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Ellis, JordanDOB 07/09/1968 · 58 yearsPatient ID 0043 · Sample patient

Allergy: PenicillinHives · Reviewed 09/10/2026

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Signed

Nursing Assessment · 09/10/2026 · Demo Student

Assessment and Documentation

Patient reports fatigue after activity. Comfort, mobility, reported history, and allergies reviewed. Penicillin allergy documented. Observations recorded for instructor review.

Plan

Document reassessment and communicate the observed changes to the instructor.

Vital Signs

Blood pressure 118/76 mmHg · Pulse 78 bpm · Respirations 16/min · SpO₂ 98% · Temperature 98.2 °F · Height 68 inches · Weight 150 pounds · BMI (student calculated) 22.8 kg/m²

Signature and History

Demo Student signed version 2 on 09/10/2026 at 9:20:00 AM EDT.

Addendum · 9:25:00 AM EDT

Added clarification: allergy reaction was confirmed during intake. The signed note is preserved.

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