Cloudnine_ Cloudnine )) kaos cumte mpi pvt itp | ™33 HOUS! Plot No. A, Mayfield Gardens, Sector 47, Gurugram “122001, Herren Phone 9972000729 | wor cloudninecare.com Patient Name: Parika Kalra Payment Mode; CREDIT pie 1000000100718999, ‘Admitted On: 06-05-2020 05:38 AM Pe 20435 Dischovyed On: U8-05-2020 08:38 AM [AgelGender —: 35 years 3 mons 22 dayc/Female Hospital Days :3, |Doctor + Dr. Shweta Bansal Wazir ‘Admit Purpose: Emergency LScs [Department : Second Floor/Obstetrcs & Gynecology Category elie(122) [ootn « OGAACCK7678R1Z1 Bill No, iromroro-21nK134 INS Name:National insurance Co.tta [Pee Auth Coge-2icuounaKon6s [1PA Name:Vipu Med Corp TPA Pvt ta [Tes 1ow0211070027266126 3 | Particulare ins Payer Amount 1 C-Section Delivery-Vipul-Delux "$2000.00 ~~ $2000.00 2 Lap 591.00 5089.00 5680.00 3 Other Charges 3750.00 0.00 3750.00 4 Pharmacy 13609.00 2910.00 16519.00 Total 17950.00 9999.00 117949.00 Payer Amount Bill Amount 17950.00 __99999.00 _117949,00. Adv adj to Bill 1000.00 9.00 1000.00 ‘Amount; geen oO ams o20 co, Discount Reason : 0 Advance & Adjustment Dataile Advance Collected 1000.00, Net Advance 1000.00, ‘Adv adj to Bill + 1000.00 IP Packaa = SI Service SAC Date Rate Qty ceSi— SGST Discount Tesi Pagel of HOUSE, Pt. 2 Mal Caro, Scr 47, Gua 2001 ara ccammovoewaz ot Ks ie Pot Rag ic 153, 9 a, Bek Syren Berkey nt = en cnrecn Scanned with CamScannerCloudnine| K109 cunie MBIA PT. xD Ms HOUSE” Plot No. A-2, Mayfield Gardens Sector 47, Gurugram » 122001, Maryans Phone 972999725 www cloudninecare.com 1 Section 08-03- 92000.00 1.00 0.00 0.00 0.00 @7an0.00 Delivery-Vipul- 2020 Delux Bek ‘9200.00 Lab A Bae SI Service SAC Date Rate Qty CGST —SGST Discount Totallin t 06-05- 640.00 1.00 0000.00 ~©—«0.00-~—«640.00 : 2020 2 06-05- 1000,00 1.00 0.00 0.00 0.00 1000.00 3 500.00 1.00 000 0.00» «0.00 Sanam 4 650.00 1.00 0.00 0.00 © 0.00 650.00 300.00 1.00 0.00 0.00 © 0.00 300.00 870.00 1.00 0.00 0.00 «0.00 870.00 1.00 0.00 0.00 0.00 1720.00 60.00, Scanned with CamScannerCloudnine KIDS CLINIC INDIA PVT. LTD °MSJ HOUSE" Plot No. A:2, Mayfield Gardor ‘Sector 47, Gurugram - 122001, Harya cl Phone : 9972999729 loudnine ve cloudninecarecom § 2 ROMSONS UROBAG 36050010 06-05- 241.00 1.00 5.74 5.74 241.00 {DB 1070-10} (RA) 2020 ‘VAY CORP) 3 TEGADENM 8591 (3M) 30051010 06-05-5340 100) 28.61 28.61 ‘534.00 2020 4 TEGADERM 1633(3M) 30051020 06-05- 135.00 1.00 123 7.23 135.00 2020 5 EMERALD SYRINGE 90183100 06-05- 9.00 8.00 3.84 384 72.00 SCC WITH NEEDLE 2020 (eo) 6 EMERALD SYRINGE 90183100 06-05- BUY 6.00 348 244 64.00 © eC WITH NFEDIE 2020) (80) 7 EMERALD SYRINGE 90183100 06-05-1450 9.00, 7.02 7.92 130.50 ‘LOCC WITH NEEDLE 2020 (eo), 8 PLAINSHEET 72104900 06-05- 104.00 3.00 1671 671_——-312.00 UUALSUCM 2020 90189099, 252.00 1.00 1350 1350 252.00 ad ae ns Mos Oa an BO ri Bod, ny gt 0. Scanned with CamScanner— ouchine KiDS CLINIC INDIA Pvt. Lre "MSI HOUSE" Plot No.A-2, Mayfield Gardens Sector 47, Gurugram - 122001, Haryana cloudnine Phone $872550738 19 EXAMINATION GLOVES 40151100 06.05. 