Htar-Rekod Kemoterapi Colon

HTAR-DAYCARE -003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Norhijah Bt Hashim N0 Kad Pengenalan: 550729-02- 5648 Diagnosis : Ca Colon Plan Rawatan Di Lakukan Oleh:Dr Lau Fen Nee Regime Dan Cycle : I/V FOLINIC ACID 20MG/M2 D1-D5 I/V 5FU 375MG D1-D5 CYCLE 4 WEEKS FOR 6TH CYCLES 2 CYCLE CONCURENT WITH WEEK 1 & 5 OF RT N0. Telefon : 017-3009550 Alamat : No 15,Jalan Alam Suria 16/10 Bandar Puncak Alam Kuala Selangor
Cycle
Investigation FBC CEA

TWC- 5.74 PLT -206 HB-12.3
Kemo diberi Ya Tidak
Alasan Jika tidak

5/10/09
Tarikh Kemo
6/10/09 7/10/09 8/10/09 9/10/09
Rawatan lanjutan
KEMOTHERAPI 2ND CYCLE
Komen
Tandatangan dan cop
1 2
TWC- 3.81 PLT -159 HB-12
29.12.09
30.12.09
1.1.10
2.1.10
3.1.10
KEMOTHERAPI 3RD CYCLE
WAD 3A
3 4 5 6
TWC- 3.47 PLT -157 HB-12.3
25.1.10
26.1.10
27.1.10
28.1.10
29.1.10
KEMOTHERAPI 4TH CYCLE
TWC- 4.17 PLT -165 HB-12
23.2.10
24.2.10
25.2.10
26.2.10
27.2.10
TWC- 3.2 PLT -162 HB-12.3
22.3.10
23.3.10
24.3.10
25.3.10
26.3.10
DAYCARE
TWC- 8.9 PLT -161 HB-10.2 TWC- 6.4 PLT -167 HB-10.4
3.5.10 18.5.10
CANCELLED PT NOT WELL 19.5.10 20.5.10 21.5.10 22.5.10 (3A)
POST PONE 19.5.2010
TCA SOPD 30.6.2010
Dokumen diterima pada . 1.4. 2010 dan dari : Wad 3A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : Klinik SOPD.pada Oleh: .. Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film HPE Report Operation finding Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Ong Siau Beng N0 Kad Pengenalan:660724-10-5355 Diagnosis : Ca Stomach Plan Rawatan Di Lakukan Oleh:Dr Chan Wee Han Regime Dan Cycle : C1 Mayo regime C2 &C3 Concurent with RT (5FU 300MG/M2 D1-D5 during RT) C4-C5 Mayo regime N0. Telefon : 019-2818368 Alamat : No 29 Lorong Delima 14 a/USB Bandar Park Lands
Cycle
Investigation FBC LAIN2

