MIOT Hoepltal• Private Limited: 4/11 2, Mount Poonamallee Road, Manapakkam, Chennal - 600 089, India.

Tel: +91 44 42002288

Email: chlef@mlotlnternatlonal.com I www.mlotlnternatlonal.com I GSTIN: 33AAACM2182N1ZJ I GIN No.: U85110TN1 994PTC026791

OP PHARMACY

DL NO : 1544 / 21V / 20, 21

TAX INVOICE Ill llll 111111111111111

Invoice Number: PHOPRE231063314 Invoice Date: 01-10-2023 12:48 PM MR NO : 753724

Payor Name : SELFPAY

Name & Address : Mr BALAMURUGAN B Age & Gender : 33 Y 4 M 9 D / Male
NO:2/511 1ST STREET NAVALUR NAGAR Doctor : Dr. SENTHILVELAN R
VILLA ROAD,Thanjavur Pendl
Colony,Thanjavur,Tamll Nadu,lndla
State Name & Code : Tamil Nadu-613006

All amount In Rs
S.No Item Name HSN Code Batch ID Expiry Date QTY / MRP Tax Total

1 - - - BECOSULES CAP 30045090 2330043S 30-07-2024 12 % 75.36

3~12

CALPOL 500MG TAB 30049069 EB162 30-04-2025 3 0.997 12 % 29.91

3 CEFAKIND - 500MG - TAB 30.0420.19 C6AEW042 30-04-2025 1 0 / 4 6.200 12 % 482.00

L------' (CEFUROXIME)
4 LIMCEE - 500MG - TAB (VITAMIN-C) 30045035 LIA23046 30-10-2024 60 / 1.657 12 % 99.42

5.......------- PAN 40MG TAB - PANTOPRAZOLE 30049039 23442653 30-12-2025 20/.1.000 12 % 220.00

VTRAMAZAC-CAP 30049069 1301669 30-10-2025 10/498 12 % 53.96

Taxable Value I Tax I SGST I CGST I IGST Gross Total : 960.67

832.00 I 99.84 I 49.92 I 49.92 I 0.00 Discount: 28.83

Amount in words : Nine Hundred And Thirty Two Rupees Only Total (Rounded off) : 932.00

Payment Mode : Card : 932.00

User ID: 17234 E&OE

'

For H 1tals Private Limited

Pharmacist

17234 Goods once sold cannot be returned back Printed On : 01/10/2023 12:48
 MIOT Ho11plt11l11 Prlv11tll Llmlt11d: 4/ 11 2, Mo1111t Poo11nmnllon nond, Mnnnpnkknm, ChOnnAI · 600 009 , Indio. Tel: +9 1 44 4200 2288
Email ch1PtCtml<'l111t1>1r1Atl<mnl com I www mlollntnrnnllonnl.com i OSTIN. 33AAACM2 t 62N I ZJ I CIN No .. U65 11 OTN 1994PTC02679 1

OP BIii Cum Receipt

Patient Nam• : Mr.BALAMURUGAN B BIii No : OPBRE2310129337
Company : SELF PAY BIii Date : 11-10-202316:11
Address : NO:2/511 1ST STREET NAVALUR MR No. : 753724
NAGAR VILLA ROAD,Thanjavur Pandt Age/Gander : 33 Y 4 M 19 DI Male
Colony,Thanjavur,Tamll Nadu, Emp.Nama :
lndla-613006
Moblle No
Emp.No :
: 9500888792
Raf.By : Dr. SENTHILVELAN R

S.No Code Partlcular1 Qty Rate Discount Amount

SUTURE REMOVAL - OP (LARGE) 300.00 0.00 300.00
Total 300.00
Received 300.00
Balance 0.00
SAC Code : 999319 SGST: 0.00 CGST : 0.00
Received amt in words : Rupees Three Hundred Only
Payment Mode PetaHs ·
Card : Rs.300.00

