Cloudnine Plot No.2, Mayfield Gardens, Patient Name: 8/0 Parka Kalra ote 1000000100877 dried On; 08-03-2020.0/91 aM be 20837 Dachegedon — : 08-08-2070 08:38 aM AgerGender 0 year © mon 2 daysremale Mosptal Days 3 Doctor Or. Sariay Wan ais arpa ew Bore Department :SecondFoorPeadnvirs 5 Neonatalony __entegony vtntiz2 a) GSN: obaaccireraniz. ei. vromrore021c5/330 = Final Bi Feast, s a Amount 1 Registration charge 150.00 : riytden Consuton 1000.00 3 tb 1180 90 2 Non OF Procedures sto.00 3 Other Charges 2850.00 Ee sso Total = Y ers Bi Amount 25654.00 Adv ad toil 0000.00 Amount Received: 15654.00 Balance Payable 0.00 comments : Advance & Aajustment Betas Net advance 10000.00 Adv at 10000.00 ¢ Ae Bate ate Oty OST_—-SGETDscunt Tot "3 2 Reaatraion —a00ant one 390900 a0 uw Sharpes 20 page Lota Scanned with CamScannerCloudnine KIDS CLINIC INDIA PVT. LTO $4 HOUSE" Plot No. A-2, Mayfield Gardens Sector 47, Gurugram - 122001, Haryana ‘Phone : 9972099729 www: cloudninecare.com 150.00 IP Physician Consulting Sl Service SAC Date Rate Qty GST GST Discount Rs) 1 Paediatric 999311 0605 . 6000.00 1.00 ‘0.00 0.00 0.00 6000.00 Doctor Delivery 2020 Charges 2 Neonatologist 999311 06-05. 1000.00 1.00 0.00 0.00 0.00 1000.00 Visit Charge-1> 2020 3 Neonatologist 999311 07-05- 1000.00 2.00 0.00 0.00 0.00 2000.00 Visit Charges 2020 4 Neonatologist. 999311 08-05-1000.00 1.00 0.00 0.00 0.00 1000.00 visit Cnarge-iP 2020 4 110000.00 SGST Discount Totallin SI Service SAC Date ——Rate : . Rs) 1 Pew 0505- 300.00 1.00 0.00 0.00 0.00 300.00 2020 2 Coombs Test 06.05- 870.00 1.00 vw uy uy ¥e. Direct 2020 3 Blood Group 0.05. annan 199 000 0.00 0.00 300.00 Panel 2020 4 Perioherat 06-05 520.00 1.00 0.00 0.00 0.00 520.00 smear 2020 Examination 6 fash 6.08. 200.00 1.00 0.00 0.00 0.00 200.00 2020 6 Bllicheck 06-05- 250.00 1.00 000 0.00 0.00 250.00 {Gilrubin lever) 2020 7 Reticulocyte 06:05- 620.00 1.00 0.00 0.00 0.00 620.00 Count 2020 8 G6rO 06.05- 1720.00 1.00 0.00 0.00 0.00 1720.00 (Quantitative) 2020 9 Guthrie 07.05. 5400.00 1.00 0.00 0.00 0.00 5400.00 Nenborn 2020 Screening Test ~10180.00 Page 2 of 4 cconaoeeves Scanned with CamScannerJoudnine Clouanine 10S CLINIC INDIA PVT.LTD im M8 HOUSE Sector 47, Gurugram «122001, Haryana Phone : 9972099725 wu cloudninocar.com SI Service SAC Date Rate Qty GST —SGST Discount Totaltin Rs) Beta rco: 999311 00-03: 380.00 1.00 000-000 0.00 560.00 2020 560.00 ‘Sl Service “SAC Date Rate Qty GST —SGST Discount Total(in R>) MedicalRecord 999311 06-05- 750.00 1.00 0.00 0.00 0.00 750.00 Maintenance. 2020 2 Immunisation 999321 06.05: 1000.00 1.00 0.00 0.00 0.00 1000.00 Charges 2020 3 Hearing Test 999311 08.05- 1200.00 1.00 uv 0.00 0.00 1200.00 (wy 2020 2950.00 PHARMACY MATERIALS abe vs ‘Service SAC Di MRP Qty CGST__SGST_Totallin Rs) 2 KENADIONISAMARTH] 30045090 0605-1430 1.00 07077 14.30 MG IN) (2 vial 2020 mu) 2 VAccU sucK 90183990 06.05- 406.00 1.00 275 21.75 406.00 [YANKAUR SUCTION 2020 SET-G5-50165) (ROMSONS) 3 EMERALD SYRINGE 90183100 06.05- 6.00 2.00 086 0.86 16.00 2CC WITH NEEDLE 2020 (eo) 4 sminceicc(@o) 90283100 ens. 17.00 3.00 Brahe 2.73 51.00 5 SURGICAL BLADE 23. 