                                                     MATA CHANAN DEVI HOSPITAL


                   Mata                  MATA CHANAN DEVI HOSPITAL
                   Chanan
                   Devi                                      ISO 9001 : 2008 Certified
                                                                                                                                      NABR
                                                   210 BEDDED MULTI - SPECIALITY HOSPITAL
                                                                                                                                                          Matts

                                                                                         Private OPD                               Health Card Brochure
     Reg No             : 497352           SV No .: 1522056531                          Date              27/02/2023           10.25 AM
     Patient Name : Mr. RAVI KANT                                                       Age / Sex         40 Years 11 Months 2 Days / Male
     Panel/Ref By : Hospital                                                            Department : E.N.T.
     Remarks :                                                                          Consultant : Dr. SHWETA JAITLY (DMC NO 010155)
     Mobile No.         : 9968303394                 Token No.           :3

     Room No.           : 712,Source: Direct                      Days: Mon/thur.

                                                 Initial Assessment & Plan of Care
   Clinical Notes:
                                                                                    Provisional Diagnosis
               90 Aural fullness

                       Buzzing sound RIE

                        cold.

                                                                                     Treatment
                                                                                          T. sinarest 1bDx5do-to                                              10
                                                                                -
                                                                                          T. Tinnicar IbD × 2wks.


                                                                                        T. MED3 1OD X 2wks -.-
   Past History:

                                                                      Nose               Otrivin nld 2ºbDx 3doo


                                                                                         Steam inhalation


                                                                                        Keep ear dry

   Drug/Food allergy
                                                                                         R/A 10 days ..
   Examination(General & Systemic)

   B.P                      Pulse                     Temp.

  Investigations
   RateList
                                                                                                 DMC N . No. 10155
                                                                                               Mata Chanin Dovi Hospital
                                                                                               C-1, Janak Purl, New Delhi-58



                                                                                    Time :

                                                                                    Follow Up/Next Visit On :
  Nutritional Screening
  wt.(Kg).          Ht. (cm)/Head Circum ...                                        Diet & Precautions
 Dietician reference required            Yes       - No
 Nutritional History: Normal/Over Weight/Obese/Thin/Cachetic

     WEAR MASK, FOLLOW PHYSICAL DISTANCING, MAINTAIN HAND HYGIENE

                     **** AVAIL DISCOUNT FROM HOSPITAL PHARMACY ****

                                               Pain assessment:
Psychological History: Normal/Anxious/Depressed
Psychosocial :- Nil/Smoking/Tobacco/Alcohol(Social/Excess)
Functional: Independent/Need Assistance/Dependent
MCDIFront OfficeInitial assessment & plan of care/F-26A/Ver-May-14



    C-1. Janak Puri, New Delhi - 110058, Tel. : 011-45582000, Emergency : 011-45582050, Blood Bank : 011- 45582193
                                                  E-mail : info@mcdh.in Website : www.mcdh.in

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'MATA CHANAN DEVI HOSPITAL', 'clinic_pharmacy_address': 'C-1, Janak Purl, New Delhi-58', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110058'}, 'doctor_details': {'doctor_name': 'Dr. SHWETA JAITLY', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'DMC NO 010155'}, 'patient_details': {'patient_name': 'Mr. RAVI KANT'}, 'prescription_details': {'date_of_doctor_consultation': '27/02/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Cold, Aural fullness, Buzzing sound RIE'}, 'medicine_details': [{'medicine_name': 'T. sinarest', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'BD (Before Dinner)', 'course_duration': '10 days'}, {'medicine_name': 'T. Tinnicar', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'BD (Before Dinner)', 'course_duration': '2 weeks'}, {'medicine_name': 'T. MED3', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'OD (Once a Day)', 'course_duration': '2 weeks'}, {'medicine_name': 'Otrivin', 'medicine_dosage': '2 drops', 'medicine_frequency': 'BD (Before Dinner)', 'course_duration': '3 days'}], 'lab_test_details': {'lab_test_names': 'Nutritional Screening', 'procedure_request': 'NA'}}