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(5) Advice on Disetrarge: AOIACCARE The Cardiac Care Center


Operating
Shri M. M. Parikh Cardiac Care Center
HAMBH Bethak Road, Nr. Lal Darwaja, KHAMBHAT -388620.
Ph.:(02698) 225312, 9925012797

DISCHARGE CARD

PT'S NAME OPD/IPD No.: fo)464


1folier 4 AGE/SEX: BLOOD GROUP:
olo?n0) |1
ADDRESS Jeluahat
PHONE:.

ADMISSION ON AT TIME

AM
DISCHARGE ON: AT TIME : A.M./P.M.

REF. BY DR.

CONSULTANT DR.:

DIAGNOSIS
Follow up

pocK SIGN.
ottu slays -::24 HOURS EMERGENCY MEDICAL ICU /ICCU &
CHEMISTRY LABORATORY SERVICES AVAILABLE ::
Doctor's Signature -:AMBULANCE CONTACT (02698) 226980 :

The elou Gajcy cian2


(1) Summary of illness (4) Investigation:
Routine
RBS
Urine
lallenas (1) Blood :
2 frls Micro : 3ars
HB - (280
TC -
lart DC -
Plat. Count
|S (bauty
ESR
snn S.Cretinine
SGPT (60
Na+ (34o
K+
(2) Treatment given:

y rahon o tvstut (2) Chest-X-Ray : (6) Others:

Bulalot (3) ECG:

(4) 2D - Echo :
wt3S .

(5) USG. Abdomen :

CT Scan Brain

The Bayay lian

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