[Diagnostics/Treatments]. Dispensed [Medication] at [Dosage]. Recheck in [Time].

Temp: [ ], HR: [ ], RR: [ ]. Mentation: [ ]. PE: [ ]. Assessment: [Diagnosis or Differential Diagnosis].

Always correct transcription errors using your voice (e.g., "Correct [word]") to help the software learn your voice, rather than just typing over the error. Example SOAP Note Structure (Using Auto-Text)