or, TBS. BUXL, MD MAMS New Delhi Scan Research Institute fgets Dope (A Unit of Busi Diagnostics Pvt. Ltd.) aa 4 ‘Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi - 1 ‘Phones ; 43115701 - 702, 43115700 Hoopta : 42251912 42251909, Consultant Radiologists : Dr. Anurag Yadav, DNB Dr. Kishan S, Rawat, MD Dr. Samarjeet Singh Ghuman, > Patient Name > CHAWLA INDERIEET ‘AgelSex 766 Vis (LasFirst) SINGH Reg. Na, 3238913 Ward No. 2.E WARD Episode No, : 1P01314987 Room No. 1275B/1275-B CAT2 Imaging No. : 14838857-1023 Executed On 21-Aug-23 09:39:13AM Location : SURGICAL, Location Type: IPD GASTROENTROLOGY & LIVER ‘TRANSPLANTATION - UNIT 0 Referred By __: DRUSHAST DHIR External Doctor CT ANGIOGRAPHY OF THE ABDOMEN Patient isa case of acute interstitial pancreatitis. Mild effusion is seen at the lung bases. Livers normal in size, shape, and enhancement. No focal lesion seen. No dilatation of the intrahepatic biliary radicals is noted. Gallbladder is not seen-postoperative status with metallic clips in the gallbladder fossa. CBD is defined. Pancreas is bulky showing fuzzy/iregular margins with mild peripancreatic fluid seen, which is extending invthe lesser sac in the mesocolon and root of the mesentery with peripancreatic ft stranding and inflammation noted, which is extending in the above mentioned compartments ie, mesocolon, root of the mesentery and the lesser sac with thickening of the bilateral anterior renal and lateroconal fascia seen with fat stranding also noted in the omentum. No evidence of any intraparenchymal necrosis seen, The collection causes narrowing of the distal SMV with formation of thin calibered gastroepiploic collaterals. Spleen is normal in size, shape, and enhancement. lateral adrenal glands and kidneys are defined. Few cortical cysts are seen in both kidneys, Bowel loops are not distended with contrast. No definite bowel wall thickening seen. IC junction is defined. Appendix is normal, No significant enlarged mesenteric or retroperitoneal lymphadenopathy seen. NOT FOR MEDICO LEGAL PURPOS! ; his ts only « Radiological Impression & not a Diagnosis, Like all diagnostic modalities, C:T, Scan also has it's limitations Therefore C.L. Report should be interpreted in correla & pathological findingsNew Delhi Scan Research Institute (Unit of Buxi Diagnostics Pvt. Ltd.) | GSuay Sir Gangs Ram Hospital, Rajinder Nagar, New Delhi- 110 060 Consultant Radiologists: TSB Phones IISTOL 702, 43115700 Dr. Anurag Yadav, DNB Hospital: 42251912 /42251909 Dr. Kishan S. Rawat, > Dr. Samarjeet Singh Ghuman, mp Patient Name: CHAWLA INDERIEET Age/Sex 66 YIM (LastFirst) SINGH Reg. No. 3238913 Ward No. :2E WARD Episode No. : 1P01314987 Room No. 1275B/1275-B CAT2 Imaging No. ; 14838857-1023 Executed On 1 -Aug-23 09:39:13AM Location SURGICAL, Location Type: IPD GASTROENTROLOGY & LIVER ‘TRANSPLANTATION - UNIT IL Referred By DR.USHAST DHIR External Doctor a Minimal fluid is seen in the peritoneal cavity. Urinary bladder is normally distended with diffusely thickened walls suggestive of cystitis. Prostate is significantly