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    Ehs CMRF

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    srimedicarehospitalkamareddy

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    Ehs CMRF

    Uploaded by

    srimedicarehospitalkamareddy
    10 views6 pages

    Original Title

    EHS CMRF

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    10 views6 pages

    Ehs CMRF

    Uploaded by

    srimedicarehospitalkamareddy

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 6

    EMERGENCY CERTIFICATE

    This is to certify that Mrs.RADHA C/o GANGADHAR . Aged: 60 years/Female


    Department: PRIMARY HEALTH CENTRE,DOULTHABAD (G)RTD.H.NO 10-70
    CHINNA MALLAREDDY(VILLAGE)KAMAREDDY DIST 503110.Has been below
    treatment for CAD-EVOLVED AWMI and was taken treatment at SRI MEDICARE
    HOSPITAL,KAMAREDDY and he/she was treated in our hospital in EMERGENCY
    condition under Dr.GOPI KRISHNA From 14-03-2024 TO 18-03-2024.

    Date: 22-03-2024 MEDICARE HOSPITAL

    Chief Medical Officer


    ESSENTIALITY CERTIFICATE
    This is to certify that Mrs.K.RADHA C/o GANGADHAR. Aged:60 Years/Female.
    Department: PRIMARY HEALTH CENTRE,DOULTHABAD (G)RTD.H.NO 10-70
    CHINNA MALLAREDDY(VILLAGE)KAMAREDDY DIST 503110.Has been below
    treatment for CAD-EVOLVED AWMI. Under DR.SAI SHASHANK On 14-03-2024 TO 18-
    03-2024. At SRI MEDICARE HOSPITAL KAMAREDDY And the below mentioned
    investigations/procedures/medicines prescribed me in this connection were essentials for
    recovery prevention of serious deterioration of the condition of the patient. The medicines are
    stocked in the Hospital and do not include proprietary prepare supply to patients for which
    cheaper substance and therapeutic value are available, or preparation which are primary foods
    toilets or disinfectants.

    S.NO Bill Date Bill No. Particulars Amount


    1 19/03/2024 2024618 IN PATIENT BILL 183400.00
    2 21/03/2024 2677 PHARMACY 20500.00
    3 15/03/2024 487 OP 2100.00
    4
    5
    6
    7
    8
    9
    10
    11
    12
    13
    14
    15
    16
    17
    18
    19
    TOTAL AMOUNT 206000.00/-

    Signature and Designation of Attendant. Signature of the Chief Medical the Authorized
    Medical Attendent Officer in the Hospital.
    DISCHARGE SUMMARY

    Mrs.K.RADHA age 60 years/Female was brought into causality with for CAD-EVOLVED

    AWMI . Under DR.SAI SHASHANK On 14-03-2024 TO 18-03-2024 . and treated

    symptomatically discharging in hemodynamically stable condition.

    Date of admission: 09/03/2024 Date of Discharge: 13/03/2024

    DIAGNOSIS: CAD EVOLVED AWMI.

    INVESTIGATIONS: ENCLOSED

    TREATMENT GIVEN:

    INJ:PIPTAZ 4.5 GR

    INJ:ZOFER 4 MG

    TAB:DOLO 650 MG

    TAB:PANTOP 40 MG

    INJ:OPTINURAN

    INJ:NEODRAL

    INJ:PCM1 GR

    TAB:AZEE

    TAB:FLUVIR 75 MG

    TAB:THIAROOT

    TREATMENT AT THE TIME OF DISCHARGE :


    INJ:PIPTAZ 4.5 GR

    TAB:DOLO 650 MG

    TAB:PANTOP 40 MG

    INJ:NEODRAL

    TAB:AZEE

    TAB:FLUVIR 75 MG

    TAB:NEUROBIONFORTE

    REVIEW : AFTER 7 DAYS

    SIGNATURE
    GENUINITY CERTIFICATE

    -
    Dear sir/madam,

    Sub:medical Reimbursment of medical claim expenditure incurred of by


    Mr.T Suhas raj S/o Shankaraiah R/o Kamareddy IP No 469 OF
    GENUINENESS

    We hereby certify that the copies of Essentiality and Emergency certificate,


    discharge summury , IP Final bill and medical bill issued our hospital are genuine
    and are certified by our RMO/medical administrator.we are here with certifying
    same copies and enclosing for your necessary verification.

    Authorized Signatory

    SRI MEDI CARE HOSPITAL


    DATE:22/03/2024

    EHS NON DRAWAL CERTIFICATE


    This is certify that Mr.L TIRUPATHI AGED : 68 YEARS /MALE D/o LAVANYA

    Deparment : PROHIBITION AND EXCISE CONSTABLE AT TELANGANA POLICE

    DEPARTMENT AT S.H.O YELLAREDDY.H.NO 1-112/1,KANCHARLA

    VILLAGE,BHIKNOOR MANDAL,KAMREDDY DISTRICT-503101 Has been below

    treatment for CAD-IWMI Under DR.GOPIKRISHNA On 18-12-2023 TO 19-12-2023

    SRI MEDICARE HOSPITAL AMOUNT OF RS.27062.00 /- ( TWENTY SEVEN

    THOUSAND SIXTY TWO RUPEES ONLY ).HAS BEEN PAID AND SETTLED BY THE

    PATIENT .ALL THE BILLS ARE GENUINE.

    THIS IS FOR YOUR INFORMATION

    The Bills isuued by our hospital are genuine.

    Authorized Signatory

    SRI MEDI CARE HOSPITAL

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