Master ID: :20222003752 IP FINAL BILL

Patient name: Master ID: :20222003752 Ag e : 36 Sex : M

MD.KHALEEM PASHA
Address:
Consultant Dr.P. Surender Reddy M.S. Ortho
H.NO 19-9-346/2/B/1
S/O :MD.SARDAR
Vill: SHAMBHUNIPET Admission on: 28-OCTOBER- 2022
Mdl; WARANGAL Discharge on: 29-OCTOBER-2022
DIST: WARANGAL
Telanagana
Cell; 7660918880

Particulars Amount

Surgeon charges 15,000.00

Operation theater charges 5000.00

Bed Charges 2000.00

Anastatist charges 3000.00

Investigation 2100.00

Medicine charges 4724.00

Assistant Charges 1500.00

NET 33,324.00
AMOUNT

Signature
 DISCHARGE SUMMERY

Name of the Patient : MD. KHALEEMPASHA S/o MD.SARDAR Age : 36 Sex : male

D.O.A : 28/10/2022 D.O.S : 28/10/2022 D.O.D 29/10/2022

Address: vil , SHAMBHUNIPET, MDL : WARANGAL DIST: WARANGAL

Doctors Name : P.Surender reddy M.S (Ortho)

Diagnosis: OLD TIBIA FRACTURE WITH IMPLANT IN SITU
Chief complaints : C/o pain ,Leg
H/o of illness : Patinet had a h/o RTA 1Years back took treatment in our hospital
patient now have pain with implant

INVESTIGATIONS : ENCLOSED

TREATMENT GIVEN : implants removed done under anesthesia in ot under aseptic

condition

INJ: FINCCEFF 1G IV BD
INJ: AMIKACIN - 500 IV BD

INJ: DYNAPAR IM BD DAYS

INJ: PANTOP IV BD
COURSE IN THE HOSPITAL: Immediately after surgery patient shifted to post operative ward
to 6 hours later he was shifted to special room and responded well to treatment and
hospital stay is uneventful condition at the time of discharge satisfaction

ADVICE AN DISCHARGE:

Tab : CLAVAM 625 (20) BD

Tab : HIFIINAC-P (20) BD

Tab : PANATPURE -40 (10) OD

Tab: CHYMORAL FORTE (10) TID

Tab: A TO Z (10) OD

Review After 5 days for ASD & after 10 days for s/r
 EMERGENCY CERTIFICATE

Sn:01 Master ID: :20222003752

This is certify That Mr. /Mrs. MD.KHALEEM PASHA S/O MD.SARDAR Age: 36 male was

Admitted in this Hospital on 28/10/2022 with : OLD TIBIA FRACTURE WITH IMPLANT IN SITU in
an emergency condition Under Dr.P.SURENDER REDDY M.S ORTHO He / She has been discharged

on 29/10/2022 His/Her admission was done on an emergency Basis.

Signature
 ESSENTIALITY CERTIFICATE
S.NO 01 Master ID: :20222003752

I Cretify that Mr MD.KHALEEM PASHA S/o SARDAR Age 36 male Was under my treatment for : OLD TIBIA
FRACTURE WITH IMPLANT IN SITU From 28/10/2022 to 29/10/2022 and below
investigations /procedures medicine Prescribed by me in this connection were essential for
recovery/prevention of serious deterioration of the condition of the patient.The medicines are not stocked
in the hospital for supply to patient and do not include proprietary preparation for which cheaper
substances of equal therapeutic value are available or preparation which are primarily food, toiletries or
disinfectants.

Hospital & Consultant bills 26,500.00

Investigation Bills 2100.00

Pharmacy Bills 4724.00

_________________

TOTAL 33,324.00

Signature
 Date 28-10-2022

Master ID: :20222003752 ADVANCE CASH RECEIPT

Patient name : MD.KHALEEM PASHA Master ID: :20222003752 Age: 36 Sex : M

15,000.00

Recived Amount OF : Fifteen thousand rupees only

Signature
 Date 29-10-2022

Master ID: :20222003752 CASH RECEIPT

Patient name : MD.KHALEEM PASHA Master ID: :20222003752 Age: 36 Sex : M

11,500.00

Recived Amount OF : Fifteen thousand rupees only

Signature