90189023 06.05 5.00 1.00 027 027 5.00 (HMB) 2020 G SUCTION CATIIETER 90183990 06.05. 6200 7.00 66a 6.68 124.00 110 (ROMSONS) 2020 7 KUIKCLAMPIGH. 90189099 06-05- 50.00 1.00 268 (2.68 50.00 5084] (ROMSONS) 2020 1B INSULIN SYRINGE 1ML 90183100 06-05- 7.50 1.00 040 0.40 750 (80) 2020 9 GLOVES STERILE 7.5 40151100 06.05- 65.00 2.00 696 6.96 130.00 (SURGICARE) 2020 rogea of 4 commonsavae Mss HOUSE, Pot No 4:2 Me Gres, ace Canara 1201 Hara nga Ul Gc na, Rope Bx 55 9 a, ee yaaa, erga St Scanned with CamScannerCloudnine DS CLINIC INDIA PVT. LTD isa HOUSE" Plot No. A-2, Mayfield Gardons Sector 47, Gurugram -12200%, Haryana Phone : 9972999729 GLOVES STERILE6.5 40151100 06-05- 65.00 1.00 348348 65.00 (SURGICARE) 2020 500.00 1.00 3307 1307 540.00 145146 eas wyso0 100938938 175.00 joo 2007507504000 ‘ 1793.99 Net Pharmacy Materia: 1793.99 ener 200 Patient Payable: 1793.99 Card ChequeiDd Net Amount awww 0000.00 a 710000.00, Scanned with CamScannerClaudnine KIDS CLINIC INDIA PVT. LTD. "MS HOUSE: cloudnine ver cloudninecare.com MB 11 Hearing Screening Report Patient information Last Name PARIKA Patient ID) 927301 First Name. BABY OF Gender Female Date of ttn 06-May-20 ignt Ear - ABK Sereening ( 35 dB nHL) Measurement Information Result Pass Date and time: 00-May-20 10:29 Duration ie Aitocts: 2% Impedances: V: 13.43 kM: 8.65 kA Test mode: Monaural Stimulus CE-Chirp® Stimulus Level: 35 dB nHL Screener, CN7102 Facity Device MB 11 BERAphone Serial number: MA9O240 Left Ear ABR Screening (35 dB nHiL ) Measurement Information Reeutt Pass Date and time: 08-May-20 10:27 Duration 178 Actifacts: 2% Impedances: V: 13.79 KOM: 321k 7 Test mode: Monaural Stimulus: CE-ChirpR Stimulus Level: 35 dB nHL Screener. GN7102 | Foul, | Deviee MO 11 BCRAphone | Serial number: MA90240 og-may-20 10:32 eth et Cre tae 7 engran 20%Hene Sains fl Cc ne ag Oe 155 ane Bok pay, aay Scanned with CamScanneraby of. PARIKA KALA 927301, Reference: DrSANJAY WAZIFL ‘Age: 1 Dayle) Sex: Female GURGAON ‘Y2200% wu HomogiobinBiood ‘Observed Value Unit Investigation 23 gmat. Haemoglobin (HB) PCV (Packed Cell Volume) 653 | wo: sez00r01682 vob ERT RERORT | Cotaces OF INO: P49200000041 2 ft HILTON] ggi9s2020 104084 Repored On: 7insr2u20 01:05 PM Biological Reference Interval 15:24 Page 1 of 5 Dr. Yashveer Singh Senrawat ee MO (Pathology) onion cme orm! eww ete ne an a INNER HEALTH REVEALED Scanned with CamScannerBaby of. PARIKA KALRA 927301, (Soren = roar ST ee oar = EERO Re Tire | orem ern SSE Pon0: pusoonaness & Rt ameter aay Cocos on => Age: 1 Day(s) ‘Sex: Female GURGAON 06/05/2020 10:40AM — 22001 Reported On: = pie re ‘Observed Value Unit ‘Biological Reference Interval Rot: Pediatric Reference Intervals,7 th Ediinn ABCC Press 20111 Reports to follow - Kindly await following pending reports Anvestigation : Status [Blood Group ABO E Rh Typing Marval EOTA TRecoiee [exons wot Drea [Recaioe-Clotod rare (G50 