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® NahAVANA HRUDAYALSY 22 Jan 2021- MN 1002001036341 - MD. Gopal Rao, 62. M Prescription - Medications (page 1 of 2) MERCI Uniess storpen py Continue the course FORDIABETES MELLITUS INSULATARD VIAL 4OIU/ML(TOML) INSULIN AUIMLITOM: 2, 6-000 HUMAN ACTRAPID 4O1U/ML(TOML) NSULIN 40h MUNOWLI Microfine BD Pen Needles 316 (30 Nos.) Alcohel Swabs (30 Nos.) TRAJENTADUO2.5/1000MG IN METFORMIN 2 5/1000M6 REMOZEN 100 the doctor or specitied differently in today’s preser 8 of existing medications as prescribed by your docter. Narayana Health Pace ve ‘tested by Or Subramanian Kannan ription, please 0 © evesvosy £2 Dore Food 30 Mins UsitNen vise seen STRUCTION Inect nsun dose subcutaneously 30 minutes belo Beakas ard ‘0 minutes belore Diner 8 0 4 0 term ® Bere Food 20 Mine Unt Next isn SFM NeTRUCTIONS rect Insulin dose subcutaneously 30 mines cea Breakfast, 30 ‘minutes beore Lunch and 30 mutes baer Onner 10 1 0 Retox Untanert ist LBD Aner Food 0 1 0 0 erro UnttNext vit 2 Lb eo Aer Food er au Se) METOPROLOL (ER) SOMG MeToedOLor (ER) SOMG 6. vHsie)-TELMAH 40MG+12.5MG 7, ot TELMA 40MG sant Madea tole oe an Ald 8, sane -DRISE 6000010 CHOLACALCIFEROL 6000010 snare bw Shaw ciCee RH Hot ata se Hom Road gas 7e5 2088 paaeeia MISARTAN, 40MG + HYDROCHLOROTHIAZIDE. 12.5MG 10 1 O evearo8y UniiNex Vist eu 2 Ate Food 10 0 0 evenvany ‘Unt Nox Visit pot ‘8 Alter Food 0 0 1 ever nti Now Visi ‘ 19 alter Food DRECTENSOFUSHGE — ONCEAWAR MoT! Unt Next Vat ual contents las of Mk or Batter rom sorONTMENTS Ne «818071222 wcos0aN 20008 WME Sa(T0AM APA) j A BR Sve areanan KANNAN i oe. RA Nexeyana Health ‘RN 1002000103634 - M0 Gopal en, 62, Prescription - Medications (page 2 of 2) 3 ‘created by Dr Sub MECONERV PLUS 750MCG+1.5MG+3MG © 0 1 0 evewon ‘Unt Not Vise B&B eD Akar Food Ea ROSAVEL 10/75 0 0 1 0 eveRvoar Unter Viet B Lb te ater Food yn HRUDALAALAATED ra Neca Coe teeth hy FOR APPOINTMENTS: S58), Bommarito Indust Area, Hosur Road, Bangalore 560.009) a2 | 307122 2222 Fax 0802783 2648 ob narayananeakt 0 NH 4918071222280 (10330 AM - 2.00PM) WTRF. Sa(10 AM -4 PA) be ~ ER SUBRAMANIAN KANNAN Narayana Health | \ 2021 - MN 1002001036341 - Mi. Gopal Reo, 62 ¥,M } PAGE 3/4 1 Care Plan ‘created by 23 Jan 2021 Or Subramanian Kannan | ‘BEFORE NEXT VISIT. \ stromans — | (sn eee | 2.Utine for Microalbumin to Creatinine Ratio / Dlabetieretinopathy screeningrtoiow up \ S-RFT 4 \a.unid Prete Qa nck em fant (pp 8 IN1 DAYS, JAN 2021 \ ecm ' ao EG FINE SUGARS OK e ‘BP SUBOPTIMAL \\ LUPESTHL OHANCeS No Data added \ cunsent sve SCHEDULE ee \ Problem List Snot » \ 1m HYPERLIPIDEMIR-—___~For I month - Active, Confirmed iw DIABETIGFOOT Gangrene ‘GANGRENE 1 ‘Started 13 weeks ago, Lower Leg - RIGHT - Active, Confirmed =4y2m HYPERTENSION For about 4 years 2 months - Active, Confirmed. =20y2m DIABETES MELLITUS ‘TYPE 2 DIABETES For about 20 years 2 months - Active, Confirmed |NARAYANA HRUDAYALAYA LIMITED 258) are ns reba ven oad Berl 550009 Ni 49180 71222789 (90:30 AM -2.00 PM) A, 560 - angus Ave, Ho ns 100 W.ThF, S210 AM- 4PM) Tee Fas OB07789 2648 OR susp, VAMANIAN KANNAN by rere ws HANI Haug cae Manat reese 28. 