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3
Hospital Name
Rohit Hdnay & stone
hospital
DISCHARGE SUMMARY
Patient No: 4134102
Hospital Code
MATHURA,
IMospltal Address Hosp District
Patlent Name PANKAJ SHARMA |PMJAY ID MFY2YAXSS
atlent Address —_-0,SHAHAPUR, ‘Age 20Y0MOD
BANG=R,Shahaupur
Banga ,Matnura,28130|
1
(Gender Male [Patient Contact 6397885220
Number
\P Number NA
IPMJAY Case ID 44372003
‘Treating Consultant's contact number
Package Booked Lower Ureter(SU014A)
[Treating Consultant's name Dr Rohit Singhat
18830220636
[Treating Consultant's Qualifization
M. Gh, (Master of Chirurgiae)
{Treating Consultant's Registration number
17-26722
‘Treating Consultant's Specialty
General Surgery,Urology
Date of Admission
02-03-2024
Date of Discharge with time 04/03/2024 11:25,
[Date of operation (it surgical} Treatment 02-03-2024
[start date (if medical)
Presenting complaints with curation NA
Initial assessment NA
‘Significant Past Medical and Surgical Not Applicable
History, If any
Primary Diagnosis atthe to of Admission NA
ICD 11 code(s) for Primary diagnosis NA
Final Diagnosis at the time of Discharge NA
Key Investigations
IVP NCCT+ CT-IVP.Clinical notes
Investigation findings
NA
© scanned with OKEN Scanner|rreamentalven during hospitalization In mores fom Bd
| inj. mikacine 500 bd
in). aciloe bd
| in} euperspas sc
(reece Findings NA |
Complications if any NA
[status at the time of discharge stable
tab, ciplox 500
cap. rabexa dsr | 3% 3 dd.
tab. dolo 650
Advice on discharge
Next follow-up date 07-03-2024
a qgratfore
M.S. MCH. (Urology)
Name & Signature of treating Consultant / Authorized Teal BiciBF
Name & Signature of treating PMAM
Name & Signature/thumb impression of Patient / Attendant
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x vgs
at T [2 mn Ney
wag. Ab -
© scanned with OKEN Scanner