442007316-DISCHARGE-SUMMARY

DISCHARGE SUMMARY
NAME OF THE PATIENT: Mr. Nageswararao Baratam

AGE / SEX: 61 Yrs / Male
ADDRESS: Srikakulam
DATE OF ADMISSION : 21/06/2024
DATE OF DISCHARGE: 27/06/2024
CONSULTANT: DR. Anand MBBS, MD.
DIAGNOSIS: LOWER OESOPHAGEAL HIATUS HERNIA
CLINICAL SUMMARY
Patient came to the hospital with complaints of inability to swallow food and vomiting of undigested food
particles for past 3 months.
B,P. 80/50 mm/hg

P.R 56mints
SPO2 97%
COURSE IN HOSPITAL :
CT scan of chest and abdomen done revealed, dialation of oesophagus with thin regular wall and air fluid level within,
subcarinal oesophageal narrowing present small hiatus hernia. Patient was treated conservatively with antibiotics, antiematics
and ppi. Patient improved symptomatically with ability to swallow solid foods with no episodes of vomiting. Patient was
advised endoscopy and dilatation of oesophagus with biopsy at a later stage.
COMPLETE BLOOD CELL COUNT:
HAEMATOLOGY
SCOT-29 full Urobllinogen-Normal
Haemoglobin10.§,m/d1
Total wbc count-8900 Cells/cum SGPT-27 Iu/l Billrubin-Negative
DIABETIC PROFILE
Neu trophils-69% TOTAL PROTEIN-7.6
FBS-95
Lymphocyte-26% Serum Albumin-4.1 PPBS-159
LIPID PROFILE
Eosinophils-5% Globulin-2.6
Cholestrol- 179
RBC count- 3.9 million / cumm Alk phosphatise-79 HdI cholesterol-32
URINE ANALYSIS
Pcv - 42% Ldl cholesterol-128
Specific gravity:I.010
MCV-74 cumm Ph-5 Vldl cholesterol-33
MCH -28pg I.eukocytes-negative T.c/hdl ratio-5
MCHC – 32gm / dl Nitrite-negative
Platelet count- 2,00.000 1akhsl / cumm Protein-negative
LIVER FUNCTION TEST

Glucose-Normal
Total billiruhin0.2mg.d1
Direct billirubin- 0.1mg/dl Keytones-Negative
ADVICE: FOLLOW UP AFTER 7 DAYS
T.EM ESET: (1-0-1)
T.YEES D: (1-0-1)
T.DIGIPEN: (1-0-1)
T.ACILOC: (1-0-1)
T.MUCYST: (0-0-1)
T.NEFTRON: (1-0-1)
T. AZ1TH RA L: (0-0-1)
5YP.LUPIZ1ME PLUS: 10ml
5YP.SUCRAFIL PLUS: 5ml
When and how to obtain urgent care :
Report in case of pain, bleeding and or other emergencies.
Summary Prepared By: Dr. Anand
(This is not a legal document. This report is given to enable the patient to understand their disease nature, treatment and
follow up. Any clarification, if necessary should be discussed with the consultant)
The content of discharge summary and follow up instructions including drugs has been explained to me in my
understandable language.
Attenders Sign:
Name & Relationship:
Phone No:
Invoice
Bill No: SH00012/102/24 Bill Date: 27/06/2024
NAME OF THE PATIENT: Mr. Nageswararao Baratam

AGE / SEX: 61 Yrs / Male
ADDRESS: Srikakulam
DATE OF ADMISSION : 21/06/2024 3.30PM
DATE OF DISCHARGE: 27/06/2024 4.50PM
CONSULTANT: DR. Anand MBBS, MD.
DIAGNOSIS: LOWER OESOPHAGEAL HIATUS HERNIA
DEPARTMENT: Critical care
Accommodation Type: Special
Room No : 102
Code Billing Heads Rate Quantity Amount in Rs.