2021 -MRW 1002000036341 - 0 Gopal Rao, 62¥, pace ae 23 Jan 2021, Visit Summary © Gopal Rao is 62 of male past toy a /OPD for a NeOPD ot ato up, Please Note 'No Compisns record UPCOMING suRGERY “e/scowety nd cc phn, Dade Sdmanan ren No Surgery recorded Devices NoDevies recorded Relevant findings collected during the visit ‘VITALS 23Jan 2021 LATEST CRITICAL LABS ‘12Dec 2020 © SGPT \ALT) 19 @ Wein 82kq Haemoglobin (HK) 1150 LOL Choiesterl m Height Cl — 810ct2020 Triglycerides 198 Bui 30.488 Random Blood Sugar 320 TSH 0873 ieee Hate 86 28 Sep 2020 Sa Potassium 51 Fasting Blood Sugar £136 = . 7 = seumcrestne 086 Post Prandial loos Sugar £238 '$602-On Exerion _—— ~ corr 123 p02 Room A, At Rest po a as Utne Mcroabumin 254.2 '$p02- with Oxygen aceon PS a 692.64 Tempers HR Reguar: 82 bpm we a ep Right Arm Siting 168/86 eP2 Lett Aim Sting 158/87 @ ws AnayaNA HRUORYALIVAURATED Nocera Saw Mei Cre Hea ty te 25 Boneasincaleaal An Hone Ron Boga £60088 te on 7122 22250 CAGZ7ES 288 DR SUBRAMANIAN KANNAN Fon arrows: oe 4918071222269 M030 984-200 Pa W.THE Sa(IDAM- 4PM L A u” SILL cum receipr My Stumdar shaw Medical Centre, Bangalore-opD GF | Mazumdar Shaw | cece Medical Center fra Heath Nin vet © ona a ne 52m) Bit vo ton Peterem —_onaotoneses on aun 7 23.04.2001 11204M | Beet Ponene sents sezosean Tatas, ogo | ders, ae rtrtr —CiCizCU:sCN | ovrarma yet, Teacher lon, anda, ceseeg a anpore, Kamaal, ™ wate ce Particulars a z ty UnitRate Amounts) | ‘eration 1 ‘CONSULTATION RESTO. Subramanian Kanan ror 1 1000 000 1 —— Terk T0000 ° etal Hosp chargstorRendereSevceytems: 7000 ota Bl Amount Incudng Taxes before round: 7a0.00 SpomorPaytie: 0.00 Pater oan Pat Ponte: 000 Amount words: Rupees Sve hundred Cay \- Rect Wo. 3 ate ect mount dst Ancunt 1 pepo inon aioe? 200108 SoA 7000 7000 ema Baines Det Grostilaout: 0000 ‘Less Discount 0.00 Sowseranout: 000 | = roomie: 7n00 r BoneTorm: 0.00 * Ut Byes Jon 230820211120 ut 2(6-bke ranted fans rota 0215 @ 0 uth fuly 3ibp. SF), O wp. 1se/e0 (Same) @ | ineging| || agent mn Narayan Hataaay Ure sony 58 Bonn na vt ee e Fax: +91 80 2783 2648, info, Ln ae a | istered Otfics: 258/4, Bommasandra Industnel Awa, Me asain { capone Oho 278 Fer Bornes rs, ea ak ff PR SUE AMAMIAN KANNAN bra, sets Ni Sse : Pen 220° MN 10200015694. Gognog Prescription - Medications (page 1 of 2) MI ess STOPPED 21 i doctor or pected erent in todays rescription, please