                                                       Lokmanya Hospitals Mitramandal
                                                           484/6, Mitra Mandal Colony, Parvati,
                                                                         Pune Pin- 411 009
                                                                     Phone No. 020-24424042
                                                                         OPD CASE PAPER
        OPD NO. : 23/001039
                                                    Patient ID: 23/000432
        Name                                                                                      Visit Date:            06/03/2023                 9:07:00
                                        : Dr. SHAH PRADEEP
                                                                                                  Age/Gender                    : 71                    / Male
       Address                         : SUYOG COLONY SANGAMNER
                                                                                                  Case No                        :
                                          AHMEDNAGAR,
                                          AHMADNAGAR                                              Phone No                       : 9822370433
                                          MAHARASHATRA
      Pin Code
                                                                                                  Occupation                     :
      Email-ID
                                       :
       Consultant                      : Dr. VAIDYA N V (ORTHO ). (M.S. (ortho),
                                                                                                  Ref. Dr.                           : DIRECT
                                         DNB(ortho), A.T.L.S)
      Doctor Dept                      : ORTHOPEDICS
      Company Name                     : PRIVATE (PRIVATE)


     Consulting Validity              : 06/Mar/2023 To 05/May/2023
                                                                                                             Weight                          Kg         Height :                    Cm

                                                        OPD Assessment Form

   Present Complaints :

   - pain in (RF) knee : 2 years                                                                         Pulse :                                        RR :
            0
   - pain 1 walking, stair climbing
                                                                                                             BP :                                        Temp:




                                                                                                         Known Allergies : NP




 History (Past / Surgical / Medical / Family) :                                                          Vaccination-both doses

   HTN 00 8 years on reg Rx
                                                                                                             Pain Score :
    PTCA done in 2014.

   Tab. Ecosprin 150 mg.
                                                                                                              .O          2           3      4      5       6      7     8           10
Clinical Findings : Gait-limping.                                                                            11                                                                 1

                                                                                                         None             Mild                   Moderate                Savere     Worst

                                                                                                             Referred to Physiotheraphy: [] Yes [] No




                    (R) Of Knee.
                                                                                                               Nutritional Screening :


                                                                                                               Pallor:                    Present                      Absent


                                                                                                                  Ht:                        Wt :                       BMI:


                                                                                                               Normal Under wt.DOver wt.[] Obese


                                                                                                               Raferred to Dieticien: DYes ONo




                                                                                                                                                                   LH - F - AAC - 4.2:00

                                                                                                                              Signature of Dr. in charge

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