                                CDIDAN
                                                                                                                        MR PRAKASH SADAGOPAN
                                                                                                                        0002925307 [D2]
                                                                                                                        34 YRS-MALE-28.04/2021
                                                                                                 Name          ...
SRI RAMACHANDRA MEDICAL CENTRE                                                                                          DR SIVARAJ PK
                                                                                                  Sex           .. ..
Porur, Chennai - 600 116.
                                                                                                   Dept
          PRIVATE PHYSICIAN OFFICES
                                                                                                            High Risk for Fall :[                Yes           No
                                                    BP :                     PR :
                         Wt :
Ht :                                                                          Pain Score :                                                 Site :
                                 No
 Allergy : Yes                                                                      At Risk (For Further Evaluation)
                                              Normal
 Nutritional Assessment : [

 Clinical History:                                                                   S/B Dr. Simraja




                            %or Pain in the Anal regi.




                                                            % Suellin 1 I Dilschon
                                                                                                                              x 2 year -

       Examination Findings:




                                 No /o Contipat .. Love str.1.



                                                    No % Bleeding PR.




                                           External apari@ et s' clas par


                                                           inter opent B at such 8am



                                                                                                   Plan of Management :
                                      De Filed in Ana
           Diagnosis :




                                                                                                             Referral

                                                 Drug Order
                                                                                                              DIET :

                                                                                                             INVESTIGATIONS :
                                                                                                                      MRI Fistulogra.



                                                                                                                                    9840949313

                                                                                                                                                       Dr. Sivaraja,




                                                                                                                 ANY OTHER :



                                                                                                                                                            Date & Time



                                                                 Consultant Name & Sign :
                 Next Visit Date:

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