CASE SHEET MEDICAL

Unit
Ward

Age: Sex:
Name
MRD No:

Occupation
Income

Address

Sudin u t bea Rurnen

abdoal dtunow wJaA

ukkako wt, quduan monW
t n stati , dthue natut , ditonsav ot chamge wt
poritin, et asetatrd otk abdome nad hat / ota HRpotn,
eatza bueaki Luntn o sudden oet alte alcoel tkake

opaun sueling o oR oweu Jeb et i n , o t e u

aakey n Onuk osed kom at ouands hnee, PAsR kanuglo
du-o d u l e g don s aaund, ot auecaad ssohal

No 10 Mducud wk tpu,ar p«8|intss n

ada up
1o J0 tkust om Gna naptfalom, buaka4s s ex gtiow
lo lo tJcod gluisd voi
Noo pous oc lay slool&
No Hro Ikah ulo mad wn
,UlekEng amd nal cobmud thool .
IO in Slheotonwahon e a e tmond noRead s0n
So Ufo Jos oet od
oppeRi
No o
Jo u/o ug aaabna os oh cawciownst, tumas
kanus beawtoua
 tiitas temqulatks o days ac tu 1sncH
atet w sAntklad o ond
o rlop alchot ovwMum tio ducka,
wndawent rara unksiavited

hucwn o cax DA/TE/ aaa fc

takimg mdi alüu. e Net
a
Bd not
natt betmun pseti cakn
No
Hlo unt
No 0

Patint u a wo
egefasfam Past Afo smoking dnb
a toy
uol
day. 4{o smoh bedt, pr o 3aca pa
a a , 4 packu pex

a
ait b nud o d doum aWhe uoauhn ik a y
bousel and olaRier Aaket
i
oamas Notmal
a t a n t &toy- Pasaceweis
3 tms done aju od mXaston, akbank
i t u iamod .
alokokt and
o
udo chaon
hmmay to yau ad male a
a tkronke ome abdord nal kiufona
tomeikdti, psuted wt
e diunt,
nd Hiuai pzdal idema, Sugas Re o deccmptnsatud

&most 1 om k patohWag h o and would ds to ra

e a l gxAknahon
de mltant a outos, ukntad, modiuaie hele, and nouslei
lo railen awtkny, egano, mewnksd ymhadrnopaa
talatu

kati irukU RR
Pe -
103
23 raa/ mdu, heato akdomtn

8o Ru ull No alopda, o alccdoec laeu Ctunkun

pu} hAtoud temgon ta, ptncks & up no). Belasnakl pasclte
Rt Bttott spo, se
Va.luma 0u to BAcLO to
puuak, pcon dewhal jie
atwul padAA a44X e mana o a anas
Stakzn 2aato phespnk C adomtw -no upt, diatad

kand slomd potituo No pdei av o

pw
 Pert Afo tesltemdon ane ph
wnite tpou9egtt Asertu
Onal cweh axamtnakhon .

No ban qumd ne otkot epakkauNoypenpiz menkohon et

oal lums.
oa wcesa. No A
poo1 oal agen
NtecRint ga Aesemt
Seketns wofed e &{Mulau
Loca amnakón c atdomen
Afla 9:tt towxut kom atonk ond aun adeaua wnduun
wndu adaai g u i aksn LNamknt k mpint porthön

Jupechon
Adomt dukewded Cguils Iv Ascktau)k sluchud n d pRt

1anka ull
Unhttus Otma apt pushed dodn omd 1yhy davialad t

AU quaduands o e amally t keapaah

Ma wne n Aglutypockondak um
No vErt K plaahon and v&ik u l a l
auacemtar Aksea mREgh am leß lanMu
On biod Kalai tesE ivatcahõn o secit seen
9 sfandiA po?hon, dated. ets sen aul ubl Jnoan,
Ro kc ow pwanku

Lst tupacavianJan hegiem Nomal

Polnatv
Ow p u b&a palpaka- no wM , o tmdanes

O darp palrakon {utd Matt absenk

traunaae. ple rof

palpnblu
No ALnal o andun kednE not
palpaala.

Auntaba
Notal bosl omd sownd emd.
No
t , o ya wows um
No ekoral mb
No mechst tplak.
 Mealwementi
epheteam o wm&Cs

Unb&tes to palo yya

wroekons o Rguk els 14-S
ASIS to

to n.
Abdomnal ak
ORer skem raaahon

CVSS,s, heandl no mw addeh to

tonds Menc n o
RS lovmal s teulen buath

Dragnoa e dornt pobably volo

Ae o dacompantair
6alcholke e deLst touk poutal ypafomios.
ond wthoa coreahen o Apatz neephnlora.

