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    anupraj
    8 views2 pages
    This consent form is for a patient named Pratap Mamhi undergoing surgery for an inguinal hernia. The proposed operation is a hernioplasty. The patient will receive an injection of an antibiotic and local anesthetic before the operation. The surgery will take place at the OT and be performed by surgeons with anesthesia provided. The risks, benefits and alternatives were explained to the patient who provided written consent.

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    hernia.pdf

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    This consent form is for a patient named Pratap Mamhi undergoing surgery for an inguinal hernia. The proposed operation is a hernioplasty. The patient will receive an injection of an antibiotic and local anesthetic before the operation. The surgery will take place at the OT and be performed by surgeons with anesthesia provided. The risks, benefits and alternatives were explained to the patient who provided written consent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    8 views2 pages

    Hernia PDF

    Uploaded by

    anupraj
    This consent form is for a patient named Pratap Mamhi undergoing surgery for an inguinal hernia. The proposed operation is a hernioplasty. The patient will receive an injection of an antibiotic and local anesthetic before the operation. The surgery will take place at the OT and be performed by surgeons with anesthesia provided. The risks, benefits and alternatives were explained to the patient who provided written consent.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    CONSENT FORM

    NAME: Pr atap M amhi AS- 23/ M WIB

    DIAGNOSIS Inginab Hniou


    OP. PROP
    Henioplao OPERATIVE DETAILS
    Rx
    ml. I.M. stat
    njT.T.0.5
    XS.T.
    OPERATION DONE sMer nn "poh
    W r i t t e n Consent

    2Parts Prepare
    O.T. No.
    DURATION
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    H.S.O

    DATE o Loor
    SURGEONS -
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    ANESTHESIA
    ANESTHETISTS y Jei (MD)

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    ThADVISED - s M«d

    WRITTEN CONSENT 375 MZN


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    m
    Mv1 t drlp
    -Shift the Pt. to.
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    -Instruction to the Ward
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