Continue the course of existing medications au preg by your doctor Sees Seas oy ‘Unter visa Bete Fou 39 Mins dose subcutaneously 30 minutes boots Braaktas: <0 | Microtine BD Pen Needles 316 (20 Nos, Alcohol Swabs (30 Nos) 2 109 INSULATARD VIAL gown tom 2 0 0 0 ermow nen © NE NSULD aot tone i Belo Food 30 Mine thn doa ‘20mnutes bear Dane 1s8\61 -REMOZEN 100 © 1 0 Oo vars LUnitnon Ate Foe 4, set GLYCOMET sR 16M anh ea is | ° © TELMAGOMG ISARTAN A014 a -TELMAH 40MG+12.5MG. METOPROLOL (ER) 50M eos h ciel saat tae RISE 600001U CHOLECALCIFEROL 60000 OF SUBPARMANAN KANNAN © evenyonr UnttNest se Unt Non vise OR SUBRAMANIAN KANNAN SAMANIAN KANNAN NH | 7 8¢€ 2020. AN 1902000103834) MO Gopan 62'¥ \4 Care Plan eFORE NEA Vs {LARS & INVESTIOATIONS TOBE DOME There are no Reteral 1 Hoate 2 Post Prandial Blood Sugar (PPBS) KFT 4 Fasting Blood Sugar (FS) 5. Urine for Microaloumin to Creatinine Ratio ae Nexr IN MONTHS, JAN 2021 Nore To pari DMBETTER LEG EDEMA SEC TO AMLONG REST BETTER sucaR TaRGETS ‘Normal: 80-180, HYPO: if sugars ess than 20, Hyper if sugars more than “80 Hate: 7.0% LUFESTYLE CHANGES No Data added ‘CURRENT SMBO SCHEDULE Not Set Problem List 70 DIABETIC FOOT Gangrene ‘GANGRENE - 1° Started 7 weeks ago. Lower Leg - RIGHT - Active, Confirmed ~4yim HYPERTENSION For about years 1 month Active, Confirmed <2oyim DIABETES MELLITUS TYPE 2 DIABETES. For about 20 years 1 month - Active, Contimed 12 Dee 2070 - MN toaz0001036321- x1 9 Gopal Rao, 62 ¥, 4 12 Dec 2020, Visit Summary MD Gonat Rao & 62 Y okt male, present "oday at the OP fora follow up No Complaints recorded “e's cuerty under the care ofa Ophthalmologst Diatetologist (Or Subtamanian Kannan Relevant findings Collected during the visit viTais 12002020 LATESTCATICALLABS ay oet 2020 544g 20 - 18éem enc a6 24.316 Haemoglobin (Hb%) 12.00 Potassium 51 pe cste Serum Creatinine 0.66 . eGFR 122.3 aaa - yercalbumin 2542 = SGPT (ALT) 1” . Rega: 75 bpm BP Right Arm Sitting 144/81 aa sai arenes bees pace Please Note UPCOMING SURGERY No Surgery recorded Devices Ne Devices recorded Fasting Blood Sug m 198 0972 28 Sep 2020 136 235 DR SUBRAMANIAN KANNAN BILL CUM RECEIPT "Marumdar Shaw Medical Centre, Bangalore-BILLING-GF AB TT Patent ame Me 0, Gopal Rao male, 62y&m) mane wvo-t002-amzmisais Pasent wR renzono1oze3e: Date azz oa AM Patent Phone Mo 8790382526 .9632057848 Ten ass oro. Adress 6.29372. Manda Golda Fst Foor th Cros, Constant Or. Present Surachar De. Subramanian Yannan Sone eee ace Coon, adap, mal P08 .Farataia 1, Partcto a ome ey _ Unit Rate Amounts) denice 1. PPE sage charges | Or. Subramanian Kannan 212200 110000 10000 Tort 100.00 2. CONSULTATION - REVISIT | Dr. Subramanian Kannan 1 7000 70000 2 300 0000 Total 1,600.00 1,700.00 ‘Total Bill Amount including Taxes before round off aa mare rater, reserte. 