~ T International
Reference No: OR2310111009728
User Id : 17499

d signatory

C 11/\W202316,11 PM Printed By : 17499 Page 1 of 1

 MIOT HO!lpltala Private Limited: 4/ 11 2,
Mounl Poonn malloo Road, Monapakkam ,
EmRII chlOtO rnlotlntorn11tlonnl.com I www.m Chenn al • 600 089, India. Tel: +9 1 44 4200
lollnlomollonol.com I OSTIN: 33AAACM2 2288
t62N 1ZJ I CtN No.: U85110TN1 994PT C0267
91
OP PHARMACY
DL NO : 1544 / Z1V / 20, 21

TAX INVOICE Ill llll l1111111 \111111

Invoice Numb er : PHOPRE231067066
lnvolc t Oat, : 11-10· 2023 04:16 PM
MR NO : 753724
Payor Name : SELFPAY
Name & Address : Mr BAlAM URUG AN B
NO:2/511 1ST STREET NAVALUR NAOA Age & Gender : 33 Y 4 M 19 D / Male
R
VlllA ROAD ,Thanjavur Pendl Docto r : Dr. SENTHILVELAN R
Colon y,Thanjavur,Tamll Nadu, lndla
State Name & Code : Tamtt Nadu-613006

All amount In Rs
S.No tt.mN amt
HSN Code Batch ID Expiry Date
1 QTY MRP Tax Total
GAUZ E - 7 .5 x 7 .Scm (3nos 1 pack)
90183990 0073230915 31-08-2026 2/ 26.000 12 % 52.00
/"
2 STAY FREE SECURE
96190010 . /
1/ 40.000 0% 40.00
3 STERIZONE 8.5CM X 6CM NW 70
90181990 NW7003-0623 30-05-2026 1 30.000 12 % 30.00
Taxable Value
11 1.02
Tax
I SGST CGST IGST Gross Total : 122.00
8.52
Amount in words : One Hundred And Twent
I 4.26 4.26 0.00 Disco unt: 2.46
y Rupee s Only
Total (Roun ded off) : 120.00
Paym ent Mode : Card : 120.0 0

User ID: 14443

E&O E
For MIOT Hospi tals Privat e Limite d

Pharmacist

14443 Goods once sold cannot be returned back Printed On : 11/10/2023 16:18
dm I ""~'
M1101 Hr--rl l•'' r,N-111• llmlltH1 4 11
, .h,._,.,,.,,,,"''"'"~t,"'AI '"'"" M<'ltfll ~11m1 1llf'II nooo
® ~r~?o!1
MM1tp11kkAm , Chnnnnl
(IOO Ofl'l \nrllll Tnl 1-91 44 4::>00 ::>?88
C ' Ufl5 I 10TN \fl94PTC0267fl1
I '"'"'" mtrohrtl,.rf'IA11(>1'1111rom \ OR TIN :\.1AAACM
2 1M N I l J \ IN No •

I IP CHh BIii
Pe\ief ,1 Mame Mr B,LAMURUOAN 13 BIii No : IPF?309004671\
C~ n y Nam. SEUP ,W BIii 011te : :10-09 -2023 19:33
TP , Neme sar PA, MR No. : 753T:M
E~. Name IP No. : IP230907069
~ddres~ No 21511 151Sir-eel N11V!'lur N11gAr V\1111 Age/Oondor : 33 Y ii M 8 D / Male
RoadTh11nj1wur P1nct1 Colony,Th8nft111ur ,
T11mll Nlldu,
11'\diR
Mobil e No ~5~"8 8792 Room No : CJ/ 319A
Ref.By : Or SENrnlLVELAN R Date of Admission : 28-09-2023
Date of Discharge : 01-10-2023
EmpNo / Polley :

