Command Hospital Air Force

Certificate No: MC-2662

Dept : Cardiologist Request No/Dt : 278819/08/2022

Name : SAIEESH.M Age / Sex : 26 Years
Prescribed By : Dr. Punraj Reddy Clinical Notes : -

TRANSFER OF PATIENT
Sample Collection 19-Aug-22 Result Entry Date 19-Aug-22 Result Entry by : RAJEEV GUPTA
Date and Time : 19:00.43 and Time : 19:22.27 Verified by : Dr. Preeti Tripathi

Goa Medical College,

Bambolim ,Goa
403202

Transfer of patient -Saieesh . M

Command Hospital Air force

Cambridge Layout,Jogupalya,
Bangaluru , Karnataka
560007

Dear Dr. Sadana Shetye ,

Mr. Saieesh. M is 26 years patient who has been admitted to the department of Cardiology in
our hospital. The patient has been diagnosed with Coronary Artery Blockage .Based on the
patients request please admit in GMC Bambolim for further diagnosis.Patient is well aware of
all the risks if he discontinuous the treatment and we are not responsible for the same.
Kindly do the needful.

Regards
Command Hospital Air Force

DISCLAIMER :

1. Tests marked with an asterix (*) are NOT CERTIFIED by NABL.

2. This is a digitally signed report and signature is not required.
3. Reference Ranges are in accordance with International Standards which are
mentioned by the side ofthe investigation
4. The reports are for the reference of clinicians. Patients are advised to seek advice
of the treatingphysician and not self medicate based on these reports.

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