Dr.

Guriqbal Singh Jaiya D 14, Maharani Bagh

MBBS (AIIMS, New Delhi) New Delhi - 110065
MCI Reg. No.: MCI-0213 (Jan 1978) Email: gsjaiya@aims2health.com
Mobile: +91 9717967335
__________________________________________________________________

MEDICAL CONSULTATION FORM

Form filled by: Caregiver: Gurjas Kaur

PERSONAL DETAILS

• Name of the patient: Kulbir Singh Bedi

• Age: 77

• Sex: M

• Diagnosed positive on 30 April and negative on 15 May

• Medical condition otherwise: Paralyzed, diabetic and high BP

Source
(Room
Pulse Blood
Date Time SpO2 air/ Temperature Condition
Rate Pressure
cylinder/
conc)
5-May 5:00 PM 83 Room air 102 97.8    
Room air
5-May 7:00 PM 84 108 97.7  
 
5-May 9:00 PM 84 Room air 105 98.1    
6-May 10:00 AM 80 Room air 111      
6-May 1:30 PM 84 Room air        
6-May 5:00 PM 83 Room air        
6-May 7:00 PM 81 Room air 112 98.9 117/80  
7-May 8:00 AM 80 Room air 105      
7-May 10:00 AM 81 Room air 103 98.7 122/87  
Room air
7-May 1:00 PM 80 111    
 
7-May 5:00 PM 79 Room air 104      
7-May 9:00 PM 82 Room air 110 98.4 115/84  
12-May 8:30 AM 81 Room air 103      
12-May 1:30 PM 80 Room air 111      
12-May 9:00 PM 79 Room air 104 99.7 117/86  
13-May 7:30 AM 81 Room air 91      
13-May 9:45 AM 79 Room air 98      
13-May 1:45 PM 76 Room air 102      
13-May 9:00 PM 77 Room air 105      
14-May 9:30 AM 81 Room air 91      
14-May 3:00 PM 79 Room air 112   120/85  
14-May 7:30 PM 82 Room air 103      
15-May 10:00 AM 78 Room air 101      
15-May 4:00 PM 84 Room air 105      
15-May 6:00 PM 79 Room air 113      
15-May 9:00 PM 79 Room air 108   118/87  
16-May 9:00 AM 78 Room air 104      
16-May 1:00 PM 80 Room air 103      
16-May 6:00 PM 81 Room air 107      
17-May 10:00 AM 78 Room air 110     1. Start evening, there was
improvement observed in
17-May 1:00 PM 79 Room air 115     oxygen level. There was a 2
Room air hour window from 12:00
17-May 3:00 PM 78 118     midnight to 2:00 am when the
17-May 83 Room air 104     oxygen had dipped to 77.
5:30 PM 2.
17-May 86 Room air 111 2. Oxygen with support was
10:30 PM    
maintained at 92-94 . Support
Room air
also reduced to 4-5ltrs. During
17-May 84 105 night for 2 hours, it was
increased to 8ltrs, however post
11:30 PM     that it was maintained at 6 ltrs.
18-May 85 Room air 109 1. Improvement observed in
11:00 AM     oxygen level. Oxygen without
18-May 83 Room air 111 support was trending between
12:00 PM    
Room air 76-81, while since yesterday
18-May 2:00 PM 78 108     evening, it has been above 83
Room air all the time
2.
2. Oxygen maintained at 92-94
at level 3-4 ltrs
18-May 85 118
3. Rise in sugar level observed as
it was maintained at 110-130 ,
however today it has been 170-
6:00 PM     180
19 May 86 Room air 98
12:00 PM
19 May 85 Room air 102
1:00 PM
Cylinder
19 May 92 104 1. Oxygen levels are up as
1:30 PM @ 3 ltrs
compared to 2 days ago and
19 May 83 Room air 111
3:30 PM cylinder support has not been
Cylinder more than 3-4 ltrs
19 May 93 107
4:00 PM @ 4 ltrs
Room air 2. Patient has been very active
19 May 5:30 PM 81 102
today in terms of speech and
19 May 84 Room air 97 eating and did not seem as
8:00 PM
weak as in all past days till
Cylinder yesterday
19 May 93 101
9:00 PM @ 4 ltrs
19 May 83 Room air 99
9:30 PM
19 May 84 Room air 95
10:30 PM

Fasting sugar Sugar before Sugar before

Date Condition
(morning) lunch dinner

5-May 226 224 222  

6-May 152   127 Glimistar 1mg added to reduce

sugar level
7-May 180 152 179  
12-May 138 188 96
13-May 132 128 110
Glimistar 1mg stopped as low
sugar level was observed
14-May 145 110 121  
15-May 132 119 122  
16-May 128 122 135  
17-May 122 128 118  

168 179 Had stopped glimistar 1mg, will

18-May   start from night
124 128
19-May 132