Patient Electronic Health Records
Gurpreet Singh • 48 yrs, Male • Phone: +919833445566
Blood Group
B+
Total Visits
1 Visits
Known Allergies
Aspirin
Chronic Conditions
Acid Peptic Disease (GERD)
Clinical Case History (1 Visits)
Visit #1
09 Sep 2026, 04:47 AM
In person
Complaint:
Heartburn, sour belching & retrosternal burning after meals for 1 week
Blood Pressure
124/80 mmHg
Pulse Rate
74 bpm
Temperature
98.4 °F
Oxygen (SpO2)
99%
S - Subjective (Patient Narrative)
Patient has frequent late-night heavy meals and tea. Epigastric burning worsens in supine position.
O - Objective (Physical Exam)
Mild epigastric tenderness, abdomen soft, no organomegaly.
A - Assessment & Diagnosis
Gastroesophageal Reflux Disease (GERD) with Dyspepsia
P - Treatment Plan & Advice
Small frequent meals, avoid tea/coffee, elevate head end while sleeping.
Prescriptions (2)
View / Print Rx
Pantoprazole 40mg + Domperidone 30mg
Capsule
• Take on empty stomach 30 mins before morning breakfast
1-0-0
14d (before food)
Antacid Gel (Mucaine / Digene)
Syrup
• Take 2 teaspoons after meals and at bedtime if burning occurs
1-1-1 (SOS)
7d (after food)
Scheduled Follow-up Check-ins & Refills (4)
🩺 Symptom Check
09 Sep 2026
Post-GERD treatment symptom review & diet tolerance check.
⏳ Reminder Due
💊 Refill
23 Sep 2026
Refill for Pantoprazole 40mg + Domperidone (14 day course completing).
⏳ Reminder Due
🩺 Symptom Check
02 Nov 2026
Post-GERD treatment symptom review & diet tolerance check.
⏳ Reminder Due
💊 Refill
16 Nov 2026
Refill for Pantoprazole 40mg + Domperidone (14 day course completing).
⏳ Reminder Due