- The patient lives with her husband and son, and has no family history of similar illness. She and her family are otherwise enjoying good health. - She eats a typical non-vegetarian Assamese diet and occasionally chews betel nut, but does not smoke or drink alcohol. - She lives in a rented house without a separate kitchen, uses LPG for cooking, boiled water, and a sanitary latrine. She has no significant drug or allergy history and received two doses of the Covishield vaccine.

1. • FAMILY HISTORY
• She lives with her husband and a son.There is
no history of similar illness in her family.
• All are enjoying good health.
• PERSONAL HISTORY
• She takes an average non- vegetarian
Assamese diet comprising of three major
and two minor meals.
• She is non – smoker, non – alcoholic but
chews betel nut ocassionally.

2. • SOCIOECONOMIC HISTORY
• She lives in a rental pucca house without any
separate kitchen. She uses LPG as fuel for cooking.
• Uses sanitary latrine and consumes water from well
after boiling.
• DRUG HISTORY
• There is no significant drug history.

3. • ALLERGY HISTORY
• She is not known to be allergic to any
ingested , inhalants or any injectible
substances.
• IMMUNIZATION HISTORY
• She took two doses of covishield
vaccine.
• MENSTRUAL HISTORY
• She has a normal and regular
menstrual cycle.

4. • GENERAL EXAMINATION
• The patient is conscious, alert and well oriented to time
,place and person.
• Appearance-look ill.
• Decubitus-comfortable in supine position.
• Built-Average.
• Nutrion-poor
• Dehydration-absent
• Skin and hair-healthy.
• Pallor-present.
• Icterus-absent

5. • Cyanosis-absent
• Teeth and gums-healthy
• Tounge-smooth and moist,papillae present
• Neck veins –not engorged
• Neck gland –not palpable
• Clubbing-absent.
• Koilonychia-absent.
• Leukonychia-absent.
• Edema-bipedal pitting edema.

6. • Pulse :
1.Rate -76/min
2.Rhythm-irregularly irregular.
3.Character-normal
4.Volume-normal
5.Condition of arterial wall-not palpable.
6.No radio-radial or Radio-femoral delay.
7. All peripheral pulses are felt bilaterally and
symmetrically
• Respiratory rate : 18/min,regular,thoraco-abdominal
type.
• BP : 110/70 mm of hg on right upper arm in supine
position.