TWC- 7.36 PLT -295 HB-13.5
Alasan Jika tidak

21.12.09
Tarikh Kemo
22.12.09 23.12.09 4A 24.12.09 25.12.09
Rawatan lanjutan
Komen
NIL
Tandatangan dan cop
1 2 3 4 5 6
TWC- 6.39 PLT -262 HB-13.7
18.1.10
19.1.10
20.1.10
21.1.10
22.1.10
NIL
TWC- 6.23 PLT -246 HB-13.7
17.2.10
18.2.10
19.2.10
20.2.10
21.2.10
NIL
TWC- 3.4 PLT -172 HB-12.3
22.3.10
23.3.10
24.3.10
25.3.10
26.3.10
NIL
TWC- 5.2 PLT -215 HB-13.2
26.4.10
27.4.10
28.4.10
29.4.10
30.4.10
TCA 2/52SOPD 17.5.2010
NIL
Dokumen diterima pada17 .3.2010 dan dari : Wad 4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : Klinik SOPD.pada 4.5.2010 Oleh: SN Nazipah bt Said Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film HPE Report Operation finding Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME
HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Low pong Ket N0 Kad Pengenalan: 460625-09-5001 N0. Telefon : 0126811664 Alamat : Lot 435 Jln Songket Tmn Maznah Kg Jawa 41200 Klang Diagnosis : Ca Colon Stage 1V Plan Rawatan Di Lakukan Oleh:Dr Lau Fen Nee Regime Dan Cycle : Mayo regime x cycles 6
Cycle
Alasan Jika tidak
Tarikh Kemo
D1
11/3
D2
12//3
D3
13/3
D4
14/3
D5
15/3
Rawatan lanjutan
Komen
NIL
Tandatangan dan cop
1 2 3 4 5 6
5/4 10/5 7/6
6/4 11/5 8/6
7/4 12/5 9/6
8/4 13/5 10/6
9/4 14/5 11/6
NIL NIL NIL
12/7 T/O 4A
PT MENINGGAL DUNIA 17.7.2010
Di wad 4A
Dokumen diterima pada 24 .3.2010 dan dari : Wad 4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : Wad 4A .pada 14.7.2010 Oleh: SN Saleha Bt Hashim Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film
HPE Report Operation finding
Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG.
Nama:Chong Kon Foo N0 Kad Pengenalan: 400718-01-5029 N0. Telefon : 012-6793128 Alamat : Lot 9879 Jln Sellatharn Batu 4 Kg Jawa Klang Diagnosis : Ca Sigmoid Colon Plan Rawatan Di Lakukan Oleh:Dr Norshidah Bt Abdullah Regime Dan Cycle: 6 cycles of mayo
Cycle

TWC- 7.53 PLT -261 HB-13.2
Alasan Jika tidak

15/3/10
Tarikh Kemo
16/3/10 17/3/10 18/3/10 19/3/10
Rawatan lanjutan
Komen
NIL
Tandatangan dan cop
1 2 3 4 5 6
TWC- 13.4 PLT -205 HB-15.04
12/4/10
13/4/10
14/4/10
15/4/10
16/4/10
NIL
TWC- 6.6 PLT -297 HB-12.5
10/5/10
11/5/10
12/5/10
13/5/10
14/5/10
NIL
TWC- 6.46 PLT -264 HB-13.3
7/6/10
8/6/10
9/6/10
10/6/10
11/6/10
NIL
TWC- 5.0 PLT -326 HB-12.5
5/7/10
6/7/10
7/7/10
8/7/10
9/7/10
NIL
TWC- 17.7 PLT -253 HB-12.5
2/8/10
3/8/10
4/8/10
9/8/10
10/8/10
TCA SOPD 15/9/2010
NIL
Dokumen diterima pada 24.3.2010 dan dari : Wad 4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : Klinik SOPD.pada 14.8.2010 Oleh: SN NORLIAH BT NORDIN Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film HPE Report Operation finding Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Chong Kong Wah N0 Kad Pengenalan:450626-08-5295 N0. Telefon : 012-2525965
Alamat : No 36 Jalan Hulubalang 30 Taman Sentosa Klang Diagnosis : Ca Sigmoid Plan Rawatan Di Lakukan Oleh:Dr Norshidah Bt Abdullah Regime Dan Cycle : 6 Cycles of Mayo Regime
Cycle