S.Nc Code Amount Per

Partlcular9 No of Days HrsfTlmes
Day Total Amou nt
CONS ULTAT ION
5,000.00
DIET· PATIE NT STAND ARD
3 550 .00
DOCU MENT ATION
1,4 00 .00
EMER GENC Y CARE
5 400.00
EQUIP MENT CHAR GES
6 1,550.00
FACIL ITY CHAR GES
i 920.00
GENE RAL PROC EDUR ES
6 2,500.00
IMPLA NT
9 6 ,974 .00
LAB • CLINIC AL CHEM ISTRY
SCAPH OID • OPEN REDU CTION INTER 250.00
10 NAL
FIXAT ION ( 29-09- 2023 - 29-09- 2023 )
75,000 .00
11 PHAR MACY
12 20 ,636.2 3
PHYSI OTHER APHY
13 1,500.00
PROC EDUR E CHAR GES
14 1,250.00
ROOM SERVI CES - INT POW
15 2,500.00
ROOM SERVI CES - TRAU MA PRIVA TE
16 7,000 00
X-RAY
900.00
Gross Total : 128,33 0.23
Less Advance : 12833 0.0
Current Paid Amount :
0 .0
Round off: -0.23
Net Payable : 0.00
SAC Code : 999319 SGST : 0.00 CGST : 0.00
Payment Mode Details :

Deposit Adj : Rs.128,330.00

28/09/2023
V
ADV230913521 50,769.00
29/09/2023 856260 49,230.00
30/09/2.023 856776 28,331.00 \
Signature of Employee / Patient

Pnnted Time : 30/09/2023 19·34 PM

Printed By : 13374
Page 1 of 2
 MIOT Hoapllal, Prlv11ta Llmlled: 4/112, Mount Poonamalloo Road, Manapakkam, Chonnal . 600 069, India. Tel: +91 44 4200 2288
EmAII: chl11IC 111iot111tom11llo111,1 com I www.m1ollntorna11onol.com I OSTIN: 33AAACM2162N1ZJ I CIN No.: U851 10TN1 994PTC026791

IP Cash BIii
PaU.nt Name : Mr.BALAMURUGAN B BIii No : IPF2309004674
Company Name : SELFPAY BIii Date : 30-09-2023 19:33
TPA Name : SELF PAY MR No. : 753724
Emp.Name : IP No. : IP230907089
Addr9ss : No:2/511 1st Street Navalur Nager VIiia Age/Gender : 33 Y 4 M 8 D / Male
RoadThan)avur Pendl Colony,Thanjevur,
Tamil Nedu,
India
Mobile No : 9500888792 Room No : C3 / 319A
Ref.By : Dr. SENTHILVELAN R Date of Admission : 28-09-2023
Date of Discharge : 01-10-2023
EmpNo / Policy :

For MIOT Hospitals Private Limited

User Id :
Auth9~ised signatory

o,-.\~ i~\I
·----
\
i! --
"- \.,;.
--
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I
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Printed Time : 30/09/2023 19:35 PM Printed By : 13374 Page 2 of 2

 Break Up Details
i-attent : Mr.BALAMURUGAN B Age/Sex : 33 Y 4 M 8 O/Male
MRN : 753724 Admit Date : 28109/2023
IP. NO : IP230907089 Dl1cha rge : 01/1012023
Payor
SELFPAY Ward/ Bed : C3/319A
TPA Name
SELF PAY
DATE
CODE REF PARTICULARS QTY TOTAL
CONSULTATION
28/0912023
CHARGE FOR MEDICAL CONSULTANT 1 1,000.00
29/09/2023
CHARGE FOR MEDICAL CONSULTANT 1
30!09/2023 1,000.00
CONSULTATION CHARGE (SENTHILVELAN R) 1
30!09/2023 1,000.00
CHARGE FOR MEDICAL CONSULTANT
01 /10/2023 1,000.00
CHARGE FOR MEDICAL CONSULTANT
1,000.00
5,000.0 0
DIET-PATIENT STANDARD
. 29/09/2023
Private - Dinner -Normal
30/09/2 023 183.00
Private - BF -Normal
30/09/2023 184.00
Private - Lunch -Normal
183.00

