Afmsf 11

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IN LIEU OF AFMSF 11

BASE HOSPITAL DELHI CANTT DISCHARGE SLIP


HID 2113118257822 ARMY (ECHS) DOA 10/10/2011 WARD MED II A&D XR/000836/10/11 DOD 12/10/2011

NO. 1192578N NAME PAL SINGH INJURY REPORT INITIATED N/A DISPOSAL WALKING

RANK EX NK ARMS/CORPS N/A YRS OF SERVICE 18 YRS DISPOSAL AS DTH

RELATION SELF STATION N/A

SEX MALE R/O ARTY

AGE 78 FORMATION N/A MED BOARD DUE ON N/A

MED BOARD HELD ON N/A DISCHARGE IN CATEGORY N/A

DIAGNOSIS ACUTE GASTRITIS

ICD NO

BRIEF CASE SUMMARY 78 YRS OLD ESM ADMITTED WITH HISTORY OF UPPER ABDOMINAL PAIN. NO H/O FEVER, LOOSE STOOLS. NAUSEA AND VOMITING PRESENT. MANAGED CONSERVATIVELY. INV WNL

INSTRUCTION TO PATIENT 1. DTH

ADVICE 1. TAB PANTOCID 40 MG BD X 15 DAYS 2. TAB DOMSTAL 10 MG BD X 15 DAYS 3. NOT TO CONSUME ALCOHOL 4. REVIEW AT GE OPD

DATE: COUNTERSIGNATURE

SIGNATURE OF MOIC

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