TWC-5.73 PLT -217 HB-13.8
Alasan Jika tidak
Tarikh Kemo
D1
22/2/10
D2
23/2/10
D3
24/10/10
D4
25/10/10
D5
26/10/10
Rawatan lanjutan
Komen
NIL
Tandatangan dan cop
1 2 3 4 5 6
TWC- 7.3 PLT -175 HB-13.8
29/3/10
30/3/10
31/3/10
1/4/10
2/4/10
NIL
TWC-7.4 PLT -198 HB-12.2
26/4/10
27/4/10
28/4/10
29/4/10
30/4/10
NIL
TWC- 7.1 PLT -231 HB-12.3
24/5/10
25/5/10
26/5/10
27/5/10
28/5/10
NIL
TWC- 4.6 PLT -192 HB-13.2
28/6/10
29/6/10
30/6/10
1/7/10
2/7/10
NIL
TWC- 4.8 PLT -198 HB-13.8
26/7/10
27/7/10
28/7/10
29/7/10
30/7/10
TCA SOPD 27/10/10
NIL
Dokumen diterima pada .2010 dan dari : 1.4.2010 Wad 4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : Klinik SOPD.pada 3.8.2010 Oleh: SN KANTHIMATHI Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film
HPE Report Operation finding
Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Chew Tir Lirn N0 Kad Pengenalan: 330528-10-5145 N0. Telefon : 012-6025411 Alamat : 2 Jln Gambus 12 Kawasan 3 Taman Desawan Klang Diagnosis : Ca Sigmoid Colon Plan Rawatan Di Lakukan Oleh: Regime Dan Cycle
Cycle

TWC- 5.06 PLT - 240 HB- 12.5
Alasan Jika tidak
Tarikh Kemo
D1
8/10/09
D2
9/10/09
D3
10/9/09
D4
11/9/09
D5
12/9/09
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2 3 4 5 6
TWC- 7.08 PLT -244 HB-11
16/11/09
17/11/09
18/11/09
19/11/09
20/11/09
WAD 4A
TWC- 5.16 PLT -259 HB-11.3 14/12/09 15/12/09 16/12/09 17/12/09 18/12/09
TWC- 5.34 PLT -238 HB-13.1
18/5/10
19/5/10 4A
20/5/10
21/5/10 DC
22/5/10 4A
TWC- 11.7 PLT - 191 HB- 11.7
16/6/10
17/6/10
18/6/10
19/6/10
20/6/2010
WAD 4A
TWC- 5.78 PLT - 180 HB-11.9 17/7/10 18/7/10 19/7/10 20/7/10 21/7/10
TCA SOPD 13.8.2010
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : WAD 4A pada 15.7.2010 Oleh: SN Kanthimathi Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film HPE Report Operation finding Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Tan Eng Bee N0 Kad Pengenalan: 490227-10-5451 Diagnosis : Ca Sigmoid Colon Plan Rawatan Di Lakukan Oleh: Mr Yusof / Mr Maran Regime Dan Cycle : 6 cycle Mayo regime N0. Telefon : 016-2606880 Alamat : 25 Lorong Berai Off Jalan Kim Chuan Pandamaran
Cycle

TWCPLT HBTWC-7.27 PLT -360 HB-11 TWC- 5.89 PLT -340 HB-12.7
Alasan Jika tidak
Tarikh Kemo
D1
12/11/09 19/5/10 16/6/10
D2
13/11/09 20/5/10 16/6/10
D3
13/11/10 21/5/10 17/6/10
D4
14/11/09 22/5/10 18/6/10
D5
15/11/09 23/5/10 19/6/10
Rawatan lanjutan
START AGAIN CHEMO 1ST CYCLE
Komen
TREATMENT PT HAVING FISTULA
Tandatangan dan cop
SR.CRET-86 BIL-13.7 SR.CRET-108 BIL-9.5
1 2 3 4 5 6
KEMOTHERAPI 2ND CYCLE KEMOTHERAPI 3RD CYCLE
WAD 4A
TWC- 4.4 PLT -135 HB-12.6
SR.CRET-97 BIL-17.9
12/7/10
13/7/10
14/7/10
15/7/10
16/7/10
TWC- 6.5 PLT -356 HB-13.1
9/8/10
10/8/10
11/8/10
12/8/10
13/8/10
TWCPLT HB-
SR.CRET-115 BIL-13.7
6/9/10
7/9/10
8/8/10
9/8/10
10/8/10
TWC-4.83 PLT -297 HB-13
SR.CRET-115 SODIUM-141 UREA- 4.4 POT-4.4 CHLORIDE-104
4/10/10
5/10/10
6/10/10
7/10/10
8/10/10
TCA SOPD 11/10/2010
Dokumen diterima pada .2010 dan dari : 23/7/210 Wad .4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : Klinik SOPD.pada 14.10.2010 Oleh: SN NAZIPAH BT SAID Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film HPE Report Operation finding Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Zabalizam Bin Mohd Shariff N0 Kad Pengenalan:580529-10-6097 Alamat :Sek 28 Shah Alam Selangor Diagnosis : Ca Rectum Plan Rawatan Di Lakukan Oleh:DR Aminuddin Bin Abd Rahman Regime Dan Cycle : Concurent RT : IV 5FU 325MG/M2 : IV Folinic Acid 20mg/m2 D1-D5 Week 1+5 RT & Post RT :IV 5FU 425MG/M2 :IV Folinic Acid 20mg/m2 D1-D5 Every 4/52 x 4 cycle N0. Telefon : 012-2179796 /012-3713856
:Cont F/up with regular CEA /annual colonoscopy. * CEA Pre & Post Chemo
Cycle