DOCUMENTATION 550 .00

28/0912023
DOCUMENTATION CHARGES
29/09/2023 1,000.00
CD -WRITING CHARGE X-RAY
2 400.00

EMERGENCY CARE 1,400.00

29/09/2023 IV CANNULA INSERTION/ REMOVAL
01/10/2023 200.00
IV CANNULA INSERTION / REMOVAL
200.00

EQUIPMENT CHARGES 400.00

29/09/2023 MULTIPARAMETER MONITOR CHARGES
0.50 1,250.00
29/09/2023 OXYGEN
3 300.00
1,550.00

y
FACILITY CHARGES
28/09/2023 HOUSE KEEPING CHARGES
28/09/2023 500.00
BED SHEETS AND PILLOW COVER
420.00

GENERAL PROCEDURES 920.00

29/09/2023 USG - SCREENING (CATHLAB)
2,500.00

IMPLANT 2,500.00
30/09/2023 HCS-HEADLESS COMPRESSION SCREW 2.4MM
6,974.00

LAB - CLINICAL CHEMISTRY 6,974.00

29/09/2023 GLUCOSE (GLUCOMETER) - FASTING
250.00

PACK_ORTHO 250.00
30/09/2023 SCAPHOID - OPEN REDUCTION INTERNAL FIXATION
( 29- 75,000.00
09-2023 - 29-09-2023 )

75,000 .00
PHARMACY
29/09/2023 CEFOPRIM -1.5GM - INJ
369.00

Printed Time : 30/09/2023 19:36 PM

Printed By : 13374
Page 1 of 4
•

Break Up Details
: 33 y 4 M 8 D/Male
Age/Sex
Patient : Mr.BALAMURUGAN B : 28/09/2023
Admit Date
MRN : 753724
Discharge : 01/10/2023
IP.NO : IP2309070119
Ward/ Bed : C3/319A
Payor SELFPAY
TPA Name SELF PAY
QTY TOTAL
DATE CODE REF PARTICULARS 9.50
29/09/2023 SYRINGE -1CC - 31G - DISPOVAN 2.91 .
29/09/2023 STERILE WATER 10ML
175.00
29/09/2023 STERILE UNIFORM
264.00
29/09/2023 MICROSHIELD M4 -100ML- SOLUTION
29/09/2023 28.60
SYRINGE -10ML (B-BRAUN)
29/09/2023 175.00
STERILE UNIFORM
29/09/2023 745.00
MICROSHIELD - 500ML- HANDRUB - SOLUTION
29/09/2023 PAED - GLOVES HAND CARE SMALL 6-6.5 SIZE 18.00
29/09/2023 GLOVES 6.5 88.00
29/09/2023 TOP BAN -10CM (SOFT ROLL) 2 320.00
29/09/2023 SURGICAL BLADE(B.P) - 20 6.50
29/09/2023 GLOVES 7 5 440.00
29/09/2023 SKIN STAPLER -APPOSE (8886803712) 1 1,084.00
29/09/2023 VICRYL 3-0 VP 2328 PLUS 1 802.00
29/09/2023 ARM COVER BIG [E] 124.58
29/09/2023 GLOVES 7.5 440.00
5
29/09/2023 CD COMPACT DISK 1 15.00
29/09/2023 CD POUCH 1 2.00
29/09/2023 ETHILON 3-0 NW 3328 238.00
29/09/2023 SHOULDER PACK 1 3,046.00
29/09/2023
29/09/2023
SURGEON GOWN (SMS)
MICROPORE 1 INCH
V 2
1
964.00
112.00
29/09/2023 VACCU SUCT SET 1 532.00
29/09/2023 ACTIFIT SKIN BLADE 1 30.00
29/09/2023 GLOVES6 2 176.00
29/09/2023 NS 500ML - SOLUTION 1 39.04
29/09/2023 RAPIDUR 10CM 3 597.00
29/09/2023 SURGICAL BLADE(B.P) - 15 6.50
29/09/2023 VICRYL - 2-0 VP 2382 PLUS 1 876.00
29/09/2023 GAUZE - 7.5 x 7.5cm (3nos 1 pack) 3 78.00
29/09/2023 OXYGEN MASK -ADULT-ROMSONS FLEXI MASK 1 302.00
29/09/2023 SYRINGE - 20ML (B-BRAUN) 2 81 .00
29/09/2023 ECG ELECTRODES (LEADS) 5 145.00
29/09/2023 GLOVES - M- POWDER FREE EXAMINATION 20 300.00
29/09/2023 STIMUPLEX ULTRA - 360 - 30 - 20G X 100MM 1,700.00
29/09/2023 SYRINGE - 2ML (B-BRAUN) 1 12.00
29/09/2023 VENFLON-1 - 20G (PINK) - CANNULA - BO 1 283.50
29/09/2023 RL-1000ML- VIAFLEX- SOLUTION 1 127.88
29/09/2023 TEGADERM 1623W - 6 X 7 CM 1 103.00
29/09/2023 NEEDLE - 16 X 1 1/2 - DISPOVAN 2 9.60
29/09/2023 LOX & ADRENALINE - 2% - 30ML - INJ 35.27
29/09/2023 1.V. SET JMS 1 270.00
29/09/2023 SYRINGE - 5ML (B-BRAUN) 3 49.50
29/09/2023 SYRINGE - 1OML (B-BRAUN) 2 57.20

