Name: A. M Address: R. C. Age: 62 years old Birth Date: June 11, 1950 Birth Place: R. C.

Gender: Male Marital Status: Married Religion: Roman Catholic Educational Level: N/A Occupation: N/A Nationality: Filipino Person next to Kin: Date and Time of Admission: August 01, 2013 6:25 PM Area of Admission: Medical Ward Attending Physician: Dr. B. Chief Complains: Dizziness x 15minutes Principal Diagnosis: Cerebral Infarction Vascular Dementia

Other Diagnosis: Hypertensive Cardiovascular Disease PNA-MR Admission Diagnosis: Hypertensive Urgency CAP-MR Sources: Secondary: Wife and Chart