                                       JASLOK HOSPITAL & RESEARCH CENTRE


                                           OUT PATIENT ASSESSMENT SHEET




1. Demographic Details :

   Name: Most (Aran Agurwa)
                                                                                                              Age :..            Sex: .....   M

                                                                  Date: 224/21/2023, Time:
   OP NO .:


    Vitals: BP.                    ... Pulse.                      Respiratory                           Height                       Weight 385kg


2. Patient Notes: (Including History, Physical Findings, Provisional Diagnosis, Treatment Plan)




                            That frait with no iron




                                     delivery anemia- >14 with




                               oral im since are month



                                   Ferritin las impron tos



                                                          3.4 -> 45




                                                      Continue T. Fruite 5 mg
  3. Preventive Aspects;
                                                                                                  1-00




                                  Check che /Ferritin AfFer
                                                                                                                        3 maz.




                                                                      -

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