                                                                                           .. YA ROOP RANI MAGGO HOSPITAL



                                                             MATA ROOP RANI MAGGO HOSPITAL PVT. LTD.
                                         M
                                                    R                        (Registered with Delhi GDVL) (M.T.P. Approved Centre)

                                                                      C-8 & 9, Om Vihar, Phase-l, Uttam Nagar, Metro Pillar No. 709, New Delhi-110059
                                         R                                       Ph .: 011-61290000, Mob.9555059059 Email : mrrmhospital@yahoo.in
                                                   M
                                                                                                               3 Years/M
                                                                                                                                   MANISH ARYA
                                                            MasterYUVAAN
                                                                                                               07/03/2023
                                                                                                               4:45:03 PM
                                                                                                                                                                     4:45PM
                                                UHID02886738



                                    Required initial assessment:
                                                                                                                                                                           Allergy
                                                                                                                     H/O: DM /HT /CAD /CVA /COPD /CRF/
                                        Pulse       BP        Temp       Resp     Height       Wt./Kg Pain Score
                                                                                               13.5

                                   Symptoms / History / Examination
                                                                                                                                      Provisional Diagnosis
                                   (Includie Dipstesrit & vaccinations history)
                                                                        BIL Acute otitis media.

                                                                                                                                      Investigations Advised / assessed




                                                               Steam mihalation                                                          Nutritional & growth screening:


                         Treatment Advised (use CAPS only)


                          No.                   MEDICINES WITH DOSE                                                                             ADDITIONAL         DAYS       SPL INSTRUCTION
                                                                                           ROUTE                         2 PM    10 PM
                                                                                                            8 AM                                   DOSE
                                        Syp        Mega-Cv forte
                             1                                                                        14 ml)                    (4 ml)
                                          (clavar- Forte)
                         2

                     3

                     4           Syp Flexion                                          5 ml )
                                                                                                        -          805

                 5

                                 Corp              Maxtra                              (5ml)
                 6
                                                                                                                                                         5days
             7

                         Sinomet (P) naval
             8                                                                                          3º                       3º

         9                                       chops.


         10          Cyp Davolac

       11 A Mixaratic 2/0.                                                                            30                              3º

 Special Instructions: (Diet/Physiotherapy/Restrictions)                                                                                      Dary



Follow up on ........... at ...... am/pm in OPD No umu ... In emergency pis report in casualty or contact 011-61290000                                                          Signature of Doctor

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