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260802D094 · Jeesha T.
Edited 10 Aug 2026, 14:43 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
No 7/1,vaniyankudi kovil street,karaikudi- 630001
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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
She having DM for past 10 years.she is under
Hypertension
She having HTN for past 10 years take medicine
Asthma
Heart Disease
Thyroid Disorders
Others
Previous Surgeries
she underwent angioplasty
Allergies
Smoking History
Alcohol Use
Family History
Screening Vitals
Height
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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
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Result
Cbg
132
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
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Doctor's Consultation
Chief Complaints (C/O)
Giddiness
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Diagnosis
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ICD codes
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Treatment Advice
Prescription Advice
Tab.pan BD 3days
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Referral: to Dr.
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