enlarged with median lobe projecting into the base of the bladder with "multiple foci of calcification noted within the parenchyma with calcification also seen along the seminal vesicles, Visualized bones appear normal. No lytic/destructive lesion seen, ANGIOGRPAHIC OBSERVATIONS ‘Abdominal aorta and its branches i.e celiac, SMA, IMA, and renal arteries are well opacfied. Celiac artery divides into common hepatic, left gastric, and splenic artery. The CHA trifurcates into left hepatic Fight hepatic and the GDA, SMA and its branches are defined, IMA and its branches are normal ‘Main portal vein is normal in caliber and contrast opacification. It divides into right and left branches, SMY and splenic vein unite behind the head of pancreas to form the portal vein, There is attenuation of caliber of the retropancreatic splenic vein posterior to the proximal body of pancreas with formation of collaterals, which has been described previously. IVC and their ostia are defined, No venous thrombosis een, IMPRESSION CT angiographic findings are suggestive of acute intrstilal pancreatitis with peripaneretic fd collesion, Advis Clnical corelation, wher Dr Sakshi Arya Consultant Radiologist sib NOT FOR MEDIGO LEGAL PURPOSES ; This is only # Radiological Impression & not a Diagnosis, Like all diagnostic modalities, C.T, Sean also has i's limitations Fherefore CT. 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Fellowship Advanced Laparoscopic, Robotic & Gl Surgery (Cleveland, USA) Felon Minimally invasive & Baie Surgery (NUH, Singapore) www sgrh.com Felowship-Living Donor Liver Transplant (SNUH. Seoul, South Korea) Vice Chairperson Department of Surgical Gastroenterology & Liver Transplantation ‘Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi i Visiting Consultant Medicity, Guwahati (Assam) DISCHARGE SUMMARY Patient Name Drinderject Singh Chawla Registration No, 3238913 Age 66 Yrs Episode No. 1P01314987 Sex Male Date of Admission 20 Aug 2023 03:07 Ward 4A WARD Bed 1425-CAT ID Primary Consultant Dr. Ushast Dhir Date of Discharge 29 Aug 2023 Address; $23, MASIHIA GANJ, IPRI BZAR, JHANSI, UP, P= 9164471277, 919591313 Diagnosis: Acute Severe Pancreatitis S/p Laparoscopic Cholecystectomy for GSD (5 Yrs Back) Type 2 Diabetes Mellitus Hypertension Advice on discharge: Diet -Oral liquid to ‘Soft diet with extra sat as tolerated ‘NJ Reeding with kichen feed 200ml+5Om! water flush 4* hourly Activin: Arbulate Frequently Medication: SNo__| NAME OF MEDICINE, DOSE. TIMINGS ut ‘nj. Merobectum SE T.Sgm TV TDS ‘Gam-2pm-9pm(3 days) 2 Inj, Pan Ame IV BD Fam-Tpm (Before Breakfast/Dinner) 3 Inj. PCM. ‘650mg SOS For fever [2 [in Fragmin 2500 SiC OD | 9am 5 Inj. Perinorm TOmgIV SOS __ | For Nausea, Vomiting fe Tab. Alfadosin Ttab BD ‘Sam-9pm i "Tab. Ondy MD. Tab SOS For Nausea, Vomiting 4 ‘Tab. Antoxipan 1 tab BD ‘Sam-9pm = ‘Tab. Ursocol 300mg OD Jam [10 T tab creon 2500010 With meals TT | ab. Baclofen Omg TDS: ‘Sam-2pm-9pm [12 syp creamartin Omi SOS For constipation 13 | Tab. Amlong ‘3mg OD am [14 | tab. Tetma aomgBD Fam-Ipm (15 tab. Arkamine TWomg SOS | ifnevessary (FBP>14050 mane) (16 ‘Tab, Eltroxin, ‘25meg OD Jam (Before Breakfast) [17 | Econorm sachet Tsachet BD ‘Gam-9pm [is [eye e gel Local application _| Sam-2pm-9pm (79 [andi mouth pie Tocal application _ | 9am-2pm-9pm Sir Ganga Ram Hospital, Liver & Gi Pos mone a Rajinder Nagor, New Delh-110060 So? New Raped Regen New Dei-6o | 1-78270 39028 + E-mail: surgery@drushastdhizcom * Website : wwsuibestivertanspantindia.com@ ! Sir Ganga Ram Hospital 2088 ‘Sonne 62008 ‘OD: once a day, BD: twice daily, TDS: thrice daily, SOS: as required, BBF: Before breakfast, HS: bedtime S.C.: sub-cutaneous For emergency contact GI Surgery and Liver Transplant Resident doctor, 24 hours helpline ~ 9560247070 ‘To attend casualty SGRH in case of high grade fever, abdominal pain, breathlessness Next appotnament date: 04/9/23 Follow up with Dr. Ushast Dhir in No. F-90 OPD with prior appointment. Follow up investigation CBC, LFT, RFT (after 3 days) : = A 66-year male patent is @ known case of type Il diabetes mellitus on OHA for last 3 months eT here ees ee es oe el ing 10 back, fever (100.9 F max). There is also complaint of abdominal distention. There is history of laparoscopic cholecystectomy for GSD 5 years back. Patient received multiple IV antibiotics (Tazar, Meropenem, Ceftriaxone). Serum Amylase/Lipase 184/39, Hb 11.4, TLC 16,600, Pit -2.5. CT abdomen done outside which showed acute interstitial pancreatitis, CTSI 6/10, B/L minimal pleural effusion. Now patient admited in Sit Ganga Ram Hospital for further evaluation and management. Examination: Pulse: 100/min. BP: 150/80 mmlig Temperature: 37-degree C No pallor, icterus, cyanosis, clubbing, pedal edema or lymphadenopathy. RS: BIL air entry equal, NVBS. No adventitious sounds. CVS: $1, $2 heard, P/A: Tenderness present in epigastric region, small epigastric lump (phalegmon), nondistended. No corganomegaly. CNS: Conscious, oriented. No FND. Blood Investigations Date | 207823 | 21/823 | 228723 | 257823 ‘Z5IR23 | 2OIRI2S | 27/BAS | BRIS | 2978723 [Fi Hb W6{ 123[ 1.7] 108 Too 107[ 109] 1s] 101 uc | 23.93 | 32.89 | 3453 | 28.11 2179} 2021 [2053] 19.10 [12.89 rev] _343[ 355| 350] 318 31.7] 31.00] 326[ 349] 30.1 Platelets | 242000 | 284000 | 298000 | 310000 328000 765000 | 368000 PTAINR | 170[ 1.49 = = BiLT. 095 Tia Ts “Bil-D. 0:58 0.62 0.67 ‘SGOT. 25.00. 22.00 25.00 SGPT. 26.00 23.00 = 23.00 SAP. 98.00 93.00 | — 110.00 TP. 494 5.01 5.56, Alb 237| ——| 226 2.49, GT. 29.00 | ——| 24.00 24.00 ie BUN 1898| 15.17] 15.24 3.83 Cr 089 | 072 | 0.69 0.73 Cal = 7.89 718 C Phos == = 2.60, ——| ——| 320 Na 130,00 | 131.00] 128.00 | 126.00 | 129.00 i K Zi7t 3.16] 354] 416, 440/439 Ganga Ram Hospital Mar, Rajinder Nagar, New Delhi-110060, INDIA hone: «91-11.3512860000 lines), 47254000030 line) Fax: +91-11-25861002 Emalk gangaram@sarh.com Website: www sgrh.com© Sir Ganga Ram Hospital 2008-0017 June 3,220 13,2023 Scene 12808 Lipase (20/8/23):-63.60, Amylase(20/8/23);-74.00 Serum procaleitonin(21/8/23):-0.26 Preliminary Result of BacT/Alert aerobic culture ( Blood )-L-(21/8/23):-Negative Preliminary Result of BacT/Alert aerobic culture ( Blood }-R-(21/8/23):-Negative Lipid Profile(21/8/23):- ‘Total Cholesterol:-109,00 HDL Cholesteol12.00 LDL Cholesterol-63.00 VLDL Cholesterol; 34.00 “Trielycerides:-104.00 NON-HDL;-97.00 3 CHOL:HDL Ratio;-9.08 C-- Reactive protein (CRP )21/8/23):-Positive Glycosylated Haemoglobin ( HbA te X21/8/23)-6.1 Ammonia(22/8/23)-34.18 ‘Urine Culture & Sensitvity(22/823):- Negative C-- Reactive protein (CRP )\23/8/23):- Positive C= Resctive protein ( CRP )24/8/23)-Positive Serum procaeitonin(2578/23-0.23 BacT/Alert aerobic culture (Blood )~ L(26/8/23)- Negative BacT/Alert aerobic culture (Blood )~ R(26/8/23)- Negative Urine exemination (26/8/23):~ Routine Microscopy Appearance:-Yellow-brown Red blood cells-Numerous Urine Type:-Turbid White blood cells 3-5 | ph-65 Epithelial cells- 0-1 | Specific gravity-1.020 | Urine Spot Test for Protein & Creatinine (PC Ratio (27/823 Proteini-2640 mpiiL_ Creatinine;-4037_Protein/Creatinine;- 0.60 BIO M427/8/23)-1.33, BIO £13(271823)-1.86 BIO TSH(27/8/23)-3.88 Standard Hyponatremia Pancl(27'8/23 Urine Sodium:-132.0 Urine Osmolality(Random) ;-428.0 Sodium, Serum;-126.00. Serum Osmolalty:-267.0 Prostatic Specific Antigen ( PSA (27/823);-5.922 Stool Occult blood(27/8/23);- Negative CC: Reactive protein ( CRP 288/23): Positive Special Investigations: CT Angiography of the Abdomen (21/8/23); - CT angiographic findings are suggestive of acute interstitial pancreatitis with peripancreatic fluid collection, inflammation fat stranding as deseribed above. Hospital course: - Patient was admitted with above mentioned complaints. Initial resuscitative measures taken with IV fluids, TV antibiotics. Patient found to have febrile during admission. CT abdomen was done on t 21/08/2023 which showed acute interstitial pancreatitis with peripancreatic fluid collection, inflammation fat | stranding, prostate was significantly enlarged with median lobe projecting into the base of the bladder with ‘multiple foci of calification noted within the parenchyma with calcification also seen along the seminal vesicles, visualized bones appear, Minimal fluid seen in peritoneal cavity. Mild effusion seen lung vessels bases Patient started c/o decreased appetite and nausea, i/o delayed gastric emptying and gastric atony, ref taken from Dr. ‘Anil Arora and Naso jejunal tube was placed on 23/8/23. Opinion from Dr Aswini Mehta was taken iv/o HTn and advice followed. Opinion from Dr Manish Malik was taken and advice followed. After giving trial of NJ FEED with normal saline gradually progressed to kitchen feed. Pt continued to have fever spikes initially % per day Which gradually decreased to below 100 degree. Back pain gradually decreased. Appetite improved with time. TLC and CRP showed decreasing trend. Review opinion ftom Dr Anil Arora taken and advice followed..Oral liquids started and tolerated by patient. Foley catheter removed with no urinary sypmtoms post folys removal Period. Patient remained afebrile in last24 hours with stable hemodynamic