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Subjective: Patient John reported a high temperature of 103�C last night, chest pain, and a slight headache. He also reported that he had gone to a village to do some field work on potable water and felt sick there. | |
Objective: Patient was observed to be seated and was asked to lie down on the bed for a chest examination. | |
Assessment: Patient has caught a cold. | |
Plan: Patient is to take prescribed medications and have baths in tepid water for a few days. | |