Printed Time : 30/09/2023 19:36 PM Printed By : 13374 Page 2 of 4

 . Break Up Details
: Mr.BALAMURUGAN B
Age/Sex : 33 Y 4 M 8 D/Male
: 753724
Admit Date : 28/09/2023
: IP230907089
Discharge : 01/10/2023
Payor SELFPAY
Ward/ Bed : C3/319A
TPA Name SELF PAY

DATE CODE REF PARTICULARS QTY

29/09/2023 TOTAL
ANAWIN - 0.5% - 20ML - INJ 2 176.52
29/09/2023
EXTENSION 10CM 3-WAYCONNECTOR 1
29/09/2023 254.00
TYNOR ARMSLING POUCH - MEDIUM 1
29/09/2023 430.00
MICROSHIELD • 500ML- HANDRUB • SOLUTION 1
29/09/2023 745.00
CEFOPRIM -1.5GM - INJ 2 738.00
29/09/2023
MALIDENS - 100ML - INJ 4 2,502.96
29/09/2023
PANTOCID 40 MG INJ 2 11 3.00
29/09/2023 STERILE WATER 10ML 3 8.73
29/09/2023 POSIFLUSH - 5ML - SYRINGE (0.9% SODIUM CHLORIDE) 3 168.00
29/09/2023 SYRINGE - 10ML (B-BRAUN) 3 85.80
29/09/2023 I.V. SET ROMSONS 2 360.00
29/09/2023 WATER BOTTLE - ICE BERG - 1ltr 2 40.00
29/09/2023 DICLOFENAC SODIUM INJ -JUSTIN 5.07
30/09/2023 CEFTUM 500MG TAB - CEFUROXIME AXETIL 14 806.44
30/09/2023 PANTOCID - 40MG - TAB 10 114.67
30/09/2023 CALPOL 500MG TAB 20 19.94
30/09/2023 ZERODOL 100MG TAB - ACECLOFENAC 100MG 79.1 0
14
30/09/2023 MALI DENS - 100ML - INJ -2 -1,251.48
30/09/2023 ZERODOL 100MG TAB - ACECLOFENAC 100MG -14 -79.10
30/09/2023 WATER BOTTLE - ICE BERG -1Ltr 2 40.00
20,636.23
PHYSIOTHERAPHY
30/09/2023 HAND MOBILIZATION 1 500.00
. 30/09/2023 ICE THERAPY 2 1,000.00
1,500.00

