_(l). SR I JC> NI HEALING HOME PVT. LTD. .

56, HEM CHANDRA NASKAR ROAD, BELIAGHATA, KOLKATA - 700 010

PHONE : 2372•003812372-0378, Fax: 2372•0562, E•MAIL : srijoniheallnghome@gmail.com,www.srijoniheallnghome.com, www.drsubhashhalder.com

~ 231 DISCHA RGE CE.'RTIF ICATE

Name of Patient ......... :2.~~.f.l.~8......~~.=:f.:.............................~..........................................~.....

Sex.....E............ Age ••••2.J..p.. . Religion..... ~.!.tU?.!i................ Nationality••••••!.~.P..l.fr.b!...........
Address......~.:b...f...v..tf!J.8.h.1:if.tJ........ ef...!-d::Y......s.w.~.t1.~e.l?.8.W.1...L.t1l~... A.!J..C;i.~~.......
······B.12.~~.B..l;.~..~....~~.:J:........if..8.t.1..~B.h.;..................................................................................
...............................................Pin...11.~t.:~.1•••••••••••••••••• Police Station.•.@.tJltD..€;.f?.$...W.8.K........
Date of Admission•• iJ.i~f?}J.. Time..:1.Af:J.... Date ofDischarge.~J..Ll.?:.?.......... Time•• J.f?..A.J:1.
Bed Numb •••••• f.1-.C?.l ............. Under Dr.......~6.~.!:t....~~§;E.............................................

Diagnosis PW ti· ~~ ~ t~~ J. ~vcJ-

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Treatment / Operation 1) •
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Advice on Discharge
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Date......
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.................
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Summary/ Advise explained by.........-.... •·....ill.~ .~ ••:............... Signatu of Doctor
Summary/ Advise unde~ stood by....Y.:.... ~........................~...... d'3
Relationwi·thpatt·ent .•••••.••••..••••••••.••.•.•....••.....•......••.......•......•..........•
3 .0~.,a.t lo · 3ta 11_••···... ~••~.3..8.R.8.................
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Reg.No.