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                                       M.K.W.    JAN KALYAN CHARITABLE TRUST
                                                HOSPITAL & RESEARCH CENTRE
                            MKW          (Registered With Delhi Government)               Name Mr Aditya
                                J-Block, Community Centre, Rajouri Garden, Haw Dalhd-110027
                                         Phone : 45609999 . Fax : 011-26933164
                                                                                  NADH         3441 UND                       441480
                               27243                  EMERGENCY CUM TRIAGE NOTES
                                                                                                                   PR. No.
                         Date and Time of Arrival   12/3/2023 TRIAGE(TO
                                                                     : BE FILLED BY NURSE)
                        PAIN SCORE
                            No Pain (0)                                                   Red   Yellow
                                                    ROS                                                   Green
                            Mild Pain (1-3)                      TIME                      VITALS                          Black
                            Moderate Pain (4-6)                                PULSE
                                                                                             BP        RESP
                           Severe Pain (7-10)                                                                            TEMP          SPO2
                                                              10.28m. 82 / 120/80
                                                                                                         20/ 4/ 2020                   96%
                    Visit to our E/R within 72 hrs. of previous visit for same illness
                    ALLERGY                 NO
                   Time initial assessment compiled by nurse                LMP
                                                                                                                              G_P_L_A_
                   Attending Nurse
                                                                                 Consultant Informed by MO
                   CHIEF COMPLAINT                                  (TO BE FILLED BY DOCTOR)
                                                                    40 Sudden on Set per PHC.


                                                                    NO H/O HTM/ DM / CAD
                 PAST MEDICAL HISTORY

               Current Medication taken at home

              GENERAL & SYSTEMIC EXAM :-

             CNS                   (N
                                                              CVS                                                      Seeft, 35·
            RS                  BIL AL EQ                                                               ABDOMEN
                                                                              Other
           PROVISIONAL DIAGNOSIS                                        Ro In Dynapar 1/m Stal
          PLAN OF CARE

         MEDICATION PRESCRIBED :                                            Lí P.P. Z. lex (40 mg)


                   Adur
                                                      00 1Tab ppz-lex-D (X BD)


                                 303                 50 @ Tab lexarati M 1XBy



                                                               3 Syp lexcid 3THf KTde




   MLC             Yes No          MLC No
                                                                         DISCHARGE               Ward
                                                                                                           OT           ICU         Home
  When & How to obtain Emergency Care                                                                                                         Lama

 In case of Emergency Contact Emergency Department

 Follow up on :-

Nutritional advice :-
                                                                                                     SIGNATURE   12/3/2023
MO NAME :
                                                                                                  DATE & TIME

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'JAN KALYAN CHARITABLE TRUST HOSPITAL & RESEARCH CENTRE', 'clinic_pharmacy_address': 'J-Block, Community Centre, Rajouri Garden, Haw Dalhd-110027', 'clinic_pharmacy_city': 'Delhi', 'clinic_pharmacy_pincode': '110027'}, 'doctor_details': {'doctor_name': 'Dr. M.K.W.', 'doctor_qualifications': 'Registered With Delhi Government', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mr Aditya'}, 'prescription_details': {'date_of_doctor_consultation': '12/3/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sudden on Set Sore Throat'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1 Tab in the Morning and 1 Tab in the Night', 'medicine_frequency': '2 times a day', 'course_duration': 'NA'}, {'medicine_name': 'Dynapar', 'medicine_dosage': '1 Tab before Breakfast', 'medicine_frequency': '1 time a day', 'course_duration': 'NA'}, {'medicine_name': 'Lexarati', 'medicine_dosage': '50 mg 1 Tab before Dinner', 'medicine_frequency': '1 time a day', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}