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260802B128 · Jeyarani
Edited 17 Aug 2026, 17:14 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
kallur
✎ Edited
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
Present
Notes
Diabetes
?
history of DM past 6 years. she taken medicine
Hypertension
?
Asthma
?
Heart Disease
?
Thyroid Disorders
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Others
?
Previous Surgeries
Permanent FB before 32years
Allergies
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Smoking History
Alcohol Use
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Family History
?
family history of Diabetes & HT
Screening Vitals
Height
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Weight
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Blood Pressure (BP)
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SPO2
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Pulse
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Temperature
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Screening Tests
Test
Done
Result
Cbg
497
Hba1C
Haemoglobin
Thyroid
Ecg
Xray
Bmd
Biothesiometry
Purpose of Visit / Department Needed
General Medicine
General Surgery
OrthoPaedics
Dermatology
Dental
Physiotherapy
ENT
OBG
Pediatrics
Oncology
Others
Ophthalmology
Diabetology
Cardiology
Neurology
Psychiatry
Urology
Nephrology
Gastroenterology
Pulmonology
Doctor's Consultation
Chief Complaints (C/O)
c/o sholder pain hip pain, leg & footpain, sleep distrubance.
✎ Edited
Diagnosis
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ICD codes
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Treatment Advice
Prescription Advice
Newrobien 10D Ranleo'BD. o-culaim.Bdays
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Referral: to Dr.
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Referral Department
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