                                                                                                           NMH | OP | P / Form | CM 31 / AF & Re-AF (Ver. 1)

                                                                                   ASSESSMENT FORM / RE-ASSESSMENT FORM
                          9550858868.

                                                                               UHID NO. 20235745
                                                                                                                                       Drug Allergy
           NARBHAVI
                                                                               OP NO / ER No:
           Multispeciality Hospitals

 Department : GENERAL                                                      Consultant Name :                     Dr. Prabletom

  Patient Name: MASTER DHEVEST                                             Age / Sex : cm Date : 13/09/23 Time: 8:50am
                                                                                                                                            HT : cm
 Nurses Assessment :                                         KUMAR

 PR : 1 9 /mint                  BP :                                                                            SPOz: 100% WT : 1 kg
                                                         mmHg Temp :91. 6RR min :
                                                                                                                                                          10
                                             2                                                    6
           Very Happy.                                                                op                                Hovts #                        as you Can
            No Hurt                     Hurts just a                                           Hurts even
                                                                       Hurts a                                          whole lot
                                          little bit                 little more                mors
 Doctor's Initial Assessment :

                                                                                           O/E : Anaemia
  lief Complaints :
                                                                                                Pedal Oedema
       pr cara 2 complaint ..
                                                                                                Icterus
  vomiting x 5 episodes.
                                                                                                 Lymphadenopathy:                     210

           - Hlo differe abdominal                                                               Clubbing


                                                                                                  CVS                            : SIS27
            pain x                                                                                                                  ..

                                                                                                  RS                                : NVBS,
         - I lof vomiting xeepisode.

                                                                                                  Abdomen                           : Soft, Henderen
      - N/HLofwar /Name.                                                                                                                       2all quadro
                                                                                                   CNS
                                                                                                                                       NEND
       - Mello B.A/ Seye.

                                                                                                   30000



last H/o : HT / DM / Asthma / Surgery / Thyroid / CAD (


                                                                                                  collins ton 21 19



 amily H/o : HT / DM / PT                                                                                                        202




Provisional Diagnosis :


                                          ? gastritis.

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