11.00 30.00 1770 17.70 330.00 M (xAMCARE) 2020 20 BETADINEIWIN}10 30049087 06.05- 101.92 5.00, 27.30 27.30 509.60 S@WWAV SOLN (100 mL) 2020 21 ECOBATH 34029001 06-05- 350.00 2.00 3750 3750 700.00 TOWELETTES 2020 (CARENOW) 22 GAMJEE ROLL 90191090 06-05- 175.00 6.00 56.28 36.28 1050.00 roeMxaMT (BNE) 2020 23° BACTILEMIEMCURF) 30047010 96.08. 371465 6.00 110.46 119.46 2229.90 1.5 GRAM INJECTION 2020 @vian 24 AUTOFUSION SET (IV 90283990 06-05- 275.00 2.00 29.46 29.46 550.00 SET] WITH AIR VENT 2020 [24261] (POLYMED) 5 25 AEQUIMOL[AEQUITAS] 30049063 06.05- 462.00 6.00 148.50 148.50 2772.00 2000 MG INFUSION 2020 (200 mt) 26 CLIPPERBLADESO- 90189022 06.05- 584.00 1,00 31.29 © 31.29 584.00 9680 (3M) 2020 27 GAUZE SWAB 30059090 06-05: 70.00 13.00 4875 48.75 910.00 2OKIOKAaPLY [4'9) 2020 (MEDICARE HYGIENE) 14071.00 PHARMACY CONSUMABLES RETURNS SI Service SAC Date MRP Qty SGST Totai(in Rs) 2 INFUSION 30049063 08-05- 462.00 1.00 24.75 28.75 462.00 ‘AEQUIMOL{AEQUITAS) 2020 1000 MG . : 462.00 Net Pharmacy Consumables: 13009.00 PHARMACY MATERIALS ae SI Service SAC Date MRP Qty GST SGST _Total(in Rs) 1 EXAMINATION GLOVES 40151100 06-05- 9.00 30.00 14,40 14.40 270.00 (NULIFE) 2020 2 MISOPROSTICIPLA] 600 30049099 06-05. 88.27 1.00 473 473 98.27 MCG TAB (1 tab)(1 ML) 2020 Page 4of7 os anor So ee pn aes Scanned with CamScanner10 n 2 us 14 » 16 ey as 19 20 2 usec MSY HOUSE, PN A2. Mayet Gren, Sec 47, Guta 12200 ayant apa Ute Was lr oda PCS. Rap Ox: 1859, tM, Bk yap erga S001, ‘ EMESETICIPLA] 4 MG IN) (2 30049035 ml) PERINORMIIPCA]5 MG IN} 30049035 a) METHERGININOVARTIS] 0.2 30045020 (MG IN (1 mL) NACPHININEON] 10 MG IN) 30049099 amy PROSTODINIASTRAZENECA] 30049099 250 MCG IN) (1 vial)(1 ML) KLOTININEON} 100 MG/L 30022019 ML INFUSION (5 mL}(5 ML) BIOCHECK-CHG 38089400 HANORUBIPSK] 50OML. EVATOCININEON] 5 LUIN} 30043912 (mu MEZOLAMINEON] 5 MG IN} 30020034 (2 aramy(a ML) PANSECICIPLA] 40 MG IN| 30049039 (omy) BUTODOLINEON] 2 MG IN) 30049099 (mya Mu) [ANAWIN-HEAVYINEONI IN} 30049099 (emu) STERILE WATER 20049039 JOMLICLARIS] 10 ML IN (2 vial) DYNATROY AULTROIKAA] 79 30049009 MG IN (7 ma) ML) RINGERS LACTATE[CLARIS] 30045020 INFUSION (500 mL) VICRYL 1.0 NW2347 90189099 (ETHICON) VENFLON 20G [391592] 90183930 (20) \VACCU SUCK [YANKAUR - 90183990 ‘SUCTION SET-GS-5016S] (RomsoNS) VEIN O LINE 3 WAY 90189000 EXTENSION 10CM (GS- +3034] (ROMSONS) 06.05- 2020, 06-05- 2020 06.05- 2020 06-05- 2020 06.05- 2020 06.05- 2020 06.05- 2020 06-05- 2020 06.05- 2020 06-05- 2020 06-05 2020 08-05 2020 06-05- 2020 06.05- 2020 06-05- 2020) 06-05- 2020 06-05- 2020 06-05- 2020 06.08. 2020 12.81 15.61 47.40 177.20 76.00 640.00 ay. 32.00 40.79 61.00 27.00 2.56 27.66 49.72 673.00 214.00 406.00 266.00 6.00 2.00 1.00 1.00 1.00 2,00 1.00 20.00 1.00 4.00 1.00 2.00 7.00 6.00 9.00 2.00 1.00 1.00 1.00 i aretprione : 9972908729 414 4a4 76.06 oss (0s4 10.26 oss 0.84 15.61 254-254 47.40 949 9.49 377.20 362 362 152.00 4g@1 48.61 640.00 3020 1030 191.80 beat 32.00 toss 10.44 195.16 pens 327 61.00 aas 1.45, 27.00 098 0.98 17.92 Bes | 8.88 165.96 2398 23.94 447.48 ya0 72.10 1346.00, 4611.46 214.00 27s 21.75 406.00 1425 14.25 266.00 Page 5 of? ‘canmnciooavoz Scanned with CamScannerScanned with CamScannerKi08 