Date
                               : 010875                                                              Age & Sex : 4 MONTHS/MALE
UHID No.
Paf
Ar
                                    SIMRAN E.N.T. CENTRE & MEENAKSHI SPEECH AND
P                                                                                                                                               HEAR LIFE BETTER

                                                                       HEARING CLINICS Pvt.Ltd.

                                                        SCO-2, 40-D, Chotti Baradari, Patiala
                                                                                                                                                Meenakshi
                                                        Ph .: 0175-2225002, 5005002 E-mail : simranentcenter@gmail.com                          SPEECH & HEARING
                                                                                                                                                     CLINICS


                 Patient Name AkShit Singh

                Age/D.O.B. 16/12/2022                                                                       Sex Male

                Father's Name Gaurav Sigh                                                  .Contact No. 94645056
                                                                                                                                 M MAICO            ERO-SCAN
                Consultant (Referred By) Dr. Sigla (Kuber hospital)                                                              U105.05
                                                                                                                                 29-MAY-12 11:11
                                                                                                                                 DP 25           2 sec aug
                                                                                                                                  SN: ME3003970 Me2005671
                                                        NEONATAL HEARING SCREENING REPORT

                                                        OTO ACOUSTIC EMISSION (OAE) REPORT                                       MAPIE :

                                                                                                                                 Left: Pass
              Date 15/04/29

                                                                                                                                      15


            Any Significant Medical History :- No any
            Significant medical history.




           Test Findings:                                                                                                                            3.04   4.04
                                                                                                                                   F2 LI L2          DP      NF    SNR
                                                                                                                                 2. 65               13     -14    27
                 Right ear                                  Left ear                                                             3.0 65 55                  -11
                                                                                                                                                       8
                                                                                                                                      65               1    -19    20
                Refer                                       Pass                                                                  5.0 65 55                  -7     16




           Recommendations :-                                                                                                    M MAICO               ERO.SCAN4X
                                   ENT Review                                                                                    V105.05
                                                                                                                                 29-MAY-12 11:15
                                  follow up after 1 month                                                                        OP 2s           2 ser aug
                                                                                                                                 SN: ME3003970 MEZE /1


                                                                                                                                 NAME:

                                                                                                                                 Right: Refer


                                                                                                                                      15


                                                         Virek Kumar                                                                  10
                                                                                                                                                                             -

                                                                                                                                      5
                               AUDIOLOGIST                     Signature




                                                                                                                                              2.04          4.0-
                                                                                                                                                     OP            SNP
                                                                                                                                                     12        4


                                                                                                                                 5.                                      x

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Simran E.N.T. Centre & Meenakshi Speech and Hearing Clinics Pvt. Ltd.', 'clinic_pharmacy_address': 'SCO-2, 40-D, Chotti Baradari, Patiala', 'clinic_pharmacy_city': 'Patiala', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Sigla', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'AkShit Singh'}, 'prescription_details': {'date_of_doctor_consultation': '29-MAY-12 11:11'}, 'procedure': {'chief_complaints_diagnosis': 'NEONATAL HEARING SCREENING REPORT'}, 'medicine_details': [{'medicine_name': 'DP 25', 'medicine_dosage': '2 sec aug', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'MAICO ERO-SCAN', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'M MAICO ERO.SCAN4X', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'OTO ACOUSTIC EMISSION (OAE) REPORT', 'procedure_request': 'ENT Review'}}