Evelyn Purchase died of pneumonia hours after doctor told her she had chest infection Evelyn Purchase, 20, was found dead just hours after the missed diagnosis She had made a final desperate phone call to her mother as she lay dying Tara Purchase, 41, didn't receive the message until after her daughter died The illustration student received 'less than optimal' treatment, coroner says Dr Mahmud Ahmed of Holly Hill clinic in Dudley criticised for level of care Dr Ahmed did not look at recent medical history or carry out full lung check Ms Purchase treated with antibiotics despite previous failure to respond Also given anti-depressants, despite not having mental health examination A mother has described listening to her daughter's dying words on an answerphone message, just hours after a doctor mistook her pneumonia for a chest infection. Evelyn Purchase, 20, tried to call her mother as she lay dying following medical treatment a coroner described as 'substandard'. Tara Purchase, 41, says she wasn't aware of the voicemail message until after she arrived at their home in Halesowen, West Midlands to check on her daughter and found her lifeless in her bedroom, clutching the phone in her hand. Tragic: Evelyn Purchase (left) was found dead just hours after a doctor failed to diagnose her pneumonia. Her mother Tara (right) says she found a voicemail message of her daughter's final moments after she died Just hours earlier, Miss Purchase had been sent away from a walk-in centre with antidepressants and a repeat prescription for antibiotics. A coroner said an examination carried out by Doctor Mahmud Ahmed at the Holly Hill clinic in Dudley had been 'less than optimal' after he admitted not looking at Miss Purchase's recent medical history. He also conceded he prescribed antidepressants without a proper mental health examination and failed to carry out a full lung examination. Miss Purchase died of extensive bilateral lung pneumonia with pulmonary abscesses on her mother's birthday, less than 36 hours after leaving the clinic. On listening to her daughter's answer phone message later in the day, Mrs Purchase said: 'I realised that Evelyn had tried to call me and I could hear her dying in the message.' She added: 'I will never be able to forgive myself for not being there for her when she needed me. I wish someone had told us how ill she was. Treatment: Evelyn Purchase was given antibiotics despite failing to respond to the medication on two previous occasions, and anti-depressants despite not being given a proper mental health examination Less than optimal: Dr Mahmud Ahmed of Holly Hill clinic in Dudley (pictured) was criticised for level of care he provided. Evelyn Purchase died after her pneumonia was misdiagnosed as a chest infection Despite failing to respond to two previous courses of antibiotics, Miss Purchase was given just another round of medication by Dr Ahmed. Black Country coroner Robin Balmain stopped short of saying Ms Purchase's death could have been prevented, but did criticise the medical examination she received, saying Dr Ahmed had made a number of assumptions about her condition. Although Dr Ahmed had previously treated Miss Purchase, he failed to check medical records that would have shown that two previous doses of antibiotics had failed to improve her illness. After failing to test her lung capacity, Dr Ahmed incorrectly diagnosed Miss Purchase with a chest infection, also prescribing antidepressants after wrongly assuming her lack of appetite was due to depression, despite not carrying out a mental health evaluation. Dr Ahmed, by day a clinical assistant in stroke and geriatric medicine, also admitted refusing to send Miss Purchase to nearby Russells Hall Hospital for X-rays despite her mother's protests that it was a matter of urgency. Talented: Evelyn Purchase was a second year illustration student at Hereford College of Arts. She hoped her work (pictured) would one day get her a job at video games manufacturer Sega He claimed that Miss Purchase, a second-year illustration student at Hereford College of Arts, had not appeared to be distressed about her illness when she walked into the clinic with her mother, adding that he had not recorded readings for her pulse and respiratory rate because they were within normal limits. In a short narrative conclusion, Mr Balmain said: Death was due to a natural cause. A medical examination that took place late on the evening of April 4 was less than optimal. 'It's not possible to say that the death could have been prevented.' Mr Balmain said of Dr Ahmed: 'He made the assumption that what he was prescribing was going to be stronger [than the previous antibiotics] and there was no basis for that assumption, because he simply didn't have the relevant information.' He added: 'It seems to me that what went on in the course of that examination was probably incomplete.' Speaking after the inquest, Mrs Purchase said: 'I'd taken Evelyn to a few doctors appointments in the days before her death and we went to the walk-in centre as her condition severely worsened - but I just feel he didn't have the time of day for us.' Less than 36 hours after visiting Dr Mahmud Ahmed at the Holly Hall walk-in clinic in Dudley, West Midlands, Evelyn Purchase's mother found her dead at their home in nearby Cradley She added: 'It really hit me hard to think that she was trying to grasp onto her life, but I couldn't be there to help her and I couldn't comfort her in those last moments of her life.' When the paramedics failed to resuscitate her, my life just came crashing down... Evelyn was such a bright, clever young girl and she had her head screwed on,' Mrs Purchase said. She went on to say: 'She was a shy character who concentrated on her studies, rarely partied, and she never lost focus of her achieving her ambitions... we were incredibly close.' Mrs Purchase said her daughter had been ill for several months with a range of symptoms but had been badly let down by doctors. The Halesowen College lecturer said that she would seek answers from the General Medical Council about the doctor's diagnosis, saying her daughter 'never got the chance to fight for her life'. Mrs Purchase said Evelyn was an 'unbelievably talented young lady' who previously went to Cradley High School and had eventually wanted to work for video games firm Sega.