470 Ano nwa Rot Sneed Receipt No. ewe Mode Reference Wo ‘nstrument No, instrument Date ‘Amount {i RCPO-1002-2012011543. 12-12-2020 09:42 AM. SH - - 1,700.00 vet ee conttonect: no vetmowe. somertnese: vnunet, a7 Amount Paid 1,700 er Balance To Pay: 0. , Hs 1b UC bs 5 Prep tnc she cod on 222200 we 65-4 Published By: ‘alajakshi H C, 34% ‘Published On: ‘12-12-2020 09:42 | 08 MEET “o ane owe Lin nates went Home tA Department wae Me tite Canin vase wise rain fed Hospital . fet netor ‘panto Hare wistomy | Temperature: af cate Complai ae HAL LKAMINASION fs ronn [nnn Prilodic cbdiss® ke Built/ Average lo jormal ~ abitus:cachectic/ hin ant Family History:Negative/ Unknown opical Assessment:Normal/Any Psychological Problem edi "4 pIC EXAMINATION i GATIONS: NT SUGGESTED: J vy £ a i ON: { iy 2) 2 dcap +o™ Generated On:12-12-2020 08:57 AM d By: Kavitha M, 339178 ‘One free consultation with the same doctor within next 6 days “ yr Fr ge @ iiss ‘ 8 OP CASESHEET Mazumdar Shaw” ical Center, MRNO eee bate 11-11-2070 10:10 AM Te pace Department VASCULAR SURGERY on male, 62¥ears § Months Consultant Dr. Prasenjt Sutradhar dress 'No.293/2, Nanda Gokula Fst Ref Hospital Floor, ath Cross, Gowramma aol : Layout, Teacher Colony, cee Chandapura,, Bangalore, bac ctil Karnataka IN, Visit No 0-008 Consultation Type :FOLLOW UP Mobile No £790383926 - 9632057848 ' CASE HISTORY: te, BP: wi: Pulse: Chief Complaint: GENERAL EXAMINATION: Allergies:knowr/Unknown Body Habitus:Cachectic/ Thin Bult/ Average Bult/ Obese/ Normal Pertinent Family History:Negative/ Unknown. . Psychological Assessment:Normal/Any Psychological Problem SYSTEMIC EXAMINATION: ¥ INVESTIGATIONS: ‘TREATMENT SUGGESTED: TREATMENT SUGGESTED: REVIEW ON: REVIEW ON: Generated By: Kavitha H P, 327689 Generated On:11-11-2020 10:10 AM ‘ne free consultation withthe same doctor within next 6 days NH Heath cy, 2588, Bor rose 288 mas pple) © raya dayalye Pvt 118} GE sandra oust 0a, nok tins. 8. reg a0 2783268. efo meee (Previous N a Mazumdar Shaw™ (») Medical Center inc Neryana Het mRNO 1020001036341 Date (07-11-2020 09:45 AM. Patient Name Mr D. Gopal Rao Department ‘VASCULAR SURGERY Sex / Age male , 62Years § Months Consultant 2Dr. Prasenyit Sutradhar Address No.293/2, Nanda Gokula First Ref. Hospital =: Floor, 4th Cross, Gowramma Ref. Doctor » Layout, Teacher Colony, Chandapura, , Bangalore, Karnataka, IN, Sponsor Name — :- Visit No .0P-007 Consultation Type = REVISIT Mobile No 8790383926 - 9632057848 cler TEMA, CASE HISTOR Une Peer Br: wt AR: Temperature: @ inise: Chief Complaint: Hole © denen tet ON od Allergies:Known/Unknown Wo poe efo@ (poset Body Habitus:Cachectic/ Thin Buit/ Average Built/ Obese/ Nor mal Pertinent Family History:Negative/ Unknown. Ye auc Povo Assessments Pachlogl Pssen, 4/7? bout of RN? Que hu ofe. % vedere dee WW A yGhouws proploed © haat dee) : ‘Donly pupreadin awe a TREATMENT SUGGESTED: oF weer . 