                                                                                                               DIL BACHAN SINGH BARTHWAL
                                                                                                                           MS.
                                                                                                           SENIOR DIRECTOR &   FICS,
                                                                                                                             HEAD OFPMAS,  FAIS, FLAGES
                                                                                                                                     DEPARTMENT
                             MAX                                                                         LAPAROSCOPIC & ROBOTIC GENERAL SURGERY
                                                                                                OPD DAYS TUESDAY/THURSDAY/SATURDAY
                                                                                                             MON/TUE/WED/THUR/PRI/SAT 9 AM - 1 PM
                            Healthcare                                                                                        MOBILE NO 5 PM . 7 PM
                                                                                                                                          9811614541

                                                                                                            Page 1 of 1

                                                                                 Location:          Patparganj
                                         Mr. Akshay Pathak                                           Saturday, March 11, 2023 11:19 AM
               Patient Name:                                                     Date:
                                         24 year(s) 9 month(s) 15 day(s) /Male
                                                                                 Invoice No:        PGCS4687122
               Age / Sex:
                                         EHPG.1027321
               Maxid:                                                            Referred By:       SELF
                                         Dr. Bachan Singh Barthwal
              Doctor Name:
                                         General Surgery
              Speciality



              Allergy: No Known Allergy

              Chief Complaints and History of Present Iliness
             CAME FOR THE FOLLOW UP

            Physical Examination
            HORSE SHOE FISTULA WITH MULTIPLE BILATERAL OPENINGS


           Provisional Diagnosis
           POC OF HIGH FISTULECTOMY FOR COMPLEX HORSE SHOE FISTULA IN ANO - 27/2/23


          Current Medicine
          HIGH FIBER DIET
         SITZ BATH THRICE A DAY WITH BEATDINE LOTION
         TAB LEVOFLOX 500 1 TAB ONCE A DAY X 7 DAYS
         CAP PENRAB DSR 1 CAP ONCE A DAY ES X 7 DAYS
        TAB DOLO 650 1 ATB TWICE A DAY X 5 DAYS THEN SOS
        SONNE D3 ORAL SOLUTION 60K ONCE A WEEK X 1MONTH
       TAB CCM 500 1 TAB TWICE A DAY X 21 DAYS
       LACTIFIBER POWDER 2TSF TWICE A DAY X 7 DAYS WITH MILK OR WATER

       TAB VITACOVER 5 G 1 TAB ONCE A DAY X 7 DAYS

      Medicine Advised
      BETADINE DRESSING AND PACKING LOCALLY AFTER EACH SITZ BATH

                                                                                                                                                 Isolant




                                                                                                                           Dr. Bachan Singh Barthwal

                                                                                                             State Registration No. : DMC-13109




                                                                                                                   D. . Dachian S Barinwal
                                                                                                                 MS, FICS, FMAS, FAIS, FIAGES

                                                                                                                          Senior Director & Head
                                                                                                           Laparoscopic & Robotic Gen. Surgery
                                                                                                                 Max Super Speciality Hospital
                                                                                                                      Patparganj, Delhi-110092
                                                                                                                              DMC Regn. No .- 13109




       POCO


       SHOT ON POCO F1

per Speciality Hospital, Patparganj

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