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COUNTY GOVERNMENT OF TRANS NZOIA

THE DEPARTMENT OF HEALTH


Telephone: 054 31593 P.O. Box 98 – 30200
Email: kitalecrh@yahoo.com Kitale

KITALE COUNTY REFERRAL HOSPITAL


DISCHARGE SHEET
FULL NAME: TOM KAPKWIRENY MWANGA AGE: 43 GENDER: MALE ID No: 11543949

DATE ADMITTED: 21-01-2022 DATE DISCHARGED: 23-01-2022

WEIGHT WHEN ADMITTED: 74.7 kg WEIGHT WHEN DISCHARGED: 74.1kg

DIAGNOSIS ON DISCHARGE:
- day 3
- Wounds are healing, mild pain experienced by the patient.

ACUTE OR CHRONIC CONDITIONS:


- No known chronic/acute condition
- No known drug or food allergies

MANAGEMENT:
- Admitted to male surgical ward
- Head & right lower limb elevation
- Tetanus Toxoid vaccine
- CT 100mg

DISCHARGE DRUGS:
- Paracetamol 100 mg tds 3/7
- Flucloxacilin p.O 500mg bd 3/7
- Neomycin-Bacitracin-Polymyxin 10 mg
- Dermal wound cleanser

CONDITION ON DISCHARGE:
- Pain well controlled, managed and patient is recovering well.
- Wound cleaning, application of neomycin-bacitracin-polymyxin powder, dressed.

DISCHARGE INSTRUCTIONS:
- Wash wounds with dermal cleanser and apply Neomycin-Bacitracin-Polymyxin powder daily.

- to be reviewed in outpatient clinic if wounds do not heal after 14 days


FOLLOW UP APPOINTMENTS:
- Next visit on 06-02-2022

DOCTOR’S NAME: ELIUD MARIETA ONGORI SIGN: ……………………………………………….

TO BE FILLED IN
TRIPLICATE

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