condition. Patient is now being discharged in stable condition with Naso jejunal tube and PICC line with advice for further follow up, Sir Ganga Ram Hospital Marg, Rajinder Nagar, New Delhi-110060, INDIA ‘ Phone: +91-11-85125600(50 line), $2254000(30 lines) Fax: +91-11.25861002 Email gangaram@sarh.com Website: www.serh.com© Sir Ganga Ram Hospital ee {Inj Human Actrapid according Insulin Sliding Seale: Blood glucose(mg/dl) Change in dose (8.6) | inj Hurminsulin- <150 units 151-200 2 units 201-250 4 units 251-300 units 301-350. S units 3351 10 and inform doctor Any other medical problem for which you think urgent attention is required; please call our 24 hour helpline numbers (81-9560247070) or report to emergency department at Sir Ganga Ram Hospital at ‘soon a5 possible. ‘Hepatobiliary Surgeon In charge Follow up with: Dr Ushust Dhir ‘MBBS. MS. (MAMC, New Delhi) DNB. MNAMS. Vice Chairperson Institute oF Surgical Gastroenterology, GI and HPB Onco -surgery and Liver Transplantation Sir Ganga Ram Hospital, Rajinder Nagar, New Delhi ASTS Fellowship Liver Transplant & Hepatobilliary Surgery(Cincinnati,USA) Fellowship-Advanced Laparoscopic, Robotic & Gi surgery(Cleveland,USA) Fellowship-Living Donor Liver transplant & Hepatobiliary Surgery (India) E-mail follow-up: ushast.dhir@sgrh.com Website: www bestlivertransplantindia.com Mobile:+917827039028, +917827039027(Clinic) ir Ganga Ram Hospital Marg, Rainder Nagar, Neve Delii110060, INDIA : Phone: +9111 125600030 lines), 4223400000 lines) Fax: +91-11-25861002 E-mail: gangaram@sgch.com Website: www.serh.comHospital Information System Page 20 of 22 urapore Sucgical Tape 2838-3 ( 3 tach width ) ~ 9 Sie te ee ae Getta eepury oxtey Se eee sith eer 200.00 200.00 Siuseatiz One Plon ~ No Coding (T fens Mowensors ) (07) oedie lege 1¥ Acowns ayrten Safoty Q ~ fyte ( extention set } ~ = (23/06/2623) ese82580 33/01/2026) 339.00 239.00 assez Ty 220.00 200.00 ‘Surgical madae for Clippare Canara Purpose - $0 wedica (2afeerzo29) ireeron To 200.00 200.08 Gause Sab ( 7.5 om 7.5 ca x 12 ply) ( Startie Pack ) ok of § Boe | Greeriezse myor/z0a) 43.00 142.00 TE Ga TINTS, Hapiasar Wages, Nar BIRT wave ——— maa Retina 33 os ane ee (atc Rapsry outed ‘Gs/oe/aea3) ‘Gireernor Ty 20.00 200.00 (Stceneeat 20/28/2000) 8.00 oa. 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Order Tin Qty Price Discnunk ST S0sT Soe (Gates Eepizy ante) SUotaseeamar2 30/04/2026)) 36.20 se.o0 Monojet Syringe with teedie 20 mi ( 21.9 6 1.5) ~ romone Stiste230720067 a0/e6/202m) 27.00 239.02 Tolyfivah pee-Pislied Qyringe 10 Ma. ~ doled (@ayoe/z023) Gosaeis's1/ox/2020) 76.20 76.08 erobectum - a4 3.8 gm ( Masopenen 1000 ag + Sulbactun 500 my + HDA 37 So (2/00/2023) aresesb80 207o2/2005)) a4so.00 2830.00 TrEEEE taetion Sng ( Tgeoytine ) ieee s2a0/2029) ——aae2.00 92.00 ica 8 Mi ‘e4yoe/2025). . ree Cieimmtez0 20voe2025) — ar.20 ona ‘aayoe/aes3y sue (Haasesies48 20/04/2020) 726.00 nieco (ewesz30903 20702/2026)) 84.00 236.00 ‘rag none 20 Urine collection Mag ~ Rosscas (2uyo8 eaa) i 1- 860482473235... 