                                                                                                                                                                                        ALS




                                                                                                                                                               QF400AHB.mr.2105
                                     Place Label Hire
                             De 359962.                                 DEPT. OF EMERGENCY MEDICINE
                                                                                                                                                                  Apollo
                                                                            OUT PATIENT DISCHARGE ADVICE
                                                                                                                                                                          HOSPITALS
                                                                                                                                                                  ........ .....
                            Patient's Name Master. Ayush. Mahavir.
                                                                                                                          Age/Sex         13/m          Tel

                           This form provides you with imfftial instruction about your medical care
                           You were seen today by Dr. Sami to (ERP) / Dr. Naine of Dr. Warcan. Ras (Plastic Se)

                           Your provisional diagnosis is Cet Cacciaten wound over night high pristal scalp.

                           Expected course of illness -

                          Chief complaints                     to accidental inmy to the head while playing

                                                                         Rx the als
                                               might fish partof of a poller,
                                                                       He coolsurkind
                                                                                 vomiting/ cion
                     Investigations
                                                                                                                                                   I seizum.

              Medications Prescribed : - deting LCD E varyl 500 -

                                                NAME
                                                                                                    DOSE                  FREQUENCY
                                J. CLAVUM.                                                                                                                      PURPOSE
                                                                                              625mg                        1-01. x                   5 DAYS (ATP)
                                T. ComBIFCOM
                                                                                                                            1+1 ×                     3 DAYS (A/F)
                                7- BACT- OINTMENT.                                                for local application




              Patient can be transported in a : BLS Ambulance / ACLS Ambulance / Own Vehicle

            Condition at the time of discharge :

          Vitals :                    HR 78               BP 110/80 RR 18
        Allergies : Orof Crown.                                                                                            Temp              98.27 Spo2 98%@Mr.
                                                                                                    Pain Score :
   Return to the emergency department if : Persistant health with vomitinge/ loss of                                                              Triage :


followup with Dr. Naveen Raw after 15 days

gent Care :                           in plastic Surgery opp
                                                                                                                fot.                                           weeks.
 for Emergency Physician should you require urgent advice on a medial problem e.g:
ever of > 101.5 F.
set of a new pain / worsening previous pain/chest pain/breathlessness.
charge from your operative wound (in case you had an operation)

iting

ther complaint you think necessary that you should discuss with doctor urgently.

ons given by ERP :

 Dr. Kanito

                                                                             Sign
 Ceived and understand these instructions                                                                                  Date 31/7/25
                                                                                                                                                               Time             9:48m
        mr. Mahanis
                                                    Sign Kajamark
DOITIONAL INFORMATION CONTACT E.R. PHYSICIAN ON 26304126/27       Dato 31/2/25.
                                                             ANY MEDICAL        Time
                                                                           EMERGENCY O.P. Bill No. 00/2489030
                                                                                     f08

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Apollo Hospitals', 'clinic_pharmacy_address': 'Place Label Hire', 'clinic_pharmacy_city': 'Apollo', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Sami to (ERP) / Dr. Naine of Dr. Warcan. Ras (Plastic Se)', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Master. Ayush. Mahavir', 'age': '13', 'gender': 'm'}, 'prescription_details': {'date_of_doctor_consultation': 'NA'}, 'procedure': {'chief_complaints_diagnosis': 'Cet Cacciaten wound over night high pristal scalp'}, 'medicine_details': [{'medicine_name': 'deting LCD E varyl 500', 'medicine_dosage': '1-0-1', 'medicine_frequency': '5 DAYS', 'course_duration': 'NA'}, {'medicine_name': 'J. CLAVUM 625mg', 'medicine_dosage': '1-0-1', 'medicine_frequency': '5 DAYS', 'course_duration': 'NA'}, {'medicine_name': 'T. ComBIFCOM', 'medicine_dosage': '1+1', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': '7- BACT- OINTMENT', 'medicine_dosage': 'for local application', 'medicine_frequency': '3 DAYS', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}