ovatnatvet coer cites sanpie | [HenopibinBecd Recotect- uted sample Porphoral smear amnaton ecole Cctied eancle [Revoveyte Cou ood, Manval [Recoteer ~ End of Report ~ page Tol) DrYashveer Singh Sehrawat as Md Pathology) INNER HEALTH REVEALED Scanned with CamScannerbaby of PARIKA KALRA 927301 pernce: DrSANUAY WAZIR | YD: 49200101042 SameleGpled ao SERGE ovr. x0, oRESEREBORT oe oes hg hz MAYIELD Boe PIDNO: Pész00000641 GARDENS SECTOR-47 HOTEL HILTON collect ‘Age: 1 Day(s) ‘Sex; Female fit |GURGAON (96/05/2020 10:40AM ae pened On | | 0795/2020 01:05 PM Investigation Observed Value ‘Unit. Biological Reference interval GPO ualitavet Not Deteiont rapa (erat s00d Oye elon) Interpretation 1. Glucose-6-phosphate dehydrogenase deficiency is one ofthe most common enzyme deficiency worldwide cava # ese of diseases incuding neonatal hyperrubinemia, acuie hemolysis, and chronic homolysis. This is X-loked ‘Mherted dordor homely. 2. ‘Persons with this condition also may be asymptomatic F rettenemolysis can be caused by exposure fo anoxidalve stress Inthe frm of an infection, oxidative drug. fava beans Following is comple ist of contraindicated Macications, however, a metscal physician shouldbe consuted bers tehing or not taking) ary medieatons. ~ ‘Drugs that Carry Risk of Clinical Hemolysi in Persons witn BPD riven (Definite Risk [Possible isk [ooubitui Fisk ‘antimalarials [chloroquine [ovinine [Primaguine ‘Guiphonamidesieuiphanes \Sullamethoxazole suitasalazine \sunsoxazote DDapsone Sutasimiing Suitadazine Tamivacteriavantibiotion Icorrmoxazole INatgnic aod INeroturantoin INortoxacin J-aminosalioyc acid INiidazole [Antipyreticianalgesies lacetarsioe acetyisalicyle acid Jacotyielicyic acs (<3 of) high dose (3 9/4) IPhenazopyrisine Acetaminephen Phenacetin [other INaphtnalane Vitamin K analogues looxorubicin em [Methylene blue |ascoroc até > y Probenecia [Rasburcaso. Relerance : Texthank- Harison'sPrincplos of Intemal Medicine, Eighteenth Editon, 2012, Table 106-5 Reticulocyte Count Blood, Manual Reticulocyte count 429 % 24-37 {EDTA Whole Boodon selective electrode, indect Reticulocyte Productive Index 497 10 Dr.Yashveor Singh Sehrawat Page 20f5 M.D (Pathology) eee ey INNER HEALTH REVEALED Scanned with CamScannerBaby of. PARIKA KALRA 927301 Reference: Dr.SANJAY WAZIF_ | vio: 49200101642 eke eBtin so, | TESRBERORT PO NO: Peeteones eae ce oe) ‘Crleiodn Age: 1 Day(s) ‘Sex: Female |GURGAON (06/05/2020 10:40AM 22001 Reported On: ‘Observed Value Unit. Biclagigal Reference Interval RPI (Reticulocyte Productive Index) reflects the red cell production rate, helps classifying the type of Anemia, Nis proposed to corect both forthe shit (earl release of ratieuiooye trom the marrow, wich sunive for 8 longer time inthe elrulation) & for the eientia(wuilet Wf Hons retlculueyies nie viteulethon) ‘able : Kinetic claceitioaton of Anemia, based on RPI. [Hypoproliferative nettective Increased endhroryieprnduction | ron-deticient erythropoiesis Meaaloblastic IHemotvtic Anemia | ron