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260802A051 · Jayalakshmi
Edited 10 Aug 2026, 14:14 IST
form 448 of 1542 · 1542 reviewed, 0 left
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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
Karaikudi
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Register Number / UHID
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Age
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Blood Group
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Medical History
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Diabetes
Hypertension
Since (1 month),she is taking medicine
Asthma
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Thyroid Disorders
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Screening Vitals
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Cbg
105
Hba1C
Haemoglobin
13.4
Thyroid
Ecg
Xray
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General Medicine
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Doctor's Consultation
Chief Complaints (C/O)
Routine Check Up
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Diagnosis
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ICD codes
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Treatment Advice
Prescription Advice
Tab. Acelco BD 3days. T. PAN BD 3days. T.Zimcovit OD - 3days: Ortho gel
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Referral: to Dr.
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