Phone: 7873805480

KRISHNA CLINIC& NURSING HOME

BALLHAR CHHAK, SANTHAPADA, TALCHER

Regd. No. 363/2004 Date ……………………..

DISCHARGE CERTIFICATE

Doctor’s Name

Name of Patient

Father’s Name and

Address

Disease

Date of Admission

Date of Discharge

Investigation done

PTO
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Treatment Given:
Advice:

SIGNATURE

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