                                       GENERAL HOSPITAL JAYANAGAR

                                       4m T Block. Tiläknager, Jayangur BangPor


                                                                       OUTPATIENT RECORD

                Patient MRN              102323108800
               Patient Name                                                                                  prajwal851992@abdm
                                         Mr. prajwal
               Next of Kin
               Doctor Room No.          Orth OPD                                     Fee                     Rs 5 /-
                                         37,38                                       Date                    10/08/2023 02:23 PM
              Sex/Age                  : Male , 31y 3m                               Department              ORTHOPAEDICS - UNIT1
              Visit Number                                                           Billing Type
                                        DP-001                                                           General
              Consultation Type                                                      Patient Type
                                        OP. New Visit
              Mobile Number             ....... 3427
              Address                   SILK BOARD, India




            Date and Time of Initial Assessment:                                                                               45


            Clinical History:                               Clean Acces!                                                                    O



           Chief Complaints:



           Examination Findings:



           Investigations:



      Diagnosis:



      Treatment:                                          Soir frais coi



     Follow up Advice:




                                                                                                                           5
7,




       -
                                                                                                                   Doctor's Name
                                                                                                                   Sign & Date



                                 Amamath P
 Generated By                                                                             Generated On           : 10/08/2023 02:23 PM 46
                                (b78c9a4f107f4030888317dbea7277e9)

                                                                                                                               100
                                                       NOTE: In case of Emergency please contact:10a LASCY




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                                                                                                                                            0-01

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