TWC- 10.71 PLT -627 HB-11.2 SR.CRET- 84 BIL- 9.6
Alasan Jika tidak
Tarikh Kemo
D1
14/6/10
D2
15/6/10
D3
16/6/10
D4
17/6/10
D5
18/6/10
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2 3 4 5 6
WAD 4A
TWC- 6.31 PLT -330 HB-13.9 SR.CRET-97 BIL- 9.1
17/7/10
18/7/10
19/7/10
20/7/10
21/7/10
TWC- 3.5 PLT -335 HB-14.1
SR.CRET-114 BIL- 7.1
16/8/10
17/8/10
18/8/10
19/8/10
20/8/10
TWC- 4.6 PLT -360 HB-14.1
SR.CRET-103 BIL-7.2
13/9/10
14/9/10
15/9/10
16/9/10
17/9/10
Insertion chemoport 7/10/2010
TWCPLT HB-
SR.CRET-104 BIL-10.5
18/10/10
19/10/10
20/10/10
21/10/10
22/10/10
TWCPLT HB-
15/11/10
TCA SOPD
HPE Report
3/9/2010
SELEPAS TAMAT RAWATAN Dokumen-dokumen berikut dikembalikan kepada : Klinik SOPD.pada Oleh: Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film HPE Report Operation finding Lain-lain :.
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Masita Binti Ibrahim N0 Kad Pengenalan: 630112-10-7432 N0. Telefon : Alamat : Masjid Batu 3 Jln Kapar 41400 Klang Diagnosis : Ca Colon Plan Rawatan Di Lakukan Oleh: Regime Dan Cycle
Cycle
Alasan Jika tidak
Tarikh Kemo
D1
D2
D3
D4
D5
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2 3 4 5 6
Chemo do in Ward 3A
Contact husband patient for Take blood on 23/8/2010 Husband patient said pt Died on 13/8/2010
Dokumen diterima pada .2010 dan dari : Wad . Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Mohamad Salim Bt Bajuri N0 Kad Pengenalan: 391204-10-5471 N0. Telefon : 03-33921649 / 012-6561096 Alamat : Lot 3682 Jalan Nanas off Jln Kopi Persiaran Hamzah Alang 42200 Kapar Diagnosis : Ca Rectum Plan Rawatan Di Lakukan Oleh: DR Aminuddin Rahman Regime Dan Cycle : IV 5FU 375MG/M2 IV Folinic Acid 20mg/m2 D1 D5 Every 4/52 x 6 cycles
Cycle

