                                                                                         O.P. JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH

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                                                                                                            Model Town, Hisar - 125005 (···· ····, ·····-125005)
           Quality Medical Care at Affordable Cost                                                            Ph : 01662-221169, 220169, 9896539128, 9896539182
                                                                                                                 Email : info@ncjims.org, website : www.ncjims.org
 PAYCLINIC/EMERGENCY OPD SLIP



 GSTIN : 06AAATO1462C1Z1                       O.P. JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH R.No .: 236732/0PRRC220P(02-Mar-2023)
                                               Patient Name : VIJAY RANI                                                              OPD Type                              Pay Clinic
 Dr. Deepak Bhardwaj,
                                              Address            :H.NO.1099/3 NEAR DARJIYA                                            Reg. Date & Time                      02-Mar-2023 09.29
 D.M.
                                               Age / Gender          :65Y / Female       Mob. : 9310066907                           Registration Charge              : 250               New

                                               Patient ID            : 453149/UHID                                                   V.From : 02-Mar-2023 V.To: 04-Mar-2023
 Reg. No. : HMC-HN 011100
 Deptt.       : Cardiology                      OPD No.               201320/OPC/220                                                  Daily No.             : 29

Chamber No. 511
                                                Height        HR_               Temp                 Allergy :Drug                                  Food                     Other
  Vitals : BP 90 Weight

                                                                                                                                             CAD         DM                  CA CVA
  Nutritional Screening : Normal/Obese/Under Nutritioned Asso, Disease : HT
                                                                                             No                      1-10 VAS Numeric Pain Distress
  Diet : Normal/Diabetic/Salt Restricted/Renal/Diabetic Renal Pain                                                                   Moderate Pain
                                                                                                  Log                                                                                            16
  Patient History :
                                                                                     P/S RCA (22.2.23)



  Presumptive Diagnosis: CAD, RCOME, AM, NTN, EF-35X


                                                                             Medicine                    Strength                        Dose Instruction                            Duration
  Patient Examination & Investigation Advice
                                                                      PT. ECOSPRINT13 OD




                                                                                                                BRILIMA 99 BD




                                                                                                                  Rosedy 20 g w

          p-930


                                                                                                                 Party no Ber


          4-137/5.9

                                                                                                                    Neticip 2020

            PP-1460
                                                                                                                    Anlagerd 217

            cr-1.63
                                                                                                             Gdycinom -M


            Un-73                                                                                                                                                  40/500




                                                                                        · Defenom Duo                                                                                           00


                                                                                                                                                                            10/100 Pff
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 Preventive Advice :                        Super
                                                              Na,k
 Follow up Advice :

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