V
PROCEDURE CHARGES
29/09/2023 INJECTION CHARGE 250.00
30/09/2023 INJECTION CHARGE 250.00
30/09/2023 INJECTION TEST DOSE 250.00
30/09/2023 INTAKE/OUTPUT MONITORING 250.00
01 /10/2023 INTAKE/OUTPUT MONITORING 250.00
1,250.00
ROOM SERVICES - INT POW
29/09/2023 ROOM SERVICES - INT POW / ICU 0.50 2,500.00
2,500.00
ROOM SERVICES· TRAUMA PRIVATE
28/09/2023 ROOM SERVICES - TRAUMA PRIVATE 0.50 1,400.00
29/09/2023 ROOM SERVICES - TRAUMA PRIVATE 0.50 1,400.00
30/09/2023 ROOM SERVICES - TRAUMA PRIVATE 1 2,800.00
01/10/2023 ROOM SERVICES - TRAUMA PRIVATE 0.50 1,400.00
7,000.00
X - RAY
29/09/2023 X-WRIST AP AND LATERAL (BEDSIDE/ EMERGENCY)
900.00
LEFT

Printed Time : 30/09/2023 19:36 PM Printed By : 13374

Page 3 of 4
.
BrHk Up Oet11ll1
Age/SU : 33 Y 4 M 8 0/Male
t"'_..nt Mt ll-l '-MURUO'-N 8
: 28/09/2023
.,. 7~TU
Admit Date
Ol1ch11rge : 01/10/2023
WI NO . IP23MOT0H
Werd /Bed : C3/319A
....ya, SELFP'-Y
,-,,, Mll!M SELF p,-y
QTY TOTAL
o,r1: COOE R£F PARTICULARS 900.00
Orott Total : 128,330.23

Lett Dl1count: 0.00

Round Off : -0.23

Grand Total : 128,330.00

\ Rupees One Lat..h Twenty Eight Thousand Three Hundred And Thirty Only )

Printed Time : 30/09/2023 19:36 PM Printed By : 13374 Page 4 of 4

 DISCHARGE SUMMARY

Name of Department SHOULDER & UPPER LIMB SURGERY

Head of Department DR. SENTHILVELAN R.

Name of the Patient Mr.BALAMURUGAN B j IP No: J IP230907089

I

Age/Sex 33 Y 4 M 7 D/Male Ward No 1C3

MR No. 753724 Room No: 1319A

I

j N0:2/5111ST STREET NAVALUR NAGAR VILLA ROAD,

Address of the Patient Thanjavur Pandt Colony, Thanjavur, Tamil Nadu, India, 613006
1. - -

Mobile No/Landline No: 9500888792

Date of Admission I2~-09-2023

Date of Surgery I 29-09-2023

Date of Discharge - J.~1-10-2023

Allergies - Nil

Doctors who attended on the p ~

~-N•
2
::::~thi~~la~ R
Dr. Raghuram
r;;::t
1174826
110
_" N•Jl:~:_: Shoulder. Elbow & Wrist Surgeon
Shoulder, Elbow and Wrist Surgeon
- - - -- ------ -·- -- ------- - - -- --- - - -- -- - - -·- - - -- -- ------ -- . - -·

DIAGNOSIS : LEFT SCAPHOID FRACTURE

PROCEDURE PERFORMED: On 29-09-2023, he underwent OPEN REDUCTION INTERNAL

. FIXATION OF LEFT WRIST under AXILLARY NERVE BLOCK.

CHIEF COMPLAINTS ON ADMISSION:

Mr.BALAMURUGAN.B.(MR No : 753724), 33 years old male, came with the complaints of pain in the
left wrist along the scaphoid fossa. He had a history of slip and fall 2 days ago. He had difficulty in using
his left hand since then. Hence admitted for further management.