WBC-7.7 PLT-289 HB-15.8 UREA-5.0 SOD-137 POT-4.6 CHLO-102 CREAT-87 UREA-4.3 SOD-139 POT-4.0 CHLO-105 CREAT-101 UREA-4.2 SOD-140 POT-4.5 CREAT-89 UREA-3.9 SOD-140 POT-4.0 CREAT-109
Alasan Jika tidak
Tarikh Kemo
D1
26/7/10
D2
27/7/10
D3
28/7/10
D4
29/7/10
D5
30/7/10
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2 3 4 5 6
WAD 4A 23/8/10 24/8/10 25/8/10 26/8/10 27/8/10 KEMOTHERAPI 3RD CYCLE
WBC -20.5 PLT-196 Hb-14.4 CEA-3.1 WBC -3.26 PLT-218 Hb-13.7 CEA-3.9 WBC -3.08 PLT-201 Hb13.8 CEA--
20/9/10
21/9/10
22/9/10
23/9/10
24/9/10
18/10/10
19/10/10
20/10/10
21/10/10
22/10/10
15/11/10
Dokumen diterima pada 16.8.2010 dan dari : Wad 4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Lim Kim Huat N0 Kad Pengenalan: 480406-10-5423 N0. Telefon : 03-33412562 Alamat : No 12 Jln Muda Off Jln Meru 41050 Klang Diagnosis : Ca Sigmoid Colon Plan Rawatan Di Lakukan Oleh:DR Lau Fen Nee Regime Dan Cycle : Mayo Chemo for 6 cycles
Cycle

WBC-5.37 PLT-199 Hb-11.0
Alasan Jika tidak
Tarikh Kemo
D1
3/8/10
D2
4/8/10
D3
5/8/10
D4
6/8/10
D5
7/8/10
Rawatan lanjutan
Komen
Tandatangan dan cop
UREA- 4.0 SOD- 139 POT-3.7 CHLO- 106 CREAT-59 UREA-3.7 SOD-141 CREAT-55
1 2 3 4 5
WBC-3.3 PLT-142 HB-11.6
30/8/10
31/8/10
1/9/10
2/9/10
3/9/10
WBC-3.7 PLT-151 HB-14.1 CEA-3.1 WBC-3.27 PLT-124 HB- 14.6 CEA-
27/9/10
28/9/10
29/9/10
30/9/10
1/10/10
UREASODCREAT-
25/10/10
26/10/10
27/10/10
28/10/10
29/10/10
NEU-0.79 GIVEN SC NEUPOGEN GIVEN NEU 6.11
TCA SOPD
6
Dokumen diterima pada 16 .8.2010 dan dari : Wad .4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :. HPE Report
3/9/2010
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Perianan A/L Sinnapan N0 Kad Pengenalan: 430511-10-5147 Diagnosis : Ca Colon Plan Rawatan Di Lakukan Oleh:DR Azura Bt Daniel Regime Dan Cycle : IV 5FU 425MG/M2 D1 D5 IV Folinic acid 20mg/m2 D1 D5 Recycle 4/52 x 6 cycles monitor CEA Level N0. Telefon : 013-3449612 /012 2578219 Alamat : No 39 Jln Bunga Bandar Botanic 41200 Klang Selangor
Cycle

Wbc-6.08 Plt-306 Hb-10.7
Alasan Jika tidak
Tarikh Kemo
D1
31/8/10
D2
1/9/10
D3
2/9/10
D4
3/9/10
D5
4/9/10
Rawatan lanjutan
KEMOTHERAPI 2nd CYCLE
Komen
Tandatangan dan cop
UREA-4.0 SOD 140 CHLO -105 CREAT-81
1
2
Wbc-7.43 Plt-248 Hb-12.1 CEA-6.3
4/10/10
5/10/10
6/10/10
7/10/10
8/10/10
KEMOTHERAPI 3rd CYCLE
1/11/10
2/11/10
3/11/10
4/11/10
5/11/10
3 4 5 6
Dokumen diterima pada 27.9.2010 dan dari Wad 4A Colon Card Referral letter from Oncology Chemotherapy regime CT Scan Report & Film Ultrasound report CXR Film Operation finding Lain-lain :.
HPE Report
3/9/2010
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG.