CBC
e unehon test
USG. Adcmt

Deppor
JALat ment
Auchcl aGaktnente
ued and ralt aakteRon
Pot dat 2 day)
Druetu
gtnoaodona (Hco mg msax
-eR -ayne ka epetre
ancephalopa
 CASE SHEET MEDICAL

Unit
Ward

Name: Age: Sex

MRD No:

Occupation: Income

Address:
CAKe tompkatrds

Ftues Od tou 1o days .

ptunk wau ap pawmg onm b6nc tmon okkeA Re aßta

daveleped enlentys ushtck was edto outt Pagunie
naks ads H accnderM o MMRC dyspua stake, o dewnal
yakakon 9 a vatn AT waiuina , on tood tmbake, an
selkaved ew i do amd mut. No ovhopnaa
ouekmal ochunal dyspnaa
H/o ehest po0 lps mondh o a A*gut f de o chut ad a d t

no
parunal vaskakon, agawaa Enp alion ho Acevy tactou
ntuase al eol twkahe, not ocatud o6H nama vomtioe

edh uans. No Hto g awtau ad Rtkr sue e

tmpunhnt.
Ho oh fo pas 1o
dog, ufdkous m omt, ogstve, dorg.
 wtih whuge amdkemcpyt dayt hack, lhe fafenk kut azy
d
fwallow , aseuled wt breea les utrs nmd cou ws

admit 'ed qMCH 0RM2762

lo /o pedal aitma, abdomk nal datswYon , pu{bi na eh be,

mdncnd wde
ialt lanpockondukal a , pal fale, c ae d

No uto stmefas fls & the aab

o 41/o dabetu /ypattnuthma 10/etpeap
No +/o Me ei

No Mto Ënilau tlnts n tamd lo Bco owkact k pa

C o baneulos

atin u a mon wegekanion

Not a smcken, uol om alohoic
Notmal bowsel amd 8laddn Rabetu
Pro sdup ds ubantas eut
No pe hoe
scat ment hutoy
RecEeed keakmant m atuat ospthal 1b day1 bach t n
Senmlrsomplatml bak dedsck tmproe. Re patimt got adm ted
o hotlt a iay back ad t atng tvat mert Dngret
hocoCtnir wa dent altu admtu sien
umna So yea ald mall o omo b t t s and scaal
advee haBeh, pumtd gek b e a t s n t Gnd hutpo 1
o, d o amd ke a t o day, dphaga as

4 wosd to tranrt um
aanal xamfna hon
At geto a n , Je tatni u adequatlg dessed a d
amd w kbd sco tte peshue .
i dypnkc
s at
ors cous ad etanbed . wel bii
mowahed No qln, No tms, tubbeg, yanoru, pril
shemaa gemnalatd had ogala. Alo maukeu T6,
HN, oine byndon anaodasis
t l a : empeuatur : ted P bs, ta fnka Rapiakoy t e . i
Bleod paest:tto/1o m 4
Amaahdn oh ppn pkaaleA ysta
Osal o t a t t goo, o Aaile loga, No toattas nangnans

Nox a pauna.sal Nt No Atvbatid nasal

ipha o np,no
at oalat ma, no Femkekos ovt stmas
Peamnakon Nek : Loma tsenk out Aeg tousdsA o tan
svatud
Rs No haknopalyJv no
otl namtnghëa oh ishakor ystam
Jpecteni laackea orea to & mkdixnt o upA and tu'a-
elavtenda hallewnt No dooprm oh housd, Chest sall iammat
Alo kypho dnucltosa, o chzsf oa duhormshy No ehet walb asieid

utmes igtng| cuen Ne

uc
accowwacs o oowdeg t
ef

A c a l tmpula vutk mlexcoskal spau smd n anketor

et shlbn oei chtab o sca, t s e , datd ve
o
tlay
amakhoa Necde majk cve ghk wde kem wtk bandase

Palpaläv - aackea ydy devtaed to h t sid No ttucintat

tanduen. tnku co al spate mtuion
Attul wfwlst eik a Redmerd k antuukon annd soshzufor
axlany nChest Aatc
JRoa ob A®ak fdL. Notmal p
hoay
ot neght Nda all

Mrakmenk Spiako EpAahon

43 o

43 C

Vea mehu

AMAS Regk stdu

Bopackortntar
Fo mal Noimal
Noa
ngu.tiawtlan
Roduuced
HanmA( adntad
AsEtUsmg Netw
Racneed
Noma
Notmal Nemal
GnkspuA Neta
nascapea
Fucshon

ndal pareudston-Ne ddnes.

