GENERAL REFERRAL

Name: NANDA KALA MAGARNI

Age: 61
Gender: F
Identifier: BHE200046
Army ID: 21133621
Patient Address: KOHALPUR NAGARPALIKA

Referred to: Lord Buddha Educational Academy limited - Kohalpur

Dear Dr

We hereby refer this patient with fall injury for Orthopaedic consultation.

Many thanks indeed for seeing this patient

Respectfully

Vitals

Name Value

Diagnosis

1. left frontal meningioma (added on 19/01/2021 12:09 PM)

2. Transient Cerebral Ischemia (added on 04/02/2020 10:17 AM)
3. Hypertension (added on 11/12/2019 10:02 AM)

Allergy Details

No Allergies

Prescriptions Given

Dosage Start
Drug Name Dosage Instructions
Form Date
1 Tablet, Once daily, Oral 60 Day 09/09
Losartan 25mg Losartan Oral tablet
(s) /2023
 Acetylsalicylic Acid Aspirin 75mg Oral tablet 1 Tablet, Once daily, Oral 60 Day 09/09
Aspirin (s) /2023
1 Tablet, Once daily, Oral 60 Day 09/09
Atorvastatin 20mg Atorvastatin Oral tablet
(s) /2023
Hydrochlorthiazide 25mg 1 Tablet, Once daily, Oral 60 Day 09/09
Oral tablet
Hydrochlorothiazide (s) /2023
1 Tablet, Twice daily, Oral 60 09/09
Levetiracetam 500mg Levetiracetam Oral tablet
Day(s) /2023
1 Tablet, Twice daily, Oral 60 12/09
Metformin 500mg SR Metformin Oral tablet
Day(s) /2023

Conditions

No Conditions Recorded

Name/Stamp: Dr Shishir Chaudhary (Signature)

Referring AWC: AWC Bheri Date: 21/09/2023 09:09 AM