29/08/2023‘Hospital Information System Page 12 of 22 TER GOGAT RGHPTEAL, MaRS Waa Wey Dan TTA Mae.Ho, Onder Tian oty Price Dieonant CONT ST ca Grazeeast vos/a000) 20.26 sn0.26 Moomas satine 200ai infusion ( normal saline 0.94 ) ( feoflac ) ‘Garoe/daaar (Gtbearoose auvesranzey —a7.20 ous ‘igusamant~ xiaatic Adnesive Bandage 10 omtd/6 as ~ saith sep 2C2temeeet ave3/20a0) mm x togyc Dithets Care vanihin (460 9} evr 19 at anyection ( Miltivitaning ) erate me (Gafee/2ezm) Sttaeaaoonss sevcerzoany 2.89 0.00 ‘eens rowting Gravity 84g ( FEEDING BAG ) ~ tonsone tea7ee/2689 = Cieesesteee 20/04/2026) 136.00 ne.00 (23/08/2029) ae 23/08/2025) ie aie ‘age 20 0€ 37 TR GS a RSET Rasa Raga Hew BIRT Tae Me tetiete ss ee Nae. No, Order team ty Price incount Gast nT et (etn bepiny Dots) ‘eae HOSA —— 95-77 wea worms sain aton ( Normal Saline 0.94) ( Roofiae } Staoeasrerne s2708/2026) 47.20 70.96 ‘lyfieee ow Filied tyriage 19M - elgead Staomoasaza 2170372026) 74,00 760.09 a wish media 10 02 (21.66 1.8) ~ nommoae ‘e3yee/2ata) Sexo¢ezaoza0e7 20/06/2020) 17.00 70.02 ‘Dancouga, Tajection 20 me/mi ( Hyoscine Rity! tromide } (peeyaeas Wetemnees 3ovoe2026) 1.06 16.6 OBE 8 ng sasection { Ondanetarea } Gorees 20) Btoeadeesem a/szvaeee) 23.43 saa Faruowtamol TV. 1000 mp / 100 m1 Polypac tnfuelon (978) | bttp’/trakwebl svrtrakcare/web/esp/uesedetailfinalbilldatewise.CSP7P1. 86048247°3235,.. 29/08/2023STRAK:TRANSLATE id=title>Hospital Information System Page 10 of 22 exyoe/202 (Green? Sovee/2cas)) 2000.00 (ivcer2az3) Stdoqenraxoes 31/02/2025) 2.67 26.66 ‘Mora inj. OMnadione Sodium missipnite inj- (vit, R) iat RATE) ‘ayoe/asaiy Glomige s3/20/2020) Fetal ‘aty cnarged 3 Goo set SGSeerasnoezes aovoesa0as)) 15.98 ss0.98 ‘Giveerz0e) StiotemEessie se/e6/zeas) 23.90 ao ee Romie ‘ten Eepicy Dubey TERRE SE os injection igeayelinay (a2/oe/2083) (Bremer Boveesaean) 2000.00 so08 uch 2 Raspaten ( speatcopiun Bride } ‘Musoomeat Tesection 20 my/ni ( nyescine Buty! Bonide) (eeiaste3 dovesi2000) oon (@eyoersoa5) ny mectet(acopman 100mg + sutbacton Sota + HOEK 37.Sep) (Wea 32/06/2020) sr73.08 5003.8 etarseaens 02/02/2020) 409.00 20.08 ‘avee/sae3) si array (imarerm myos/2020) 47.10 29.67 ‘GORE $0 ng Zajction Cigeyeina) eesees? Hovees202899 2000.00 2309,00 BER GRR WN OEPTERE, Raginaar Wega Wov bad T1GGEE—— at oe Bacon = et (22764202) (eaaas s1/e7/202n) 13.00 esc hup:/Arakwebl svritrakeare/web/esp/uescdetailfinabilldatewise. CSP2P1- 86048247°3235,.. 29/08/2078Hospital Information System Page 8 of 22 aco. Onset teen Qty Price Dleceunt Cher 87 (@acan Eepiry natal (@ofoe/2025)| (ecassteaow 23/10/2026)) 44.00 198.99 ‘Waane swoule 100 my (2 mi) ( Brame! } ‘Govee soar Gloaosese 3/03/2028) (Sey Paaned 3, Gey Racorned 3 fetal ory cnacoes ae ae sas bteeees cian ee ‘- cmon snsection ( Ontnasaron) (icmestosen 32/12/2020)) (Sey Packed 4, Gey Aatucned SLI" Sey enaceea 2 oe Goraayzae Bigeaabte fctogs wish ten © al (22 0.41 Inch ) pro ~ cama (Govee/aeaa, Sabezanzanio 20/04/2020) 18.00 v8.0 ones tyrnge with Woedle 20 01 (22 01.5) ~ nonene Sta0¢easoezore2 a1/0a/2028)) 17.00 we.0 GRA RAT RGEPTENT, Wega Wages, Ww Ban HRS eke ee (Gaten Expiry oetey—™TDtCOU er (20/oe/2025), a Stx0¢ma3ei350 soyo4/zeasi) 2.49 sane (Goveerzbea) ae (eetsnie 33/os/20ze) 26.76 60.8 ‘ng, ymacact Omropanan 1000uq + Suthactin $00mp + EO2R 37. Sng {Gojoarzeesy Soe iat ‘aracatanol 1.