SOAP NOTE
Women’s Health / Primary Care SOAP Age Range: 20-30 Gender: Female Occupation: Home maker. Subjective: ID: M.M.
Reliability: Pt is reliable, dependable and a knowledgeable source of information.
Reason for seeking Care (CC): Patient states “I have missed last two menstrual cycles of mine. I just need to confirm if I am pregnant.” History of Present Illness: Patient is a 29-year-old Asian female with no significant medical illness in the past history. Patient is a new patient to the clinic, and has come to confirm if she is pregnant. Travel History past 30 days: Patient has returned from a trip to her home land last week..
Current Medications: She uses some Homoeopathic medicines for constipation and heartburn sometimes.
Allergies (Medication, ...