deticioncy Vitamin 812 deficiency Hereditary | [Anemia of Chronic disorders ovate dotciency [acauired [Erythropoietin deficiency [Other causes [Treated nutritional anemias| onal alsease Microcytie [Endocrine deficiencies Thalassemia [hypoplastic Anemia eonain sisorobastc anemia [Aplastic Anemia [Normocytic Pure red col anasia Intitration [Leukemia [Metastatic carcinoma IMyelotioresis ‘When RPI2-3, the Kinetic situation is uncertain. Sample Type : EDTA Whole blood Referer. Wintrobes clinical Haemtology; Volume 1; 10th edit 1900; page 004 6. Bilirubin-Total 18 mgidl —0.1-1.0 (Serum.uaz0) Ref, Pediatic Reference Intervals.7 th Edition. AAC Press 2011 Dr. Yashveer Singh Sehrawat Page SotS Min (Pathalngy) fate cndton of parca! “Pte Tot Rat nab an ead INNER HEALTH REVEALED ai Scanned with CamScanner= iby of. PARIKA KALRA 927301 Reference: Dr SANJAY WAZIR | ving agzo0101642, py TEST, R =3 soa ana TEST RERORT SESE reno, Peeenoet & TMS) HOUSE PLOT NO. A2 MAYFIELD Colected On ae oe toe oon pa Investigation Observed Value Biological Reference Interval (EDTA Wino oc, Tube Aaatnaten Method) Remarks : Droct Coomb’s test measures the presence of bodies on the surface of red blood o (1) Autommune hemolytic anemia without another underying cause, (2) Drugnduced hemoyte anemia. (2) E {etais (nemolyc disease of te neworn). (8) Infectious mononucleosis. (3) Myooplasmal infection. (6) Sy Iymphocyte laukemia or other ymphopral (@) Transtusion reaction alive disorder (8) Syatamic lupus erythematosus or anot Blood Group ABO & Rh Typing - Manual, EDTA Blood Group (ARO Typing) ND factor (Rh typing) Medical Remarks: Test run on cord blood which sometimes can give false resis. Advised: Repeat blood grouping after 8 months Method : Manual - Haemagglutination 8 Negative Dr. Yashveer Singh Sohrawat MD (Pathology) Page 4 of 5 eet conton ct pring ote! “Pate Toat Rani ny ote ro enone LIS INNER HEALTH REVEALED St Scanned with CamScannerBaby of. PARIKA KALRA 927301 Reference: DrSANJAY WAZIR | vin:_ss200101642 TESTeRERQRT Sample Collected At eae KIO CLINIC INDIA PVT. LTD. PIDNO: Pasz000006e1 Mg) HOUBE PLOT NO. A.2 MAYFIELD. Collected On fan 1 Daye) Sex: Female Exapeng SECTOR? HOTEL HILTON | ogosan201040aM GURGAON ecaice o7sva0y urs eM Peripheral smear examinetion (EDTA Whole Blood) Investigation Observed Value RBC Normocytic Normachremmic Morphology seen No schistocyte/spherocyte seen. 'No polychromasia noted. No NRBGs seen, wed Leucocyte count within normal limits 'No lot shift and toxic granules seen. Platelet Adequate On Smear - Hemoparasite Not seen Impression Normocytie Normochromic blood picture. No Evidence of hemolysis seen = End of Report we Dr. Yashveer Singh Sehrawat ND (Pathology) Page 5 01 te conan tog owe! “Pare Tost Rat ito ot spl cad INNER HEALTH REVEALED Scanned with CamScannerCloudnine KIDS CLINIC INDIA PVT. LTD ™MSJ HOUSE Sector 47, Gurugram 122001, Haryana cloudnine ww clousnnecatecom DISCHARGE SUMMARY MPINo. : 927301 IP No.: 20437 Patient Name -B/o Parika Kalra Age