Patient
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Your patient is waiting
Think of it as a real consultation — because that’s the point.
Tip: Use signposting, empathy, and lay language throughout.
Inspector
Doctor Notes
Patient Information
Name: Derek Hargreaves
Age: 67 years
Gender: Male
Current Appointment
Urgent same-day appointment — worsening breathlessness over 4 days.
Medical History
Past Medical History
COPD (diagnosed 8 years ago, MRC grade 3), Hypertension, Ex-smoker
Drug History
Tiotropium 18mcg Handihaler 1 puff OD, Salbutamol 100mcg MDI 2 puffs PRN, Amlodipine 5mg OD. NKDA