                          M.K.WY. HOSPITAL
                                       JAN&KALYAN
                                            RESEARCH CENTRE TRUST
                                                  CHARITABLE
                                                                                                                                ST/MKW2019/ER-1/-1
                                  (Registered With Delhi Government)                               Name : Mr. Adit4c
             MKW
                        J-Block, Community Centre, Rajouri Garden, New Delhi-110027
                                   Phone : 45609999 . Fax : 011-25933166                          FAIM
                                                                                 NABH              Age     3441 UNID                  441480
                   27243                      EMERGENCY CUM TRIAGE NOTES                          IP No.              Ph. No.
           Date and Time of Arrival                              (TO BE FILLED BY NURSE)
                                           12/3/2023 TRIAGE :
          PAIN SCORE
              No Pain (0)                                                              Red        Yellow
                                           RBS                                                                Green           Black
              Mild Pain (1-3)                               TIME                        VITALS
                                                                         PULSE
              Moderate Pain (4-6)                                                         BP                                              SPO2
                                                                                                           RESP           TEMP
              Severe Pain (7-10)
                                                       10.28m. 82 har 120/80 20/ wh lze
                                                                                                                                         96%

         Visit to our E/R within 72 hrs. of previous visit for same illness
         ALLERGY                      NO
                                                                       LMP
         Time initial assessment compiled by nurse                                                                              G PL_A
        Attending Nurse
                                                                             Consultant Informed by MO
                                                               (TO BE FILLED BY DOCTOR)
        CHIEF COMPLAINT
                                                               40 Sudden or Set per PHC.


                                                               NO H/O HT/ DM / CAy

        PAST MEDICAL HISTORY

        Current Medication taken at home

       GENERAL & SYSTEMIC EXAM :-

       CNS                                                                                                             Seeft, 35·
                                                         cvs                                        ABDOMEN
                           BIL AL EQ
      RS
                                                                          Other

      PROVISIONAL DIAGNOSIS                                        Ro by Dynapar /m Stal

     PLAN OF CARE
                                                                        hi P.P. Z. lex (40 mg)
     MEDICATION PRESCRIBED :


               Adun
                                                  00 ( Tab PPz-lex-D (X B1)
                    ECG

                                                 50 2 Tab lexderati M 1XBy



                                                             3 Syp lexcid 3TH K Tely




 MLC               No           MLC No                                DISCHARGE              Ward OT ICU                    Home
                                                                                                                                                 ama
When & How to obtain Emergency Care
                                                                                                                  2
In case of Emergency Contact Emergency Department

Follow up on :-
                                                                                                                  12/3/2023
Nutritional advice :-                                                                            SIGNATURE

MO NAME :                                                                                        DATE & TIME

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'M.K.WY. HOSPITAL & RESEARCH CENTRE', 'clinic_pharmacy_address': 'J-Block, Community Centre, Rajouri Garden, New Delhi-110027', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110027'}, 'doctor_details': {'doctor_name': 'Dr. [Doctor Name]', 'doctor_qualifications': '[Doctor Qualifications]', 'doctor_registration_number': '[Doctor Registration Number]'}, 'patient_details': {'patient_name': 'Mr. Adit4c'}, 'prescription_details': {'date_of_doctor_consultation': '[Date of Doctor Consultation]'}, 'procedure': {'chief_complaints_diagnosis': 'Sudden or Severe Sore Throat'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Before Breakfast and Dinner', 'course_duration': '10 days'}, {'medicine_name': 'Tab PPz-lex-D', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Before Breakfast and Dinner', 'course_duration': '5 days'}, {'medicine_name': 'Syp lexcid', 'medicine_dosage': '3 times a day', 'medicine_frequency': 'After Meals', 'course_duration': '10 days'}], 'lab_test_details': {'lab_test_names': '[Lab Test Names]', 'procedure_request': '[Procedure Request]'}}