Patient : Disease States Allergies

Disease States

Medical Condition

Product

Generic Name

xxx

Known

Start Date

End Date

Status

Allergy Class

Reaction

Other Reaction

Product

Generic Name

Aripiprazole Oral Solution 1 MG/ML

Onset Date

Status

Non Drug Allergen

Created By/On:Smith James/5/12/2018 05:04:31

Maintained By/On: Smith James/5/12/2018 05:04:44

Search Criteria

Date of Birth

Enter last name, first name

MRN

Phone

Address

City

State

ZIP

Name	Date of Birth	Address	City	State	ZIP	Phone	Status
Smith James	10/07/1978	88 Center Rd	Bedford	OH	44146	715-361-4850	Active
Rodriguez Maria	10/07/1976	2349 Spinnaker Lane	Joliet	LA	60432	724-376-4350	Active
Smith James	10/07/1978	1566 Elm Drive	Cambridge	NY	12816	532-247-7219	Active