                                                                                                                                                              C.
                                                                                                                                                                                    QUALITY
                       GBH
       A
                       AMERICAN
                                                                                                                                                                      PATIEN
                       HOSPITAL
                                                                                                              Dr. ANURSE JAIN                                             NABH
      ISO 9001 : 2015                                                                                        MBBS, MD ( Gegarli Medicine)
                                                                                                                         Nephrology
      CIN of AIHML : U85110RJ997PLC013965                                                                               ant fuephrologist

            A UNIT OF AMERICAN INTERNATIONAL HEALTH MANAGEMENT LTD ., UDAIPUR




           Dr. Anurag Jain (RMC 22922/009377/19007)
           ··. ······ ···

            MBBS, MD (General Medicine)
            DNB Nephrology (Nadiad)
            Consultant Nephrologist and Transplant Physician
            Email - dranuragmjain@gmail.com


                                                                                                                                             Receipt Date : 17/02/2023
                                     438905                     Age/Sex : 32 / M Receipt No : 3214876
            Patient ID
                                  : Priyanshu Porwal                                    Company
            Patient Name
                                                                                          Referred By :. . SELF                              Mobile No " : 9672076520
            Father/Husband: Ramesh Porwal
                                                                                                                                              City            : Udaipur City
            Address           : 47/C Ashok Vihar University Road
                                                                                            B.P. :                Height :                         Weight :              BMI :
             Vitals: Temp :                    Pulse :                 Res. :

           Complaint / History : Consulted first time in may 2022 - With Pain in both knees of 6 months duration
                                      No past h/o Dm / HTN /CAD/PVD
                                      Past h/o viral fever 6 months back- Dengue fever
                                     H/o hyperuricemia
                                     USG Abdomen - RK - 10.1 cm , LK - 10.6 cm , Lower pole cyst present at left kidney
                                     ANA - Negative , RA factor and Anti CCP negative
                                     29/04/2022 - S.creatinine - 1.18 mg/d
                                     09/05/2022 - S.creatinine - 1.75 mg/dl
                                    Possibilty of NSAID induced AKI ( Patient taking Ibuprofen and Etoricoxib for last 7 days )
                                    Past h/o D10, 11 Fracture - 7 years back
                                   K/C of Allopecia aerata
                                   Treated for seizure disorder - 7-8 years back -- > Now stopped all tt/t for last one year

                                      On 27/05/2022- Presented with fever , burning micturition, Loose stools for last 3 days
                                      Pain abdomen ( S/P )
                                     25/05/2022 - S.creatinine - 2.52, Urine r/m - Albumin +3, RBC,s 25-30 , Pus cells - 8-10
                                     26/05/2022 - S.creatinine - 2.65
                                     Thereafter lost to follow up
                                     Admitted in GBH AH on 07/02/2023 with Seizures
                                     Detected to have Hypocalemia - S.calcium was 5.6
                                    Dishcarged on 11/02/2023
                                    Today came with inv report -
                                    S.calcium - 9.8 , S.creatinine - 1.35, Uric acid - 8.2, CBC - 13.7/ 6880/ 3.66



                                                                                            Medication


                    Medicine Name                                                 Dose Frequency                                  Frequency Hindi                              Days

                   Tab. Agical SG                                                           OD Once a Day                         ··· ··· ·· ···                               15


                  Tab. Febuget 40 mg                                                       OD Once a Day                          ··· ··· ·· ···                               15


 Other Advice                 : Advise to repeat S.creatinine , S.calcium

                                                                                                                                    Vonenth




  Note: Not for medico legal purpose                                                                                                                                           Page 1 of 2




, Kothi, Bagh, Bhatt Ji Ki Bari, Udaipur - 313001 (Raj.) INDIA, Help Line : +91 294-3535000, 2428701-04, 2426000. Fax : +91 294 2526982

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'AMERICAN HOSPITAL', 'clinic_pharmacy_address': '47/C Ashok Vihar University Road', 'clinic_pharmacy_city': 'Udaipur City', 'clinic_pharmacy_pincode': '313001'}, 'doctor_details': {'doctor_name': 'Dr. ANURAG JAIN', 'doctor_qualifications': 'MBBS, MD (General Medicine), DNB Nephrology (Nadiad)', 'doctor_registration_number': 'RMC 22922/009377/19007'}, 'patient_details': {'patient_name': 'Priyanshu Porwal'}, 'prescription_details': {'date_of_doctor_consultation': '17/02/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Pain in both knees of 6 months duration, fever, burning micturition, loose stools'}, 'medicine_details': [{'medicine_name': 'Tab. Agical SG', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'Once a day', 'course_duration': '15 days'}, {'medicine_name': 'Tab. Febuget 40 mg', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'Once a day', 'course_duration': '15 days'}], 'lab_test_details': {'lab_test_names': 'S.creatinine, S.calcium', 'procedure_request': 'Repeat the tests'}}