PAST MEDICAL HISTORY: Nil

PAST SURGICAL HISTORY: Nil

MIOT Hospitals Private Limited: 4/ 112, Mount Poonamallee Road, Manapakkam , Chennai - 600 089, India. Tel: +91 44 4200 2288
Email: chief@miotinternational.com I www.miotinternational.com I GSTIN: 33AAACM2162N1ZJ I CIN No.: U85110TN1994PTC026791
 NUTRITIONAL STATUS : Well Nourish
ed.

CONDITION OF THE PATIENT

ON ADMISSION:
Pulse : 86/min
B.P
: 120180mm
Temperature : 98.4 degree F
Respiratory rate : 18/min
Consciousness level : 15115

EXAMINATION FINDINGS :
lef t wrist:
Tenderness present in left scapho
id fossa
Attempted wrist ROM painful
No DNVD

INVESTIGATIONS:

X-Ray Left wrist done outside

showed : Evidence of scaphoid
waist fracture with comminution.

CT scan of Left wrist done tod

ay showed: Minimally displace
scaphoid with mild scapholuna d comminuted fracture waist of
te subluxation

Course in the hosP-ital :

Patient got admitted in MIOT Hos
pitals on 28.09.2023 with the above
mentioned complaints.
He was seen and evaluated by
Shoulder & Upper Limb Surgeo
n and Anesthetist

After all physical examinations

and investigations patient was
FRACTURE. diagnosed as LE rT SCAPHOID

Patient was planned for OPEN

REDUCTION INTERNAL FIXATI
opinion was obtained and patient ON OF LEFT WRIST . Anesthe
was given fitness for surgery. siologist

On 29-09-2023, he underwent
OPEN REDUCTION INTERNAL
WRIST under AXILLARY NERVE FIXATION OF SCAPHOID LEF
BLOCK. T

I
 L Ml:.R1,I NC\ l'l\lH.

r.-~ jQ 57 10

OPERATION DETAIL~:
POS ITION : Supin e position and arm board
APPROACH: Volar FCR bed approach
Bony prominenc e protected and tourniquet
applied. Left upper limb painted and draped.
SCM , long skin incision made and fascia cut In Through an
line. Flexor carpi radlalls tendon Identified and
ulnar ward s. Joint capsule was seen . Caps retracted
ule was carefully dissected to expose the scaph
Displaced scaphoid fracture was seen over oid bone .
the distal pole . Fracture site was debrided off
tissu e. The fracture was reduced and temp the fibrous
rorarily held In position with k wire. Guide wire
through the centre of scaphoid wais t Fract was passed
ure was fixed with one herbert screw (Arhtr
Reduction was checked in c arm and was found ex) 24mm .
to be satisfactory. Wrist was checked for any
and was found to be stable. Surgical incision instability
was closed in layers with 2-0 vicryl and 3-0 ethilo
dressing and below elbow slab was given. n. Sterile
Tourn iquet time: 70 mins

Patient was treated with antibiotics, analgesics

and all other supportive medications .

Patient was advised physiotherapy exercises

- Finger, elbow & Shoulder mobil ization exerc
elevation and ice pack application ise, limb

CONDITION OF THE PATIENT ON DISCHARGE:

He is discharged in a stable condition with arm
sling pouch .

DISCHARGE MEDICATION & ADVICE ON DISC

HARGE:
PRESCRIPTION DETAILS:
-1- - - - ,- - - - - --- -
Drug Nam e , \ Morning After Before
Generic Name I Dose ' noon
Night
food
\ After
· food
IDuration
--- I I \

Tab. Dolo i 650mg I 1 • I 10 days

-- -- -- - 1 1

+-
f
_
t _'_ __
Tab. Pantoprazole -~ I 1od-ays
-~ ~--- -1___ _ - ~ --- - ~ --- ____ ____
_: ____ !\ _ _ -