 Re
Rosoranb Reuonank
rdinet pexwe
hphaclvua Rosona
sa clawtenlan osona
Sfo my d o l
Rasomar
aeuam fomydm Resowa
lom dnl KsAOMan N
lastapu RaAohant RAAGna
tnlzuscapua Ple dudu RRAOAR
a stapuA
fwtullaton eaik gchuds Amk eve a Ake unmg anea
ah skght ektst cam 9na ves culan on al mng anea oh uge N=

chust kest ase o adärd cmds

Vecat ucnaNt Nomal out DNhk tupacat culn, mka clavtua
Voca ACiCamtl u abumt ove kgl mamma
pAlenla aicas
arFUa bsa ae? pmucml, Muea alan a t a u
a t aAA o ok thest No oncho pho my, °pkon ,ape
peckoe*
Sgfimte Axanenahon
h o asceu
Abaomtn f nontedeu, eiqano mog al
CVS S, Aran& , no MuA
CNS o tecal uo byfal dekreo, gias mantat (wctiay

S u eaahons abnomal ull

Blocd -t, DC. EXR, bgan, eum &x amn
Clus X PA va
and aalysu.
8. Azpaken al planel l(htiaat so l )
Mamhow tast

9 &udlegeat 'etou RE ANA Opeman

10- l o n l o suopt e r a tolter nd boi

atment
good mukokiou dhet
1Rb bea
2NIAID 6o telg chsspan

oolischon
Chcst1adtolnapi
K.AcLe o AReo 1ukrclers Ai.Benulas Aapy ,
b) Malgmani apaaitod aasaaon c 5ued d
pileaodesl beaeneBuoma
 CASE SHEET MEDICAL

Ward Unit M

Age: TH
Name Kammaiojam Sex:male

MRDNo: St67
Occupation:
Income:

Address: Ammapettax*
cAt tnrnnu Buafaymeet pu 3 doys
0a iey prsein tkes ;- Vafenk wa Gpeunty aayonal 8

iaq bat an stRelu Re dovloped eaftlsnes ok

w
NVHA a4gwatud en m i ackiwëku Kke aktg, walkkr
mall datamt, seeaved k st, aggiawatd PND

,
H/o spuu padnchion au enie, poduth aac
Lse o costny, blood slakntd nol jel tne
oHlo o1hepnta
No H/o Jon oh aseouw nes
No /o ehut po

No H/o abdonenal dua ezmsa,

No Hfo adeal isi*nce
Wo fo shk kapockandurl jari
No Hfo sy (aa&tik
No /0 4n tope, vea ebomge, db6ekty oallo nry
No Hfo dseeostd wbn
aukpu
No Hlo eve
lo tto vounka move m wh', mahu
 No yo t u u t
apiatoy ncl Cnjeon
Paat UEatoy

kuoun case ob uN dRabes MUrha, ehnonte

heiney da.
Knon cae aj ueätmt Keast dkaRasc
(o pasb ytay
- Not a kwou me ob keAulo

Couawmtt hOnwgefakom det

Nomal bouwel and bladku otol
ot a Smokn No bbacto
,
ekunvong
-enamc alohol oc 5 eas ad
hepped
S p dEslus baneu pent da to
e bat
pauayma nothunal de
faney aitoy
Wo cuonte otins
ak ment huo
On
ampeskenasve and eal
oahakt dps (n fauf Ty
Chronee keng daca.se kualmsb fot 6 yea
usnently lky elitakon g pueml tinas .

namd amalam s
h y eld, våalu pakinb tant.

o3 das, oho i knon tast a patenndw, dubu pl

Medeshe gam t ó aluo a chaonealesksle

nvolwa w k eadio vostula ysh
obablu ystemm
sould L to xa mêne ae sam
amd

Semenal Sramnaha

tiankanscsous , oeentndtoEa place nd eue

mamall batlt ondo ou d .
Pallor peuw

No eyano
No ubein No pudrl shuna
1in
yeunlicd ymghasdtNOpy ,
No murReu o onelal Keatt dauau,

o uae afeekve mdo casAxta

Alc ad o Rhtumateu (uer
Alo mukeru o bnalo
Ab Apafeinal Kepalke ulsation

Ceutya ote
auiee mutmu htand lmoRal at
oie sfa est It
Vilal paamet

collapa in ehaacu, all setyhenal pulu ae uit sps

a o sadfal, sade himonel dlay , vyel wall tckankng

yepuse
oust mb ysto BP

mpuskwe a e b to touci
JVP o avatrd
CVS a n a hon

Lpiu tnpsot in ak
u aesf pa 9. ateul
No pndeads bulgfy
No su,
no
tupaima aashe pulaakos
t dAahd vetm

punatumal hme
AnscatkakoN Msall ata - Si, S Aasnd,
Aouee aca S, Sp hoard, soE deasotte o gud
AuaA on paen oanko ottAKp%alo p
y dcapkuag sleRoicepa
monay aca X1, S2Keatd ww
Ts d ae S, Meand, ah
Otka sysfew eamenahon
RS
Neial vestcular seau sondi heand .

