consultation

Token A-24 · Room 2 · started 11:42 · 8 minutes so far

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1. Vitals

Taken by Nurse Rubina at 11:35 · Edit
BP
148/92
High ↑
Pulse
96
Temperature
101.2 °F
Fever
SpO₂
97 %
Weight
82 kg
BMI
27.7
Sugar
132

2. Complaint and examination

What brings them in?
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Examination

3. Diagnosis

ICD-10
J02.9
Acute pharyngitis (sore throat)
Main diagnosis · provisional
I10
High blood pressure
Long-term · not controlled today

4. Prescription

Load a templateRepeat last
Allergy check passed. Nothing in this prescription contains a sulfonamide.
Blood pressure is high on amlodipine 5 mg. Think about 10 mg or a second medicine. Avoid painkillers like Brufen, which can raise BP.
Tab Septran DS · co-trimoxazole 960 mgAllergy: sulfonamide Syrup Septran · co-trimoxazole 240 mg/5 mlAllergy: sulfonamide
Choosing a medicine marked "Allergy" stops you and asks for a reason.
MedicineDoseForHow to takeRemove
Tab Azithromycin 500 mg
Instead of Septran (allergy)
1+0+03 daysOnce a day
دن میں ایک گولی، تین دن
Tab Panadol 500 mg
Paracetamol
1+1+15 daysOnly when there is fever
بخار ہو تو ایک گولی، دن میں تین بار تک
Tab Amlodipine 5 mg
Continued
1+0+030 daysEvery morning
روزانہ صبح ایک گولی
Cap Omeprazole 20 mg
For the stomach
1+0+014 daysBefore breakfast
ناشتے سے پہلے ایک کیپسول

5. Tests

Billed automatically at the counter
Lab
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X-ray and scans

6. Advice and follow-up

Come back in
20 October · a WhatsApp reminder will be sent
Saved at 11:50 · finishing locks the note Print WhatsApp Finish and send to billing
Hard stop · allergy conflict

Co-trimoxazole contains a sulfonamide

Muhammad Imran (MRN 10-24781) has a recorded severe sulfonamide allergy. Tab Septran DS (sulfamethoxazole 800 mg + trimethoprim 160 mg) has not been added to the prescription.

Reaction history
  • 2019 · rash and facial swelling (angio-oedema) after Septran for UTI; treated in ER
  • Recorded by Dr. Ayesha Siddiqui · confirmed by patient 13 Oct 2026
  • Severity Severe · status Active
Why this fired
  • Rule R-CLN-020: drug class matches allergy class (sulfonamide antibacterials)
  • Blocks signing the Rx unless overridden with a reason
  • Overrides are audited and reviewed weekly by the medical director
Azithromycin 500 mg macrolide Cefixime 400 mg cephalosporin Nitrofurantoin 100 mg UTI only
Override (only if clinically justified)
Override & prescribe Choose alternative