CONSULT NOTE

IDENTIFICATION:

THROMBOSIS HISTORY:

CURRENT ANTICOAGULANTS:

PAST MEDICAL HISTORY:

MEDICATION:

ALLERGIES:

FAMILY HISTORY:

SOCIAL HISTORY:

HISTORY OF PRESENTING ILLNESS:

PHYSICAL EXAM:

Vitals:

INVESTIGATIONS:

Labs:

Imaging:

IMPRESSION AND PLAN:

Sheharyar Raza R4 Hematology