CLINIC INDIA P\ "Mss No. 2, Mayfeld Gardens peter 47 Burworam «122003, Haryana I . Phone : 99/2999729 sewa cloudninecare.com Date Receipt No. a Card 08/05/2020 IPD/MFG/20- 000 7950.00 2URCIB70 jmoore ye a ae Scanned with CamScannerCloudnine "us HOUSE” Plot No. A2, Mayfield Gardens Sector 47, Gurugram 12208 cloudnine Prone 9072900729 Obstetrics & Gynecology Second Floor 22 122 Discharge Type: On Doctor's Advice CONSULTANT NAME: DR SHWETA BANSAL WAZIR XDMISSION DIAGNOSIS: G2A1 WITH 38+4 WEEKS GESTATION WITH RH NEGATIVE WITH PROM FOR EMERGENCY LSCS DISCHARGE DIAGNOSIS: P2L2 POST LSCS. HAD EMERGENCY LSCS ON MATERNAL REQUEST UNDER SPINAL ANESTHESIA ON 00/05/2020 IN VIEW OF NOT WILLING FOR TRIAL OF LABOUR CHIEF COMPLAINTS : C/O LEAKING P/V SINCE 4 AM PAST HISTORY ; NAD LMP: 11.08.2019 OBSTRETIC HISTORY: G2A1 1-SURGICAL MTP AT 11 WEEKS IN 2017 2PP BRIEF HISTORY AND PHYSICAL EXAMINATION ON ADMISSION: GC Stable Afebrile, PIR: 88/min BP-110770mmHg Chest: Clear PIA: Uterus term size,cephalie, Mild contraction +, FHR+R, CTG-Reactive: UE: Leaking pv + COURSE IN THE HOSPITAL: Mex Parka Kalra was admined . Cloudnine hospital on 06/05/2000 with above mentioned complains She iierwent Emergency LSCS on Maternal Request under SA. on 06/05/2020 Not willing for trial of Lhaour.She aint a femal baby weighing 3.50 kg on 06/05/2020,Passed urine and motion and ambulatory at time of discharge.Dressing changed RELEVANT INVESTIGATION: HB: 11.6 Pit: 1,65 Lakh (06.05.2020) Blood Group : B Negative (© seers uss YOURE Pete A2 iG, Sec espn 200 Hae tet fa Cn na ‘ Ge hp On 1 in a ere Bp ‘conoesovee | net Sacre or 7 4 Scanned with CamScannercu HD CLINIC NOL Plot No, A2, Mal Gardens Sector 47, Gurugram = 122009, Haryana erphong ara DISCHARGE SUMMARY plood Group: B Negative tation Profile : WNL Coast! ‘Markers * Negative aby covid 19: Negative Gc 08.04.2020: Single gestation cmesponding 10 a gestational age of 34 weeks 3 days, placenta anterior riquor adequate, CATIONS DURING HOSPITALIZATION: INISUPACEF 1.5 GM VV THRICE A DAY IN EMESET 4 MG TWICE A DAY INIPAN 40 MG TWICE A DAY INS DYNAPAR 75 MG THRICE A DAY INI PARAGLSS 1 GM THRICE A DAY DETAILS OF THE PROCEDURE WITH DATE AND TIME: FAD EMERGENCY LSCS ON MATERNAL REQUES! UNDER SPINAL IN VIEW OF NOT WILLING FOR TRIAL OF LABOUR ANESTHESIA ON 06/05/2020 Perop findings : Baby delivered as cephalic, cried at bith, placenit ‘and membranes removed completely, liquor clear, blood loss average. Surgeon : Dr Shweta Bansal Wazir ‘Anaesthesist: Dr. Tarun Aggarwal DETAILS UF THE NEWDORN: Baby Notes . Sex of baby : FEMALE Date of birth : 06/05/2020 ‘Time of birth : 07:15 AM Birth weight: 3.50 Kg PATIENT'S CONDITION ON DISCHARGE: GC fair Pulse: 80/min BP: 110/70 mmHg Chest: Clear, Bicast : Soft PIA, Soft Uterus well contracted, ASD dry , bowel sounds g00d LE: BPV WNL DISCHARGE MEDICATIONS AND ADVICE: NORMAL DIET TAB CEFTUM 500 MG TWICE A DAY FOR 7 DAYS “eTAB ENZOTLAM L TAB THRICE A DAY FOR 7 DAYS: pea ‘TAR TWICE A DAY (1/2 HOUR PRIOR TO MEALS) FOR 7 DAYS B EC FORTE 1 TAB TWICE A DAY FOR 19 VAYS 30 ML AT BED TIME IN CASE OF CONSTIPATION (© vranns uss