2) ‘Didue deh Je dagune OST GENERAL EXAMINATIOI SYSTEMIC EXAMINATION INVESTIGATIONS: REVIEW ON: In od 5 Generated By: Roopa C R, 339376 Generated On:t7, - 2020 09:45 aM af (1 00). ‘One free consultation with the same doctor within next 6/days ; Ys Uden: gro & a wade yO ei ha Narayana Hrudayaiays Limited (Previously Narayana Hrudayalye Put. ic) CIN: LBS1t0KAz000LC027497 [NH Health City, 258/A, Bommasandr Indusval rea, Akal Taluk, Bangalore 560099 Fax: +91 80 2783 2648. infomemeGnhhaeptas.og, wwwinarayanaheathora . , Registered Office: 258/8, Bommasanda Insta rea, Anekal Taluk, Bangalore 560089 tee, st 1 ff gg Comporate Otoa: 26114, 2nd Floor, Bommasandraindustial Area, Anekal Taluk, Bangalore 560099 , ' : Ay RH mal can 2020 MR TOO2OD0TORERAY 4H D Cop RAO 62 ME So Prescription - Medications (page 1 of 1) rate by Sean Unless STOPPED by the doctor or specified differently in today's prescription, please continue the course of existing medications as prescribed by your doctor. Tena 1 MUMAN ACTRAPID 4OIUIML(TOML) 2 0 BO FuRWH ‘unt ert vien| efor Fal 10 Mins lect Insulin dose subcutanaously 30 minutes bora Brea. 20 innutes before Lunch and 29 mutes bore Ohne Insulin Syringes 401m! (30 Nos.) ‘leghol Swabs (30 Nos.) @ |e nua aL dona 18 0 12 0 eveRDW Unt exe 5 ti 669 afore Food 20 Mins SPROUL NSTRUCTIONS: Inject insuin dose suncuaneously 39 minutes beara Breaklast anc 30 minutes betre Der Insulin Syringes 401U/mi (30 Nos.) ‘leohol Swabs (30 Nos.) 3, > TRAJENTASMG o4 © evewoar Unni Next vist eo be ter Food 0 1 0 evenrpay Unt Nex vit © om Alter Foes 10 1 0 evewosr Until Nar Visit Lb Gy AterFood 10 1 0 Benoa Une exes eo. = Alter Food 7 ROSAVEL A 10/75 0 0 1 0 snow Ua Naxevist bs Alter Food Dr suBi arene KANNAN ARVANA HRUDEAALAYE LATED Sh Mack Ca, May Fonserunmucns sh Bavnasaaeh nk a Hoe Rast Ry. ne yo1s07172 (ORDA! 70h vexing 1030 abh- 2007 Th Soto ate | | | DR SUBRAMANIAN KANNAN 10a Nov 2020- MAN 1002001036341 - Mr D Copel Rao, 62 Y. M Care Plan created ty OF evEsTiGATIONS TOREBONE ere | Dietician & Nutritionist + post Prandial Blood Sugar @r@s) ) 7 $OOsea poate with <150gm of carbohydrates per day + Fasting Blood Sugar (FBS) 2. ophthalmologist 5 Diabet retinopathy screeningtotion up a noxrvsit IN 2 WEEKS, NOV 2020 | — vert 8020 rst analer an pei 80 | Htc: 70% LUresTVLEOHANGES No Data added | @ cosorrsucosoreoue Not Set Problem List Ww DIABETIC FOOT ae Gangrene {GANGRENE - 1"? | Started | week ago, Lower Leg - RIGHT Active, Confirmed Tay HYPERTENSION For about 4 years - Active, Confirmed Tipy DIABETES MELLITUS TYPE 2 DIABETES For about 20 years - Active, Confirmed { | ARANANA RUOAYALAYALBATED cn Mecca Ce, HH eC FoR apponmas vra Nh iran ie Ne Hom Re so SE i 6918071222289 m0 900-2 | wines | Ve 0002? 