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260802J002 · M. Muthukaoppan
Edited 18 Aug 2026, 17:41 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
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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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Medical History
Condition
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Diabetes
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Hypertension
past 20 years, he is under medication
Asthma
Heart Disease
Thyroid Disorders
Others
Previous Surgeries
He under went Bypass surgery 12 years ago
Allergies
Smoking History
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Family History
Screening Vitals
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Blood Pressure (BP)
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SPO2
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Temperature
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Screening Tests
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Cbg
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Hba1C
Haemoglobin
Thyroid
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Xray
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Purpose of Visit / Department Needed
General Medicine
General Surgery
OrthoPaedics
Dermatology
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Physiotherapy
ENT
OBG
Pediatrics
Oncology
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Ophthalmology
Diabetology
Cardiology
Neurology
Psychiatry
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Nephrology
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Pulmonology
Doctor's Consultation
Chief Complaints (C/O)
hearing loss
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Diagnosis
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ICD codes
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Treatment Advice
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