Huse Ph Ml en, acer 0, Sign 2 Se naremc rash em mieten tS hbo ean er - ad Scanned with CamScannerSime DISCHARGE SUMMARY pw uP ADVICE ve breast feeding Fr 6 ‘months. prizaion of BaDY' ting heavy weigh chronle cows & con! ees wecks Report i you have any fever, calf musle tendernes pation for 3 months eine? s, foul smelling discharge, feel snwell tpesse of sprploms Uke exesesive bleeding PV/feveripain abdomen, contac f124-4467100 OR Duty Doctor on 7065719992 DISCLAIMER: This discharge summary is prepared as per information given PY consultant in-charge of duemepapcies / inconsistencies to be addressed He consultant 1 Cloudnine Hospital on patent. Any Registra | Consultant DR. SHWETA/WAZIR Name and signatufe of the Registrar {Name and signature of tl sultant vretein below signed sonfim that have checked all the demographic details of the reread patient and L confirm tat they are core ad ue URE Name : —_____—— Date = Sf J__ Resisirar Verification: I herein below signed confi that i have checked all the medical details of the rerieed patient and L contin that they are comet a Registrar Name A Signature + Dats :81SI9D PatienHusband’s/Paren(s) Verification: 1 nereln veko signed confirm that [have verified all the relevant ara in this discharge sumtinary which includes date of admison, date of birth, date of discharge and the de orall he medical services provided and [acknowledge hat the details are correct including the tests conducted. panne aknonedge that {have received all the original copies ot the te eps Juding MEL and CT) and acknowledge and agree that in no event hospital shal provide duplicate copies of MRI and CT reports Name , ey i (Fathoo/Mother/Hushand/Leeal Guardian) Signature = Date as 1 wns nas HUE at HOUSE Pate A2 ye Grr, ec aga 2 aa Seema rca VN eee ep Rca i — Scanned with CamScannerDr. PARIKA KALRA 718999 Roterence: Or SHWETA BANSAL | vin: agonnrovess en |rroncomaat E'S Taeoiomaon B foN0 hovmerae gay SGMERONIT TY, | SOE e ae [ia aa Hasan 16 am PV Paced Cl Vou) a7 « a4 MV Mean CaruseuorVokime) 2 t 0 CH Mean CopusarH) ange : ara MCHC Mean Corutcular Hb Conon) 2o.0s a ss AW (Red CoN Dsbation Wa) a524 a risi0 er Total Leucocytes (WBC) count 9200 colls/cumm 4000-10500 slate Lymphocyte CounBiood 748 ees Asolute Monocye Count oss fem. _m0s060 Aslute Eosinophil CounBlod tau ee os ener * na soph 0 * 02 Patt , PV ean Past Vlume) : 1 oss PCT Plt Heanor) : * 0208 * or PDW (Platelet Distribution Width) = Tests Uae on Automated Three Part Cel Counter. All Abnormal He counts based on approximately 10.000 calls lemogroms are reviewed & confimed microscopically. Dierenial se Page 1014 Or. Yashveer Singh Sehrawat MD (Patroiogy) intr inno cy el “Rabe Tod Pst syne sane INNER HEALTH REVEALEL Scanned with CamScannerx PARIKA KALA 710000 Reference: OFSHWETA BANSAL | vid: 9200101691 =>. een (eT RRERBT SS Teino : esooessz75 ‘Sample Collected At: z 12 AM SS=8 pono. prore00orize BEGIN rr ae tered On =e SI HOUSE PLOT NO. Az MAYFIELD Cote BEE oe! sneveus) Sex rome BET |e seorons RSteLLtCh | coment 25 gunaeon moe = heemmaa 06/05/2020 10.35 AM Investigation Observed Value