                        METRO HOSPITALS & HEART INSTITUTE

                                              (A unit of Metro Institutes of Medical Sciences Pvt. Ltd.)
                                                                                                                                      QUALITY CERTIFICATIONS
                                                           CIN No : U00000DL1990PTC039293
                                                           OPD INITIAL ASSESSMENT
                                                 DEPARTMENT OF CARDIOLOGY                                                               ---
                                                                                                                                              52/m
                                      Rajib                ChoudharDI Vivek Prakash Aggarwal
NAME OF PATIENT mr.                                                                  19 (Medicine), DM (Cardiology) AGE/SEX
                                                                                      FSCAI, FESC, FACC, CRFC
                                                                                        Sr. Consultant - Cardiology                10/3/23
             2023/508                                                                   8826728262, 7982602649
                                                                                                                                 DATE / IN TIME
ID NO.                                                                                                                                                                         Total
                                                                                                                                                                              mount
                                                                                   INVESTIGATION / TREATMENT / PREVENTIVE CARE /                                              39.75
                                                                                                    NUTRITION ADVISED                                                         39.75
   PRESENT COMPLAINT :                                                           Rx
                                                                                                                                                                              $3.98

                                                                                 I Cap Rozecor ASP.                                           10/75                            00


                                                                                                                                                                9pm

                                                                               3 T AXCER 90mg

   PAST HISTORY :                                                                                                                                               0
                                                                                                                                                0
  7/3/23                                                                                ( Bottle Pack)
                                                                                                                                               9 Am 9PM

    93/ 167/30 / 35                                KST - WWL

                                                   VA - 458                    3 T. Carloc 3.125
                 He - 126                                                                                                                                   0
      NUTRITIONAL SCREENING with BMI:

                                                                                 4 Cop Rablet D
         FAMILY HISTORY : PR-86 hen                                                                                                      0

                            BP- 100 70


     EXAMINATION :
                                                                                                                                      every 15 days

    D CAD: AL WILLMS ETITAVe 5 Cap D- fire 60K tap
                                    (15/1/23)
                                                                                    4 Cof MultiLife

                      SVD
                                                                                                                                                      3)9
            Rescue Pls to LAD                  (16/1/23)


                 R5= 281. 487;
                                                       (2/2/22)
      DIAGNOSIS !


         DRUG ALLERGY: Del VID
                                                                                                                               Lethargy [] Decrease Mobility
         NUTRITIONAL SCREENING :- D Wt. Loss [] Loss Of Appetite [ Muscle Wasting [] Delay Wound Healing
                                                                                                                                                            ) 10 Worst Pain
                                                           02 Mild Pain        04 Annoying Pain                              10 08 Severe Pain
                                                                                                         )06 Moderate Pain
         Pain scale              0. NO PAIN                                                                                                             OUT TIME
                                                                                     Next Followup:                 X 2 montes
          FOR OPD APPOINTMENT: +91 98711 24095 (Cardiology)

                                                                                     (DOCTOR SIGNATURE)

                                                                                                 Dr. Vivek PrakasWell-5      Aggarwal
                                                                                                                                   94, Sector 11, Noida-201301
         Cardiology Wing: X-1, Sector-12, Noida - 201301                                         MD ( Multispeciality
         Tel. : 0120-2533491, 2444466, 4366666 | Fax : 0120-2533487                              FSCAI, Fele 0120-2522959-2442666 | Fax   : 0120-2442555
                                                                                                                                        MHHI/CL/0001   (Rev, No. 01)
         Regd. Office : 14, Ring Road, Lajpat Nagar IV, New Delhi-110024                         Sr. Consultant - Cardiology
                                                                                                 8826728262, 7982602649

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