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.