Request for Admission

Ward & Bed	Pre-Operative - IUPO-1 - Bed no: 1
Admitted Under	Dr.Sumit Singh

Type of Admission:	First Time
Reason for Admission :	Emergency

Referral By:	SANTUSHTI HOSPITAL PVT LTD
Patient Identification Band tied:	Yes
Patient Rights & Responsibilities explained:	Yes

Created & Updated

By :Amit Kumar

At : 2024-08-23 06:24:18

 

Covid 19 Checklist

Do you have symptoms such as fever, cough, sneezing, sore throat, fatigue, sense of smell, changes in taste, and body aches?:	Yes
Do you have difficulty of breathing?:	Yes
Have you travelled outside the country in the last 30 days?:	Yes
Have you traveled to other cities in India in 15 days?:	Yes
Were you a Covid-19 positive patient in the last two weeks? or suspect in a case of covid-19 ?:	Yes
Have you visited a health care facility in the past two weeks?:	No

Created & Updated

By :Amit Kumar

At : September 19, 2024 / 11:19:08 AM

MLC

MLC No :	65858

Created & Updated

By :Amit Kumar

At : 2024-08-23 06:24:18

 

Admission Consent

Prescription

Type of Admission::	First Time
Reason for Admission :	Emergency

Vitals

SPo2(%)	RBS(mg/dl)	Temp(C*)	Pulse(Min)	BP(mmHg)

BMI Result

24000

Investigation

Date Time	Investigation	Result	Evidence (Upload)

Rx

Drug & Dose	Route	Note	Frequency	Duration