Nama:Umayal A/P Loganathan N0 Kad Pengenalan: 550828-10-5838 Diagnosis : Ca Rectum Plan Rawatan Di Lakukan Oleh:Dr Azura Bt Denial Regime Dan Cycle : Adjuvant CCRT IV Folinic Acid 20mg/m2 D1-D5 IV 5FU 300MG/M2 D1-D5 4/52 post CCRT to cont with another 4 cycle chemo IV Folinic acid 20mg/m2 D1 D5 IV 5FU 425MG/M2 D1 D5 During week 1 & week 5 of week N0. Telefon : 016-3836361 Alamat : 25 Lorong Hijau Kg Arang Pamaran 42000 Pelabuhan Klang
Cycle

Wbc-13.25 Plt-385 Hb-10.6
Alasan Jika tidak
Tarikh Kemo
D1
24.5.10
D2
25.5.10
D3
26.5.10
D4
27.5.10
D5
28.5.10
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2 3 4 5 6
WbcPltHb-
21.6.10
22.6.10
23.6.10
24.6.10
25.6.10
Wbc-6.71 Plt-324 Hb-115
22.7.10
23.7.10
24.7.10
25.7.10
26.7.10
WAD 3A
Wbc-6.77 Plt-286 Hb-10.9
20.8.10
21.8.10
22.8.10
23.8.10
24.8.10
Wbc-7.2 Plt-327 Hb-11.2
20.9.10
21.9.10
22.9.10
23.9.10
24.9.10
Wbc- 11.3 Plt- 350 Hb-11.3
18.10.10 20.10.10
HAVING 21.10.10
DIARHOE 22.10.10
POST PONE 23.10.10
20/10/10 24.10.10
TCA SOPD 24.11.2010
HPE Report
3/9/2010
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Gunasegaran A/L Subramaniam N0 Kad Pengenalan: 630302-07-5435 Diagnosis : Ca Ampula Plan Rawatan Di Lakukan Oleh:Dr Natasya Mohd Hashim(Pegawai perubatan HKL) Regime Dan Cycle : IV Folinic Acid 20mg/m2 D1-D5 IV 5FU 425MG/M2 D1-D5 Every 28 days for 6 cycles * Kindly take CA 19.9 & Repeat CT Scan after cycle 3 to assess response N0. Telefon : 016-6001079 Alamat : No 20 Lrg pudding 18 Bandar Puteri 41200 Klang
Cycle

WBC-12.35 PLT-357 Hb-13.2
Alasan Jika tidak
Tarikh Kemo
D1
20/9/10
D2
21/9/10
D3
22/9/10
D4
23/9/10
D5
24/9/10
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2 3 4 5 6
WBC6.21 PLT-275 Hb-11.9
18/10/10
19/10/10
20/10/10
25/10/10
26/10/10
D4 POSTPONE MONDAY PT C/O DIARHOE
HPE Report
3/9/2010
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Munian A/L Subramaniam N0 Kad Pengenalan: 500814-10-5145 Diagnosis : Ca Colon Plan Rawatan Di Lakukan Oleh:Dr Aminuddin Rahman Bin Mohd Mydin(Pakar HKL) Regime Dan Cycle : IV Folinic Acid 20mg/m2 D1-D5 IV 5FU 300MG/M2 D1-D5 week 1 + 5 RT Post RT IV 5FU 400MG/M2 & IV Folinic Acid 20mg/m2 D1-D5 every 4/52 x 4 cycles CEA Pre & post Chemo N0. Telefon : 016-2317329 Alamat : No 203 Tingkat 2 Blok 47 Seksyen 7 Shah Alam
Cycle

WBC-6.42 PLT- 169 Hb-12.7
Alasan Jika tidak
Tarikh Kemo
D1
17/8/10
D2
18/8/10
D3
19/8/10
D4
20/8//10
D5
21/8/10
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2 3 4 5 6
WAD 4A
WBC-4.7 PLT- 219 Hb-12.1 19/9/10 20/9/10 21/9/10 22/9/10 23/9/10 KEMOTHERAPI 3rd CYCLE
WBCPLTHb-
HPE Report
3/9/2010
HTAR-DAYCARE-003
REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG. Nama:Mariamah A/P Marianathan N0 Kad Pengenalan: 491029-10-5228 Diagnosis : Rectosigmoid Ca Plan Rawatan Di Lakukan Oleh:Dr Hjh Zabedah Bt Hj Othman (Pakar HKL) Regime Dan Cycle : IV Folinic Acid 20mg/m2 D1-D5 IV 5FU 350MG/M2 D1-D5 Recycle 4/52 x 6 cycle N0. Telefon : 016-6796674 Alamat : 14,Lorong Sg 10B Off Jalan Tepi Sungai 41100 Klang
Cycle

