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Untitled Page                                                                                                                                         SAROJA



                                                           All                                                                                        MEDICAL INSTITUTE

     RE ACCHEDITE                              Vaccinations
                                             are available
                                                Adult/Child


                                                                                                                              Vaccinated : Yes / No


                        ACCIDENT & EMERGENCY DEPT.

                                              CASUALTY CARD
                                                                                                              UHID No                    : LCSHH174947       Travel History : N
Room No                                                                                                       Issue Date                 : 26-Feb-2023 14:06:02
Name of Patient             MR. SANJAY YADAV                                                                                             : FRT/22-23/00045106
                                                                                                              Receipt No
Age/Sex                   : 40 YRS/MALE , Mobile No: 8700942397                                               Consultation Fce           : Rs. 250
Doctor/Unit                : DR. SHOKAT ALI                                                                   Panel Name                  : SAROJ MEDICAL INSTITUTE
Doctor's Timings          : Mon, Tue, Wed, Thur,Fri,Sat,Sun 9:00 AM-5:00 PM
Address                    : BADLI VILLAGE DELHI
                                                                   INITIAL ASSESSMENT & PLAN OF CARE


                                                                                                                                        GREEN                    BLACK
                                                     TRIAGE :                      RED                   YELLOW
                                                                                                                                                                                        Kned
                                                     PRESENTING COMPLAINT'S :
 Investigations :                                                        abrasion c Pain on (Pt)
                                                         clo
 Haemogram.ESR
 BT.CT.PT,PTTK
 S.Iron, TIBC, Ferritin
 VIT B12,Folate
                            -F                       INITIAL             100
                                                                          10/10
                                                                              PULSES 6 TEMPO RBS SPO. 96/PAIN.
  BLOOD                                              ASSESMENT : BP !!
                                                                                                                                                  COPD[] CVAL
  SUGAR                        PP                                                           HTN        CAD
                                                     PAST MEDICAL HISTORY : DM
  BLOOD GROUP. VDRL                                                                                                                              Cynosis       leterus
                                                     GENERAL           IIN     ION : Pallor   Pedal cedema
  KFT .LFT
  LIPID PROFILE                                       SYSTEMIC EXAMINATION :
                                                                        =4182(1)                                                       RS ....
  Urine RU/M & C/5                                             CVS
                                                                                                                                       CNS
  Stool R/M & C/S                                              P/A --
  Serology                                                                                                                        any examination , procedure , operation and
                                                      Permision is hereby given for the performance of
  ASO, CRP,RA Factor                                  administration of any pharmaceutical agent as may be deemed advisable in the course of treatment
  HIV, HBSAG, HCV, TORCH                                                                                              Relationship
                                                      Sign of Patient/Attendant
  Thyroid Profile/ 13, 74, TSH
                                                                                                       3) Followup/Next visit on
  SSH, LN, Prolactin                                  TREATMENT & PLAN OF CARE :
  PSA. CEA, CA.125                                   CIDIN                                             (i) Diet & precaution explained.
   AFP. Beta HCG                                                                                                         ui) Prognosis & complication of disease explained
                                                 Dr. Kunal Aneja
  Drug Levels: Phenytain,
  Carbamazipine, Valproic Acid                                                                 (B) Knee Ap/Lac
                                                                       x-Ray
  X-RAY CHEST PA VIEW
  ECG. ELG
                       Upper                                                                                                                          ER Doctor's Name/Sign,
                              -Lower                                                                                                                  Patient/Attendent Sign
   ABDOMEN                                             In case of LAMA                                                                                                              DR. SHOKAT ALI
                                Whole
                                                             MCCT- Rt Knee Joint                                                                                                        DMC No. 62095
   ECHO, STRESS ECHO
                                                       REASSESSMENT & PLAN
   THT, HOLTER                                                                                                                                                                           Orth
                                                                        CIDIW Dr. Rajish Datta
                        amp Im
  Prepared By : MR. RAMIT IJIMAR(
                                                                   adv                                                                                                                          Noneedof
                                                                                                Dop Slab above Knee. Knishe
                                                                                                                                                                                                      Stab
  Dynabar lamp
                                                                  Rx. Tab. Zerodol-SP 00×2dg >ix505                                                                                                          52h
                              Im stal

  NOTE- The patient has been seen by me & my name is written aboveyt undertake the nospopsibility
                                                                                                me      of documentation en this fay phyich is as & MEdicSEOs NABr and Hospital A
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                                                                                                                       EMERGENCY +91 11 6901 3344
                  Plot No. 8 & 9, Pocket 8-B, Sector-19, Jail Road, Rohini, Delhi-110089 (India)
                                                                                                                                        W www.sarojhospital.com
       T +91 11 6901 3333. 2789 1111-13, 16                     F +91 11 2789 1116               E info-smi@sarojhospital.com
                                                                                                                                               26-Feb-23

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SAROJ MEDICAL INSTITUTE', 'clinic_pharmacy_address': 'BADLI VILLAGE DELHI', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'DR. SHOKAT ALI', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'MR. SANJAY YADAV'}, 'prescription_details': {'date_of_doctor_consultation': '26-Feb-2023'}, 'procedure': {'chief_complaints_diagnosis': 'RE ACCHEDITE'}, 'medicine_details': [{'medicine_name': 'Tab. Zerodol-SP 40mg', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}