at admission/Sex:Newborn/Female Birth weight —:3.50kg Discharge weight: 3.26 kg Bed Category: Ward Dr. Incharge: DR.Sanjay Warir Address + Gurgaon DOA + 06/05/2020 DOD: 08/05/2020 Final Diagnosis : 38 WEEKS /AGA /3.50 KG/ Female / Mother RH Negative RIRTH HISTORY: Born to G2A1 mother by LSCS Baby cried Immediately after birth APGARs (1 min, 5 mins): 8,9 respectively Date of birth: 06/05/2020 of birth : 07:15 AM MATERNAL HISTORY: Obstetrician: Dr. Shweta Bansal Wazir ‘Age: 35 years ‘MBG: B Negative ANTHROPOMETRY: Birth weight; 3.50kg Birth OFC: 34cm Birth length : 40 cm ‘COURSE DURING HOSPITAT. STAY: Baby was roomed in with the mother soon after birth . Baby was started on breast feed / Baby passed urine & meconium after birth. ) Baby had single umbilical artery | __Noother obvious congenital abnormality detected, no facial dysmorphism. (© vex rree uss HOUSE, Pee 2 Ma Gros, Sect 4, Caran $200 Hanan eg tn Pe ap 18 SB, pap Be ‘commoranve2 Scanned with CamScannerCloudnine KIDS CLINIC INDIA PVT. LTD "MS HOUSE” Plot No. A.2, Mayfiold Gardone Sector 47, Gurugram - 122001, Haryana cloudnine ieee BE ESTIGATIONS: DISCHARGE SUMMARY (Test = Done/Values ~ [Not doneKetused pS yale eee lant BBG |B Negative es Sa \TCB | 9.7 mg/dl (08-05-2020) GorD Not Deficient ee ie |ABBR /aBERA BIL Pass 2. ranal Sereening For Critical CHD Preductal Spo2 97% e _ Post Ductal Spo2-98% ‘pct Negative | yy CONDITION AT DISCHARGE: Stable, maintaining saturation at room ai, no respiratory distress Un exclusive breast feeds. Accepting breast feed wel. Discharge Weight: 3.26ks ADVICE AT DISCHARGE: Exclusive breast feeding till 6 months of age Breast feeding ad lib followed by burping as advised ‘Vitamin D3 / Sunsips Drops (400 TU/Iml) - once a day Hemsi PD (Iron) drops to be started after 14 weeks of age Vaccination as per schedule Growth, developmental follow up on OPD basis Check TeB daily till baby is 7 days old Ls th ef Cm ah ee Thad ep Oe 55, 0 an Boa, ogy Berg erage Scanned with CamScannerCloudnine Xo cum mA PvE LTD mS) HOUSE” sector Pt. A2. Maylene Sector 47, Gurugran OM, Rang sw cloutninecar com DISCHARGE SUMMARY General Tips = + Keep baby warm, maintain asepsis + Avoid Handling by visitors © No Honcy/Ghutti/Kajal/Water to the baby + Dry cord care + Sponging/ bathing as advised EMERGENCY CONDITION 1) Not waking. up despite repeated stimulation for nme than 46 hes 1) Excessive Blue or Yellow discoloration of Skin 2) Temp. >100 F for more than 12 hrs 4) Not Passing Urine for more than 12 hre 4) Difficulty in breathing FOLLOW UP: review in OPD on 09.05.2020 (Saturday) at 06:00 PM with Dr. Manish Balde with prior ‘appointment. (Evaluation of Jaundice(TeB) every day till D6in ‘opp if any time TCB level > 13.5mg% consult with Doctor ) 1 Case of Emergency. please contact Cloudnine Hospital Helpline Nu. 1800-500 9999. NEONATOLOGY TEAM - CLOUD NINE HOSPITAT. Dr. GOPAL AGRAWAL Dr. SANJAY WAZIR- Dr. B.S. YADAV DR. MANISH BALDE Dr. stpuorn KUMAR Dr. SARVESH THAKUR Vas Scanned with CamScanner