                                                                                                                     Dr. Vivek Anand Padegal

       Fortis                                                                                                        M.D ., FCCP.(USA), DABIM Internal Medicine,
                                                                                                                     Pulmonary Disease & Critical Care Medicine (USA),
                                                                                                                     DABSM Sleep Medicine (USA),
                                                                                                                     KMC Reg. No. : 33668
                                                                                                                     Senior Consultant Pulmonologist
                                                                                                                     Department of Respiratory Medicine

                                                                                                                     Dr. R. Chaitanya Sravanthi
                                UHID : 12438683                                                                      M.D.(Pulmonology), DNB ., TB & Respiratory Diseases
                                Mrs. Archana Kumari                                                                  KMC Reg. No. : 106760
                                 AGE: 32YEAR(S) Sex: Female                                                          Consultant Pulmonologist
                                                                                                                     Department of Respiratory Medicine
                                 Dr. :

                                                                                                                                                      8/8/2023
                                                                                                                                      Date :


                                                                                                  Age / Gender ...                   ... UHID :..
        Patient Name :                                                                                                     .........
                                                                                                                         Last seen- 27/7/23
        Chief Complaints : Icough = sputum-white/Clan Allergies


                                          no fever /SOB.                                                                            Food
                                                                                       no blood

        Past Medical History: GERD- stable.
                                                                                                                                    Drug :

                                                                                                                                   Previous Adverse Drug Reaction


         Treatment History :

                                                                                                                                    Special Assessment
                                                                                                                                    Functional assessment :
                                                                                                                                   Fall Risk assessment :
          Clinical Findings :
                                                                                                                                   Psychosocial assessment :
                                                                                                       10-1                         Pain assessment : (Score 1-10)
                                                                      DVONASE
  chest -clear.                                                                                                                    Nutritional Screening :

                                                                           NS

                                                                                                      00-1beat                    Others :
          Investigations :
                                                                    MONTAL




                                                                  LUPIN85 5F 805 4-6                                               BP: 130/80 m Hg

          Diagnosis :
                                                                                                                                    SPO2: 98.1.

                                                                                                                                    HR : 98/min

                                                                  MUCOLITE 8R 10-1 805 Wt: 90 kg
          Treatment Plan :
                                                                     " théés spitun"
   Spp servist MSLA




                                22 week
          Follow up :


                                                                                                                                                             À

  it Fortis

                  YEARS                                                                                                                             Doctor's Signature


                                                  154/9, Bannerghatta Road, Opp. IIM-B, Bengaluru - 560 076.
Tel : 080 6621 4444. IFax : 080 6621 4242 | For enquiries, E-mail :care.bng @fortishealthcare.com | Website : www.fortisbangalore.com
                                                                     Emergency No. : 96860 96860

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