Biological Reference Interval eons Blood Group (ABO Typing) B RhO factor (Rh typing) Negative HIV 1 Antibodies, Serum Non Reactive Non Reactive Rapid Oot immunoaseay Test 11 {netrpretation: Negative results does not exclude the possibly of exposure to HIV nection. Positive rest srt wares»! HIV infection & shou be contmed by standard assay ike WESTERN BLOT / Vea! Laad/ PCR tests Australia Antigen (HBSAQ) ‘Non Reactive Non Reactive ‘Metnod : One step Sandwich immunoassay, Note: All reactive results must be confimed by Neutralizing contimatory test or by HBV ONA detection assay. Hew Non Reactive Non Reactive Scanned with CamScannerUr, PARIKA KALKA 718999 eterence: orsHweTA BANSAL — | vip. axzo0101001 ace MaeeroRe rel No hoes 0605/2020 06:32 cee Soe wie Wow Pyro, verte 02 A PHONO: Pests0007120 y (Sate Roar tara Soc On aes 292'Yems) Sex Fone Extvevesecrone nore mTOn | o6ns20206z5ni onenon Tapored Obsnrved Yolue wit lotic Reterence neyo} Prottwomoin Time 126 aot nue Canta NET) 13.25 Ratio oss inex 105.16 % PTUNY Valve ose Normal Population NAO 12 Slangard therapy : INF High Dase therapy : IN ‘Method: Optcal Detection Interpretation : The prothrombin time (PT) and international normalized ratio (INR) are measures ol he extrinsic pattway of coaguiabon The INFs used only fr patients on stable oral anticoagulant therapy. It makes no significant contribution fo the chagnosis or rreaimentof patents whose PT is prolonged lor oer reasons Increased PT times may be due to: Pacer dobcioncee( IP 1), Crnmadin (warorin) therapy, vee Nisannne (Pla cit obstruction Cinhosis. Hepatitis), Hemmaehagie Disanaso a th newborn, DIC, Malabsarpion, Fiainolysis, ‘nterterence in Pan ‘Alcano. amboties, spin, cimataline thrombin inhibtors(Increase PT) Bariurates, oral contraceptives, Formone-repiacemen therapy (HAT), and viarnin K (Ovcrease PT) ‘Abbreviation : MNPT : Moan Normal Prothrombin Time 1. Yashveer Singh Sehrs Page2of4 mv (Parroogy) Scanned with CamScannerDr. PARIKA KALRA 710909 | Reterence: OrsHwerABaNsAL | iD: 49200101631 = ed le ieesianian oan a Bl Wa cota eaes igata APTT Activated Partial Thromboplastin Time orton 2 eet ae el oy ee es Test done on Fuly Automated Coaguiometer(Cloting) Method : Optical Detecton nterpretation : The activated partial thromborlatin ime (APTT) teat measures the tuncionaly of i ‘common pathways ofthe enaguaton cascade Prolongod APTT tets may be due to: 1 Prmanaiytal probleme: Insufcent sample Paivets win righ hematocrit levels *Hepatn contamination rom 1V nee) Cioted blood samples Innerted or acquied actor deficiencies ‘Anonspecitis inhibitor such asthe lupus amcoagulart (LA) A specicinotor. Although these ae relatively rae, these are anibodes tha attack a particular actor CGithosis, Malabeorption| Heparn anticoagulant therapy. (For patents on heparin a test resi 2 times of earl may be seen) Warten (Coumadin) anticoagulation therapy. The PTT ia not used to monitor werlerinthrapy, bet ay be aecod by it Ne Dr. Yashveer Singh Schrawat Page S.ot4 M0 patroiogy) on cmt ner nd Pad et Ant oy mem ne rerked INNER HEALTH REVEALED Scanned with CamScanner