                                                                                                                                                                                          SAROJO


                                                    covid                       V·
                                                                                                                                                                                          SUPER SPECIALITY HOSPITAL

                                                                                                                                                                                                  Experience Quality Care




                                                                                                                                      %-A
                                                                                                                                                                   Vaccinated : Yes / No
                                       ACCIDENT & EMERGENCY DEPT.

                                                           CASEAEDY CARD
    Runt No
                                            2 ( Ciround | loor]
    Name of Patient                         BABY PRARTHANASHI KLA                                                                                      UERD No.
    ApelSey                              : YRSTIMALE , Motie No:840003088X                                                                             Issue Date             : 24-         23 12:00:56
    Doctor l'uit                                                                                                                                       Receipt No.
                                                                                                                                                                                          21:000 9307
    Doctor's Timings                                                                                                                                   Consultation Fee        R- 350
                                           ESECX ROHINI DELHI                                                                                          Panel Name


                                                                                                INITIAL ASSESSMENT & PLAN OF CARE
   Note : If you want to know in writing the Generic/Salt Name of the p
   Som special ni                                                                                                                                    escribed medicines, you are requestedl to collect the same
                                            I pharmacy



                                                                          FRIAGE :
      Investigations :
                                                                        PRESENTING COMPLAINTS:                                                       c/o: marty bate a Plan




                                                                         INITIAL                                                             124blud                                         99% CR.A
                                                                          ASSESMENT :BP                                                          THEME                                                      Nopain
                                                                                                                                                                       RBS                         PAIN
    IN OOD GROUP                                                         PAST MEDI MI. HISTORY : DM                                                                 CALI          COPD
                                                                        GENERAL FXV                             INATION: Fils
                                                                        SISTEMICERAMI CION CMC
                                                                                            CVS                                                                      RS
                                                                                                            Sollys

                                                                                                                  ten for                                                               ucatture operation and
     ASD, CAP. JA Factor


                                 1 24 1576                             Sign of Patient Stromlant                              se                                       Relationship
                                                                                                                        LEOE CARI
                                                    0
                                                                     27/4/ 11
                                                         3
                                                                                                          III
    Drug Levels: Phen
    Carbanst/ pine Valp                                 7.1151:
                                                             14 8151 . 1V

                                                             7822151 V
                                                                                                                                                                                  Pailent/Attendent Sigt.
                                                                       In case of LAMA


                                                                       REASSESSMENT & PLAN OF CARE:

    HP MONITORING 24 MISE



NOTE - The patient has been seen by me & my name is written above. I undertake the responsibility of documentation on this card which is as per Medical Ethics, NABH and Hospital Policy

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                                                                                                                                                                                             W www.sarojhospital.com
      ··· ··· ···· ······ ·· ······ ··.··.·. (PRO) ······· ···· ····· ·· ··· ··0 9971553077 ·· ·····                       E info@sarojhospital.com
                                                  Madhuban Chowk, Rohini, Delhi-110085 (India) EMERGENCY 011                    4944 4444
                                                                                  F +91 11 2755 6275, 2756 6683
                                                                                           Run by . Shri Ganesh Das Chawla Charitable Trust
                                  4790 3333, 2790 3333
                                                                                         life. Come forth for Organ Donation afgry (for were ? "

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SAROJO', 'clinic_pharmacy_address': 'SUPER SPECIALITY HOSPITAL', 'clinic_pharmacy_city': 'Rohini, Delhi', 'clinic_pharmacy_pincode': '110085'}, 'doctor_details': {'doctor_name': 'YRSTIMALE', 'doctor_qualifications': 'NA', 'doctor_registration_number': '840003088X'}, 'patient_details': {'patient_name': 'BABY PRARTHANASHI KLA'}, 'prescription_details': {'date_of_doctor_consultation': '24-'}, 'procedure': {'chief_complaints_diagnosis': 'COVID 19'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '7 days'}, {'medicine_name': 'PARACETAMOL', 'medicine_dosage': '3 times a day', 'medicine_frequency': 'NA', 'course_duration': '3 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}