¥. 1000 mg / 100 wi Pelypack infusion ( rr8 ) (Goveestona) (asseezew 31/20/2020) a9s.00 2038.98 (@o/ee/2083) ‘rgegers,Iyeetion 20 mya ( nyoscion mite! mide} 323023 30/06/2026) | 14.46 ora htp:/Arakweb | svr/trakeare/web/esp/uesedetailfinalbilldatewise.CSP?P1-86048247°3235.. 29/08/202‘Hospital Information System Page 6 of 22 OCYESITCWARGEL - Doctor visit Gharges - SURGICAL GARTRORITROLGGY & 7vER TMAMBELAATION — (2eoa/2029) 2 2140.00 229.08 2RGVESITCANNGE: ~ Doctor visit charges ~ SURCICRE GARTOENIRGLOGE & LIVER TRMUELATTATION - (23/08/2023) 2 2360.00 4320.00 Ta mer apa ger Ree RT TTD * Geten Eupisy Date ee (2a7oe/2020) 2 0.90 130.00 DOGVESITERARGE - Doctor visit charges ~ SURGICRL GLEIROEWERGLOGY & LIVER TRMMEDLAWARION - ‘asvoe/z02 1 aieo'eo"™" aga 00 0.00 22 poopie onacges SGteK chucoontcy cas charges 0c - ctucomatey art charges (@2yon/zee) P%0.00 309.00 Temmomsy - impiantable Canteat Venous Access Device Placenent - Hoapitsi Charges (@zy0/203) f Tibsoroe ‘Soae' oo (a2voe/2ea Gane mercer nes aes ‘unc - chuconetey teat edacges GR RA NOEPTAL, WayGar Nagas, Wow BIRT TE saci Geaee ton aty Price insane Cor aa0F et aaa TO Nas ig earns Teo 209,00 iera07a98 Tete $00.00 GL00H ~ Giecomery Let charges http://trakweb lsvr/trakeare/web/esp/uesedetail finalbilldatewise,CSP?P1- 8604824793235... 29/08/2023Hospital Information System Page 4 of 22 (2iroaszoan, 2 239.00 20.00 (27/08/2020) 1 200.00 200.09 (Gove /2003) 3 330.00 230.00 (afeeranasy "MOI Tees ggtemens ettie ) 2420.00 ‘28/0072083) 1 Ta20-08 ee 1230.00 210.00 © taonatology taneentory Seergee (acote’ = Somplate hod cours (2) ‘@ivoe/zoaa) Pera 140.00 Gajonrtoz PF? s30.00 530.00 ‘aevoeraesan nS 10.00 Re aa ROERTEAS, agian Raga, Tay BATS TSR Riedel ee (Gaten Beptey Datel (23/08/2025) yao 00 740.00 ‘nents - compiate Miood count (ney (@e/oe 2085) Famers) SADA Ceiate sland coat tony re vente - conga @irera053) 140.00 cocoue - con ‘@evoe/0537 49.00 CHCOLE = comiate misod count (cae) ‘@sre6r20e3) Eee) 140.00 7 Mlaopatneiony taberatary caecgee (exvonsanaay TESS oot) 580.08 a. s aitochondetat actinady (00) — WED sarcode ‘ahveeftsaah Parse) sa Cpmmmmen Renters atte hears Riees. |http://trakweb I svr/trakcare/web/csp/uescdetailfinalbilldatewise.CSP?P1--86048247°3235... 29/08/2023“Hospital Information System Page 2 of 22 (Geron/s083) 2 275.00 175.00 $30.00 Groene 278.00 275.00 $80.00 (aa/oarse33) 1 215.00 275.00 980.00 apeeraaesy TC Siet? 1550.00 Page 2 9f 37 ‘SER CRA HOFER, Rajinder Wagaz Now Dain Tiooey ———— naes'ne: Seder teen ory orion Dieceunt coer az (Gaten Bevsry Date) 2 ty peace cepa” {Gaioevaaaay Noor 390.08 ‘Bhbataatttons ae fesse poste cay dew i mwoKs ~ xeay abdomen AP acect & spice ‘23/00/2023, 3 “i2ee.bo 3040.00 4 alowhentatey Lanoratony”charse Giron." 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