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260802F162 · Aishwarya-M
Edited 11 Aug 2026, 15:04 IST
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Patient Information
Full Name
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Gender
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Marital Status
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Mobile Number
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Address
42 Nesavalar St. Karaikudi
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Register Number / UHID
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Age
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Father / Spouse Name
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Blood Group
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Aadhar Number
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Insurance Name/No
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Medical History
Condition
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Diabetes
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Hypertension
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Asthma
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Heart Disease
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Thyroid Disorders
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Others
Chest pain
Previous Surgeries
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Lscs before 10 years
Allergies
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Smoking History
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Family History
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Screening Vitals
Height
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Weight
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SPO2
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Pulse
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Temperature
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Screening Tests
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Result
Cbg
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142
Hba1C
Haemoglobin
Thyroid
Ecg
Xray
Bmd
Biothesiometry
Purpose of Visit / Department Needed
General Medicine
General Surgery
OrthoPaedics
Dermatology
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ENT
OBG
Pediatrics
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Ophthalmology
Diabetology
Cardiology
Neurology
Psychiatry
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Nephrology
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Doctor's Consultation
Chief Complaints (C/O)
Chest Pain (Left side),rashes on face
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Diagnosis
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ICD codes
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Treatment Advice
Prescription Advice
pregarolem neurohiun T.Calcium OD
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Referral: to Dr.
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Referral Department
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