HOSPITAL
Oakwood Community Clinic
450 North Main Street
Madison, WI 53703
(608) 555-0102
Patient Name: Isabella Garcia 
MRN: 9884021 
DOB: 11/05/1998 
Gender: Female 
Age: 26
MRN: 9884021 
Accession: B11269-25 
Date: 06/20/2025
The patient is a 26-year-old female with a history of persistent asthma since childhood. She reports seasonal exacerbations, typically in the spring and fall. Current medications include a daily inhaled corticosteroid and an albuterol inhaler for rescue use, which she reports using 3-4 times per week recently. She has a known allergy to dust mites and pollen. No history of smoking.
PROCEDURES:
Spirometry (pre- and post-bronchodilator): Demonstrated a reversible obstructive pattern, consistent with asthma. FEV1 increased by 15% after albuterol administration. 
Allergy Skin Testing: Positive reaction to tree pollen and dust mites. 
Chest X-ray (PA and Lateral): Lungs are clear. No acute infiltrate or edema.
IMPRESSION:
Moderate persistent asthma, sub-optimally controlled based on recent increase in rescue inhaler use.
Allergic rhinitis.
Patient Name: Johnathan Smith MRN: 8675309 Age: 67
Electronically Signed By: Dr. David Chen, M.D. 
Date: 06/23/2025 Time: 08:56