With the ClickUp Patient List Template, you can keep track of every patient's information and progress. The built-in form within this template makes it simpler to collect patient data and to update existing records.
![](https://clickup.com/images/templates/87c6e2b6-300.png)
Patient List
Add template to your ClickUp accountTemplate Includes
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ACTIVE, ARCHIVED, NEW
- HMO Identification Number
- Designation
- Place of Birth
- Insurance
- Marital Status
- Medical Progress Remarks
- Emergency Contact Person
- Current Address
- Employer Name
- For Updating?
- Emergency Contact Person Phone Number
- Email Address
- Weight (lb)
- Employer Contact Number
- Next Appointment
- Medication Intake
- Medical Files
- Date of Treatment
- Record Number
- Sex
- Date of Birth
- Relationship
- Height (cm)
- HMO
- Employer Email Address
- Strategy for Next Appointment
- Last Appointment
- Signature of the Appointed Doctor
- Employer Address
- Patient Library
- Active Patient
- Medical Progress Report
- For Updating
- Archived Records
- Appointment Schedule
- New Patient Form
- Getting Started Guide