SHREE BALAJI HOSPITAL B-Airzanagar Bulting, Bs2ar Ward, ‘iar (East), 401 905, Tl: 02507 sar Ralnay St INDOOR CASE PAPER en 6 l vias og. No eigen nce se82eea00 gat vate 9! Ho00d Hour ACing cuecl guon_______ outage pq4_ 27/0 Joa gene A. I6&6- STAI- 9926 oe een eaTe: none PETER Bessorimin Danae Dem Mee Lee CHa) S TIE ON canta Aces He Meet ea Nether 1) Cure. Ur Pa) Wa ~ Eat @sions> ost of kin on Sa Rae mee 9) Unvelieved Phono No. _ 1049 — 56) 4) Absconded Retoned by —_—_— SEAL 8) ied PROVISIONALDIAGNOSISN. FigTvuie [ee finn & ANE PRE FINAL DIAGNOSIS Wt sPlly in poe 07 Bel PIN OTR inicat Note Treatmont OL DA aml ww awk pos dae Wie aE gain 275 He pe f go Be "en } eae Berea Pee OR. See eh CDs Ona a beet 6 $. eeeOpe —°F ie ele plek er bp DS FY pre Boroorn Mv Tarte a oe arm Usd tte Oey Pan Cae Py pert, ov PRIA Kel AS, De ntrh lo £0 Pee de 7c pucding Chor Raiden Joo fyb ela clg om joe ee f [ 7 , ine ly 7 & x pe : mea remy. SN 31 Fhe are 1 aka 3 ae 3 aes Bann. a? ye : pe the ae ee ee pot QOS pute COR — 54: ahd fle pies peel mnFor Appointment & Enquiry Tel: (0250)2521685 Mob: 77090 73579 SHREE BALAJI HOSPITAL (MULTI SPECIALITY, SURGICAL & MATERNITY HOSPITAL B Mirza Nagar, Bazar Ward Virar (East) 401305 Dist Palghar, (M.S.) Reg.No. VVCMC/CH086/2013 UHID| weno. 1¢¢@ [DISCHARGE CARD] ¢ _2/477 ONOTE “OTR A 56166 Name of Patient PET. Revs amt ‘Address 5. id. Ne 4 ale L Of 4 ee Date /AdmitSi}H}2023 4am ter Delvery_=== => & Time Date/ Discharge 2|2% oy Opem aifs}2aze &Time by, MAHESH S. AYYAR MBBS, MS(Gen Surg) DR. MRS. BRINDA AYYAR MBBS FICS, FAIS, FACRSI PG. Dipl. in Ultrasonography General, Laparoscopy & (Annamalai University) Colorectal Surgeon 73661 49597 98231 46580 DR. SHRIRAAM AYYAR DR. MAHALAKSHMI SHRIRAAM AYYAR MBBS MS. ( Ob.Gy.) MBBS M.S. ( General Surgeon) Reg. No, 2005/03/1500 MCh (Plastic Surgeon ) Obstetrician and Gynaecologist Reg. 2014083472 Gynaecological Endoscopist & UitraSonologist 70282 59892 Laparoscopy 72083 97685 Consulting Doctor: Type of Discharge : {fo HomeJDAMA/Death/Transferred to Other Hospital Chief Complains: gree, po payor 79" Sages Ne sore op Done Joe OP Juries Examination : Ss = pam, Investigations:OE NWS Operation Notes : Ye reat pr pa DPR oP Pt 6 Ome Be ye J2¢ bre ben fr vrte “4 Jn pane mel +i ete ch rpere Revevz+ fF a fe ae eee aa Ge MY ef aS ache dak Sphiwtee Any oh Treatment Given : eK he fr Swe Mare OF 4 Weho Treatment Advised: o k OD Ciplea An - € QW Swaflry & Deiz PREY See Se -») Follow Up visit on: _ 9} @ | 20 2 Time : AM/PM™ Note: eC 1 Please continue other medications as per advice of your treating doctor 2.In case of. an) ‘¢\_ or any other Emergency Please Contact the Hospital No 77090 73579 / 0250-2521685 ae Name & Signature of Consultant Doctor Declaration by patient lative |LHave received all repr, hospital bill & discharge certificate 2.Have ben explained & Understood the doses of medicines prescribed atthe time of discharge & post discharge home care advice, Name & Signature of patient RelativeBINH oe» REL / OOo og, a WRAKA, Fes asiicrocntengctoscon rere. Fe. fan lo cy foie ey ele 3 emenmaceney Ct (i ittegrem seem] peters] teense] Sematary corns ce aces ear eanne CHE Cs pie aoe ceaseetClie Cm cssrenae Chm Cl NE 1 catonen sre D meee Cems 1D cme err 1 caterer 1 tren em ! Gl caevedea ace: Be i 1D temocepmen hee i 1 omen Of eeeineee : OD roatnan se Dspace sera thot wre cae Dotnet O wens J20TUL DTA HCASEOFHONNETHOMENOSNTAL (OY PLM CEE OFNONNETHONK HOSTAL mene MEMO EBARGAEEOOOOOOOo0000000RR0000000000 MSeoSe00aaSA0oooooooooooooo0o00000o8ooo0002: o GgEsagoccnaacoooo GREBZS0S20GG000000 , JADE rem EISARIORIOICIE storeomermoe (EIQ § an BORE ner COCK remem ow Om Be De eeAnATO BY TH HOSTAL parnaiover etary SS ent meee necomnenenreeectnnrennneeneate = 88 o8 2a aa i te yf gg fd spared tedden i