                                                  ST. JOSEPH'S HOSPITAL
                                                                 Vishal Khand, Lucknow
                                                                Tel .: 0522-4054200, 4054228

                                              Initial Assessment of Emergency


                                                                 UHID : 19/005094                                 IP No .:
  Patient name: MRS. SHANTI YADAN
                                                                                                                   Date: 05SEP2023
  Age / Sex: 51.4ym/F
                                                                                                                   Time of Assessment: 09:51 Pm
                                                                  Name of Doctor: OR DISHISHIER
                                                                                          PANAMY
  Patient entry time: 09:55 pm
                                                                                                                   Time of Assessment: 09:56PM
                                                                  Name of Nursa:
 MLC / Outside MLC No .:
                                                                  GRBS : 123 mgial                                  Weight :
  Vitals:

                                                                                                1 Hour                            Co - Morbidities
                                  On arrival                       30 Min
                                                                                                                                     CAD-EA
                                      98.6F
   Temp.
                                       761 mt                                                                                      KINO
   PR
                                       221 mt                                                                                     HEPATITIS - B
   RR
   BP                                 1501 100 mmHg

   Spo2                                  981.
   Pain Score


 Drug Allergy


                                                                                                         GCS:
 Triage Level 1/ 2 / 3/4
                                                                40 SENSATIONAL FEELING
 Patient complaints / Examination Findings:
  POST CHOLECYSTECTOMY STATUS                                                   BIL ARM

                                                                            ARTEMITHE HEARTMESS
                                                                                    GASTRITIS




                                                                                                          Outside Investigation / Rx Details
Provisional Diagnosis:


            De- GASTRITIS




Investigation advised for Radiology                                                            Investigation advised for Pathology




Triage completed by Doctor Name: DRARHISHEK TAMary Signature: Andy                                                   Time: 09:57 pm

SJH/67

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