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DEPARTMENT OF SURGERY
SECTION OF UROLOGY
Aurora Boulevard, Quezon City
CLINICAL ABSTRACT
PATIENT’S DATA
DIAGNOSTICS:
1. Complete Blood Count (08.07.18)
2. Urinalysis (08.07.18)
3. Urine Culture Specimen (08.07.18)
4. Serum Sodium (08.07.18)
5. Serum Potassium (08.07.18)
6. Blood Urea Nitrogen (08.07.18)
7. Creatinine (08.07.18)
THERAPEUTICS:
1. Levofloxacin 500 mg 1 tab once a day
2. Celecoxib 200 mg 1 cap twice a day
PROCEDURES:
1. Suprapubic Tube Cystostomy (08.08.18)
________________________________ ________________________________
Angelo Russell D. Chua, MD Napoleon B. Alcedo, Jr., M.D.
Department of Surgery Medical Director
Section of Urology UERM Memorial Medical Center, Inc.
UERM Memorial Medical Center, Inc. License No. 67859
License No. 0124990
UNIVERSITY OF THE EAST
RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER, INC.
64 Aurora Boulevard, Barangay Doña Imelda, Quezon City 1113
DEPARTMENT OF SURGERY
SECTION OF UROLOGY
Dear Sir,
Greetings! This letter is prepared on behalf of our patient OCINO, DINO a 21-year-old Filipino male from.
She was admitted at our institution on August 7, 2018 with a working diagnosis of Urethral Injury Secondary
to Fall; s/p Suprapubic Tube Cystostomy (08.08.18)
The patient’s family is currently under financial difficulty and is unable to procure funds to cover her medical
expenses. This referral is made upon the request of the patient for the purpose of soliciting financial support
from your good office. The patient and her family will greatly benefit from any help from your institution. We
look forward to a favorable response from you.
Thank you very much for your kind attention to this matter.