) oN Angul District Headquarter Hospital, Angul DISCHARGE SUMMARY a. Patient's Name* AMATA AK b. Telephone No/ Mobile Not :__7326027351 ©. IPDNo 2558 4, Admission No:___109 ©. Treating Consultants’ Name pr amet Kumar a. Contact Numbers :_gasgrasasa b. Department’Specialty :___pahopedie susgean £. Date of Admission with Time g. Date of Discharge with Time h. MLCNo* 022 i, Provisional Diagnosis atthe time of Ad {__Meckes divers Arve soba, Tube-abses Anaahvics reaction Final Diagnosis atthe Loss of nbs 66 Amputation Active salpngtus ight hand scan Tuboabees time of Discharge CR SCAN CRAY k. ICD-10 code(s) for Final Diagnosis*;__zzs4255 1. Presenting Complaints with Duration and Reason for Admission: Oss as messed DAS sowed ermine coneson wih AA epsirent Siar, MHO score corte wi inpirer rah (5-024, bela =-023.9-<005) Admit fr 2 days due to severe nutes due toa.accident m, Summary of Presenting Illness : _rere wos evi dest the tre of admission a pte n._ Key findings, on physical examination at the time of admission: Zaenapseas fave suse tn, eit handy ora as aly amaqed ene nef sdesin ee a ol id ein ad se isn many kaa thy ‘Tha gh a anos been eons re cn ay as been ashed ‘ory of alcoholism, tobacco or substance abuse, if any 1 =Treating Consultant? Name ‘DeAmnt Kumar Dash Authorized Team Doctor* [Signature 1 ; >) [Namie “amar Nak Patient/ Attendant Sienatre | Aare * These are mandatory fields. Page 2