hon bendeu, no og a
CN o focat euwsologial detiët.
Dtagnev
A CAse eb acained vasvula Kear dhatas o degemena.eve

Gwvestgto
Ec
iondiega
CoLona ageo1a
Confk
Managment&
Mudzea kratmea :
Anisee mcatu
Diusfta digorda
nkalaton
Ale koyyek, ilopun
&ufeete nde cnásta popxi
Rekum akanntl Hockn
B-Ceckeu
ungteal keatans Valme
uplacemtas
 CASE SHEET MEDICAL

Unit:
Ward

Name: M Kuna
Age: HTyta Sex: Male

MRD No:

Occupation: fatme
Income:

Address.
CHEP CCLPAAINTSs

4IS1OR OF RCSENTINC ILNS

ws ppaently aympiomatsu
o da bace ag
tatusb

Pasplatiord do , mgusan, ausooea.trd uebR p

07Ma mdelvtr etos btatROsnet, naSdReu susek,

spilatyrtd by ut
No HD Lo o donabuundr otoody cov
Ab A/o fade edumma rhdomêak, dialensse
o Hto dphagi {6e 6o
,

No H[o, egak ypo cRondst pa o

No Hto atab .
No H/o voe c h a .
 Fi
| 22222
F
al
sla
naglobu.
oph
Rs
idzead,
PR rbeais mon
egia btguin Aanth, ad velua

umAGebia
Vno savatud
&YSTtMIC txAMtNAMtON
8pechon

No varb paluahon
No eodl Sint

akna o mcovekarEne

Palpaton
A
upeckoy n a
oMinmd
saca& lkn
Apeal Cp ab 2 tabuutotes rae utnas
Not tsa, a t t d sasothotd tl
No tanciEd dact
No p a i tomds.
No pastemal kaa
No9Raastte ptsation
Not dou

Euventaa
ovb a Ie gnd and ust
townds hand No mauw.
o n aea 1t nd nd hrank 40mds leaud . No mm .
1snRd aKa :ond. dd h gomks n d No mum

wwas o zado de Azsad u k

dapha oteko

OTHeR tTEM 6KAMINMtON

ClsNo loe ndagsl deht.

#oRoar&8, wo keden no otjae d
DAGNe
A CAt o dtud valvulss Bst darad ptrdng

wTLATed

Caeaekuiala
41MENT
Ave shunaous r e t

Avatd dulatata
Eludkeal mamagn p- lockau

g l mangemt Val upoamunk

 CASE SHEET MEDICAL

Unlt
Ward

Name M givom Age:6o ytas Sex :4sl

MRD No:

Dccupation: wagt wekis.

Income

Address:hafw

h paiuk was appauntly nonal is days back, at dan

Sra c cotkoudn Audauit vomety, Bimnng o

A n e was aku, fo hongta dys atta the

ppuwensea the o a b t to a t 4 hand abont

 Madin
fon mctng ood ko cRepp
ctmauy uputau Gn
H/o detetntly

No l/o Cos o nel bo appemto tle

bual
dssbmts /dkthetmdy
Ab 4/o & ovktnh ,
ducp,
dobu vlsa, detsroulij
Afo 41/o

dtveatib ob at os mask fo eyh lu ad

o
Jo daobi o saa. tahan"
of lastu
Ao / 0 lo seakon
ú kas
Aand o Keae Aa
Ao 10

dsNGseuly bwallnu
No /o Nasal Aczwngtakn ,

ud koants o voee

o Hlo detubypropelitmg koad o Htnoak

an tong moemtna

No /0 Joss o tautiouhnth ow m moy

Jenkstty
No Hto wluthuat dtsabet
No l/o gl dihusbomcu
AG to
ppecab elokes oe body
AR o prackaks hof and coll akn
A o ppuukak paka nd wek sunsaboa