1 Room Rent 3000 5 15000
2 Nursing Charges 200 10 2000
3 RMO Charges 200 3 600
IV Fluids Administration
4 40 10 400
Charges
Blood Transfusion
5 0 0 0
Administration Charges
6 Injection Charges 20 20 1000
Total Room Rent
19000
Services
1 ICU Rent 5000 2 10000
2 ICU Nursing Expenses 500 2 1000
3 ICU RMO charges 500 2 1000
IV Fluids Administration
4 40 5 200
Charges
Blood Transfusion
5 250 2 500
Administration Charges
6 Injection Charges 20 20 400
Total ICU Services 13100
1 Surgeon Charges 8000 2 16000
2 Anesthetist Charges 4000 1 4000
Medical Practitioner
3 2000 2 4000
Charges
4 Consultants Charges 300 2 600
5 Specialist Charges 3500 1 3500
Total Professional Fee 28100
1 Anesthesia 200 1 200
2 Blood 1500 1 1500
3 Oxygen 450 1 450
Operation Theater
4 5000 1 5000
Charges
5 Surgical Appliances 1670 1 1670
6 Medicines and Drugs 13210 1 13210
7 Diagnostic Materials 0 0 0
8 General Investigations 2800 1 2800
Specialized
9 0 0 0
Investigations
10 Dialysis 0 0 0
11 Chemotherapy 0 0 0
12 Radiotherapy 0 0 0
13 Cost of Artificial Limbs 0 0 0
14 Cost of Implants 0 0 0
Total of Other
24830
Expenses
Grand Total 85030

Patient Paid Amount 85030
Balance 0
OP CASH BILL
Bill. No: SSH/000123/072019 Bill Date : 21/07/2019
Patient Name : Mr. SONAIMUTHU Age / Sex: 71 Yrs / Male

Address : Manamadurai Lab Ref.No : OP/989859438
Consultant: Dr.Anand
Amoun
S.No Item Name Rate Qty t
INVESTIGATIONS
278
1 PRENATAL SCREENING 0 1 2780
Total 2780
(Rupees Two Thousand Seven Hundred And Eighty Rupees Only)
For Sangeetha Hospitals
Paid Date: 21/07/2019 Payment Mode: Cash
Billed By : Kavitha 21/07/2019 12:32:56 PM
Sangeetha Super Speciality Hospitals

442007316-DISCHARGE-SUMMARY

Uploaded by

Copyright:

Available Formats

442007316-DISCHARGE-SUMMARY

Uploaded by

Document Information

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

442007316-DISCHARGE-SUMMARY

Uploaded by

Copyright:

Available Formats

DISCHARGE SUMMARY

NAME OF THE PATIENT: Mr. Nageswararao Baratam

B,P. 80/50 mm/hg

COMPLETE BLOOD CELL COUNT:

RBC count- 3.9 million / cumm Alk phosphatise-79 HdI cholesterol-32

LIVER FUNCTION TEST

T.EM ESET: (1-0-1)

5YP.LUPIZ1ME PLUS: 10ml

5YP.SUCRAFIL PLUS: 5ml

When and how to obtain urgent care :

Report in case of pain, bleeding and or other emergencies.

Summary Prepared By: Dr. Anand

Name & Relationship:

Bill No: SH00012/102/24 Bill Date: 27/06/2024

NAME OF THE PATIENT: Mr. Nageswararao Baratam

Code Billing Heads Rate Quantity Amount in Rs.

Grand Total 85030

Bill. No: SSH/000123/072019 Bill Date : 21/07/2019

Patient Name : Mr. SONAIMUTHU Age / Sex: 71 Yrs / Male

(Rupees Two Thousand Seven Hundred And Eighty Rupees Only)

For Sangeetha Hospitals

Paid Date: 21/07/2019 Payment Mode: Cash

Billed By : Kavitha 21/07/2019 12:32:56 PM

Sangeetha Super Speciality Hospitals

You might also like

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.