! 1 cap
---·t-·-~--L-:_ _~_
C;p~ B;~~~les- - 1 0 30
_~- -- - ·__ __ _ _ ___ d"l'5_

i~~1: _
Tab. Limc ee 1soo m~ T 1 -- __ i o__ _ 3

::p~::dol
o ~ays

J!_~-. _ : -:···: ·- -- : :::: :,

DIET: Normal diet

MIOT Hospi tals Privat e Limite d : 4/112, Mount Ch · GOO 089 India Tel· +9 1 44 4200 2288
Poona mallee Road, Man.apakkam~ 21:;:: ~~
Email: chief @miotinternational.com I www.m CIN ~o.: U8~11 ~TN1994PTC026791
lotinternalional.com I GSTIN . 33AAAC
I
I

eb)•}iottl.trlRY Ulrtlses :
• Finger, elbow & Shoulder mo
bilization exercise
• hmb elevation
• Am, shng pouch

PHYSICAL ACTIVITY :
a. Wear arm sling for 6 weeks
b. Take out sling only for exercis
es and taking bath .
c. You must wear sling during
sleep during this period
d. Do not lift any weights
e. Do not lie on the operated
shoulder for three months
f. You can travel safely with arm
sling in train and car

SPECIAL INSTRUCTIONS:
a. Hand grip exercises with stre
ss ball x 100 per session
b. Elbow ftexion exercises x 50
per session
c. Shoulder shrug/ roll x 15 rep
etitions
d. Gravity eliminated pendulu
m movements (forward-backwar
draw circle x 15 times d x 15 times, sideways x 15 time
s,
e. Assisted forward elevation
of arm up to 90 degrees

NEXT REVIEW :
REVIEW ON 11-10-2023 IN SH
OULDER & UPPER LIMB SUR
GEON OPD ON WEDNESDAY
SUTURE REMOVAL FOR

Discharge Summary Explained

by Sister
Discharge Summary Receive
d by Mr./Mrs.

Please contact the hospital imm

ediately ifJ~atient has the foUowin
g_sy.mptoms -
1. Pain - severe pain
2. Sweating - excessive sweatin
g at night
3. Palpitation
4. Breathlessness
5. Fever above 99.5 degrees
6. Feeling of profuse tiredness
7. Thirst
8. Chest pain
9. Discharge from the operate
d wound
10. Swelling in the operated are
a
11 . Swelling in the feet and legs
 ~-
a4<2J
-
liM ~ IMIOr
- ~1 ERGE NCY CARE

,05710
ii[~ ternational

~~sp!t~I Contact Details: If needed please do contact.

ys1c1an (Doctor) In Charge: ·
Name : DR. SENTHILVELAN R
Mobile No
Signature : Reg No 1171 ~ _ •

Reg .No : 67371 Or. Cc 1u0 rc,I - ::l

Email Id: upperlimb@miothospitals.com Junior Rr;sidc:nl
Seal

For med'1ca1·issues and discharge

· related gueries P-lease contact :
• 9 am to 5 pm - Ward doctor - Ward secretary or Ward in charge (044 22492288)
Extension : - 4444 I 4445
• 5pm to 9am - Emergency Duty Doctor ( 044-22492288, Extn : 4210,4100,4130)

For Admin related issues :

• 9 am to 5pm - PRO of the ward, Mrs.PRIYA- 7708019130.

For Emergency Admin issues after 6 pm please contact Chairman's Secretaries :

• Ms. Pushpa - 9841816363
• Mrs. Neeta - 7708022003
• Ms. Rebecaa - 971 C922003

I
MIOT Hospitals Private Limited: 4/ 112, Mount Poonamallee Road. Manapakkam , Chennai · 600 089, India. Tel: +91 44 4200 2288
Email: chief@miotinternational.com I 1vww.miotinternational.com I GSTIN: 33AAACM2162N1ZJ I CIN No.: U85110TN1994PTC026791