Ro paiink & unak ho welk

 No 0 Jolaiiar omdbouwel
dulwbamtts
o /o ntck pan aduud
lo dllo oou goneudn gh qrads
ktadacht vts
tnojetkko
dytopa pRotopkobavert, sn
itud
No /o abwaima
tweng head along e tomsoitpha
sod
No /0 lc qan, payitakna/ bealkaan
No 41/o auma
No /0 xlht nalous een
Alo to usta, vamtnn ditunthoa
No Ho dgto xpe mw
asek
e pakws had vela eapasn e pas 0 y

ab to w
ut Jostn mb. Pukow knon
was alkkny otal áleako atowaslaa
Not a ow Cse ob andaac dea casta

Mecee did
Nenal bowel and laddun Aabft
Nomal sRup tati
kuawn e k altohols o as 1 ya
he patns a
and ta-wm 180 danys
ckaonke h o k p past Hoytan
Jhe paisnk s
a

putirsyon ) dRakeks melik

ndden duho,
No H/0
 tase bummaty mal abtub cone a r a t
Aeo yal d tnt w
o otetu
tempamk
Swokes
altohose a wik sun
G lotte emb,
md
ef nppu oeght sw l
lo na mouto
omle o
Gnd dvtakav tebcllan Amc
aelonomie
hako sewaon no

a awtal ype o6 wcakness prohas

Buedtm gg and wond et
An Soku mdremt
a ca
eneal ranmct.av
Re atint coucéo t e d to mt fkatu, pua

Alo 4allor, Alo teCzus, No yanosd Ao cbbsrg ,No pedal

lama, Alo genenaied Amkedeno jpalky
Ahde

No manky o 18 & #IN

Valau paramE
t nie 7o a m , Alowma n m , Akytk, velume
lo speie hesatin , No Ado nadiil( Aadio fmone dlg
a l y apeeyhnal ana usel
Respaatoyank 20 buabha m koncoa.bdonnal kpie b
Rnaake
ampnacin akoite
Tve-not swated
pou
YAMINATmON O N

egh athaa;athun canscka

plu puo 10kd mdad, nonl appuanamt Lhiti

6bact mprehnsijood wndonslandonin o sptsch and

 WERVC t A U INATIONS
CRANIAL
REg ut
TAEE toSei New
T- Vanl acuhy G/3
Motl Nowas
oloA Vo

MO to ppiatt colauns en
6o

Alowna a
Diett mhts NoLmel
Novwnnl
e k a ccula Movemtna
omal.
Atccmodatkow iejta Notd

-Scmsaten ovei act Nomal Womal

Coneal c ckva
Ja a k

lowne
o ayeKds Novmal Nomal
tgk Nomal.
Novmal
Novnat bmal
Naaolaaeal oo An
Dsveaka et a mOutu
o
Sao Novmal Noved
lacanai Notn Notma
Ac Bc AC>B
VL Rn test
No atnalied .
wphu tu

gneex aal ao Mu.

Bhmgg os sholdun Nomal Aent

4uin pead stls do sde Nownal ntl,o

prokun o tong Alok

Aovtmtn o kog
 Mofoy sysem
2A a
aoove
tom
Uppu kuo. R ekeaen)

aboue
(LLEj (rs
C
t
Louanimb -

3
bondn palula
kt
pe
(10 kelo he

ene Regt
Notma
otnmb
Nomal ypakonic.
Crp ahatAin

lhou

kpslimb
sls H
Ankke

axfwbl do walk
Joh.
Rtake
NoAmas Redunced
emaskune eges
Nomal ukimsov

Nomal
Novna
Sfnsta juk No Pen
Kruts (nk Wowa
O0
Novmd,
Coodakan ast
Uppeulamb
fger h a
AWonnal
 gdkaAcckokuihania Noma
Not abe to

Rul kutt test

Nornal
Alo
Gvelwntan mov mei

Toahy tempaueto Aotmal

Novmas
sonatou
Pacant, deup ponivvbmkia,
Noxmal Noas
einsct posion Sme
CorCal semsate
acal ocaketon
pon dacueminato WoAmal
Stevcogcs Notma

Ranso Mawengtal
nelatn
No meh snedehy

Abm Abe

VS - S1, S, Acand, no wn

Noima usfenlan buatk somda

Ownds htand, ho added
Abdomn iohwan ttd, wo
gamomaaa
PPagors
A tas o Aui &hohe &qnduomt preskn

aprl nrolwrs lsknlo skêat bwneh o nidd uebul

Pvayd414

cOC, Rr1, LFT

la tahat rba

Acke

Tkembolys Meplue (o1ylkg tv a )

entedoylan
)AntipttLE Anapy Dsp (3oOy tht, h
eiopidogel
3n Atotvastat logldn)
Neasil (ho-j/d

Pavtut tanltaho