Sample format for pharmaceutical case:
|
Name of Witness |
Sandra K. Smith |
|
Date of deposition |
June 27, 2001, Houston, Texas |
|
Address |
123 Live Oak Drive, Pearland, Texas |
|
DOB / Age |
05/30/55, 46 years old |
|
Specific Drug Taken |
Pondimin and Phentermine |
|
Dates of Use of Drug |
1985 – 1987; and 6/1994 to 12/97 |
|
Prescribing physician(s) |
Dr. Joe L. Cohen Dr. Lois G. Brown |
|
Date of Initial Diagnosis |
April 15, 2000; Echocardiogram |
|
Other Diagnosis |
Severe Mitral Valve leakage; Pulmonary Hypertension |
|
Damages / Surgery |
Mitral valve replacement surgery scheduled for August 2001 |
|
Current treating physician |
Dr. M. L. Jones |
|
Other Drugs taken |
None |
|
Other relevant medical issues |
Had rheumatic fever as a child |