WBC-4.11 PLT- 269 Hb-10.9
Alasan Jika tidak
Tarikh Kemo
D1
21.9.10
D2
22.9.10
D3
23.9.10
D4
24.9.10
D5
25.9.10
Rawatan lanjutan
Komen
Tandatangan dan cop
1 2
WBC-3.12 PLT- 359 Hb-7.9
25.10.10
26.10.10
27.10.10
28.10.10
29.10.10
WAD 3A Hb -7.9 Transfused blood & kemo in wad.
3 4 5 6
WBCPLTHb-
HPE Report
3/9/2010

Htar-Rekod Kemoterapi Colon

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Htar-Rekod Kemoterapi Colon

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HTAR-DAYCARE -003

Investigation FBC CEA

Kemo diberi Ya Tidak

Alasan Jika tidak

Tandatangan dan cop

TWC- 3.81 PLT -159 HB-12

KEMOTHERAPI 3RD CYCLE

TWC- 3.47 PLT -157 HB-12.3

KEMOTHERAPI 4TH CYCLE

TWC- 4.17 PLT -165 HB-12

KEMOTHERAPI 5TH CYCLE

TWC- 3.2 PLT -162 HB-12.3

KEMOTHERAPI 6TH CYCLE

CANCELLED PT NOT WELL 19.5.10 20.5.10 21.5.10 22.5.10 (3A)

POST PONE 19.5.2010

TCA SOPD 30.6.2010

Investigation FBC LAIN2

Kemo diberi Ya Tidak

Alasan Jika tidak

Tandatangan dan cop

TWC- 6.39 PLT -262 HB-13.7

KEMOTHERAPI 3RD CYCLE

TWC- 6.23 PLT -246 HB-13.7

KEMOTHERAPI 4TH CYCLE

TWC- 3.4 PLT -172 HB-12.3

KEMOTHERAPI 5TH CYCLE

TWC- 5.2 PLT -215 HB-13.2

TCA 2/52SOPD 17.5.2010

REKOD KEMOTERAPI MAYO REGIME

Investigation FBC LAIN2

Kemo diberi Ya Tidak

Alasan Jika tidak

Tandatangan dan cop

5/4 10/5 7/6

6/4 11/5 8/6

7/4 12/5 9/6

8/4 13/5 10/6

9/4 14/5 11/6

NIL NIL NIL

PT MENINGGAL DUNIA 17.7.2010

HPE Report Operation finding

REKOD KEMOTERAPI MAYO REGIME HOSPITAL TENGKU AMPUAN RAHIMAH, KLANG.

Investigation FBC LAIN2

Kemo diberi Ya Tidak

Alasan Jika tidak

Tandatangan dan cop

TWC- 13.4 PLT -205 HB-15.04

KEMOTHERAPI 3RD CYCLE

TWC- 6.6 PLT -297 HB-12.5

KEMOTHERAPI 4TH CYCLE

TWC- 6.46 PLT -264 HB-13.3

KEMOTHERAPI 5TH CYCLE

TWC- 5.0 PLT -326 HB-12.5

KEMOTHERAPI 6TH CYCLE

TWC- 17.7 PLT -253 HB-12.5

TCA SOPD 15/9/2010

Investigation FBC LAIN2

Kemo diberi Ya Tidak

Alasan Jika tidak

Tandatangan dan cop

TWC- 7.3 PLT -175 HB-13.8

KEMOTHERAPI 3RD CYCLE