272 Fe QRODES 2588 p rarpocbesthog i DR SUBRAMANIAN KANNAN tretetlan (04 Nov 2020 - MRN 10020001036341 - Mr D. Gopal Rao, 62, M 04 Nov 2020, Visit Summary Mr Gopal Rao is ‘No Complaints recorded 162 ¥ old male, with no significant history. He is currently under the care of 8 Ophthalmologist, Diabetologst (Dr Subramanian Kannan) Relevant findings collected during the visit viTaLs ew Heght ew Neck Sze iat Hip Ratio RR ‘$p02- With Onygen $002-OnEverton $202 - Room Ar, At Rest Temperature HR we opt BP2 e » (04Nov 2020 1640m LATESTCRITICALLABS 31 Oct 2020 Random Blood Sugar 320 Hoa 86 Haemogiobin (Hb) 1200 Petassium 51 Serum reatnine 06s corr 123 Urine Meroabumin 254.2 Mcroabumin/ Creatinine. 692.64 0 OPT (ALT) | gARAYANA HRUDAYALAYALITED A oe McCrea FoR ApPONTMENTS: Lorna bt ea, Ho Rea Barge 560008 set 491807 te pire. ie O28 AB xh RAN, Please Note ‘UPCOMING SURGERY No Sugery recorded Devices No Devices recorded LDL Cholestero m “alyeorides 198 1H 0973 205¢p 2020 Fasting Blood Suge £198 238 Post Prandil Blood Sugar DR SUBRAMANIAN KANNAN en, yl” OPTRSesweer \ m7 AeA lazumdar Shaw Medical Center Narayana Heath _ eee MRNO- 10020001036341 Date ‘04-11-2020 10:22 AM Patient Name ‘Mr D. Gopal Rao Department DEPARTMENT OF ENDOCRINOLOGY, Sex / Age male , 62Vears 4 Months DIABETES AN Address No,293/2, Nanda Gokula First Consultant Dr. Subramanian Kannan Floor, 4th Cross, Gowramma Ref. Hospital Layout, Teacher Colony, Ref. Doctor - ‘Chandapura, , Bangalore, Karnataka, IN, See Visit No .0P-006 Consultation Type |: FOLLOW UP a Mobile No :8790383926 - 9632057848 ( ae 28 eee nema RR: Temperature: (we h Chief Complaint: Ee (oh Bow 5, ‘ 0 ) Ay, 997) Rr oe GENERAL EXAMINATIOI TSR ODTS Allergies:known/Unknown Body Habitus:Cachectic/ Thin Built/ Average Built/ Obese/ Normal Pertinent Family History:Negative/ Unknown. Psychological Assessment:Normal/Any Psychological Problem Aa Perawua - es Ejore ne vmparig F My Mire OL SYSTEMIC oases P nnn inion 4a haaley eh INVESTIGATIONS: (sound on 7 i im deal, i goed wo di nace TREATMENT SUGGESTED: ths Ln Tet Lory i REVIEW ON: : Generated By: Shilpa N A, 345869 Generated On:04-11-2020 10:22 AM One free consultation with the same doctor within next 6 days Narayana Hrudayaldppemted i f f 151 10KAZ000PLC027497 ek Tak NH Heath City, 258/8, Bommasandr Industral Aree, A I aa Oler Tox 01 90278 25a, mene Otte wm rasanheathoG repel _ = Pitts ( -—* Av ®@ (xs vs tan isos OSTOR ror ___Faxc 481 802785 2648, nosmsmeOnhhosplias 0, We RBG CALCIUM pao | | PPBG “HBAIC —_—— [CREATININE _ o-b4 | EGFR | 2s | POT OTASSIUM _ | 6) —_ l SODIUM | (36 TGL a URINE PROTEIN TRACE/+/++/++# _| URINE MCR 6 92 b 4 | URINE PCR TSH a T4/FT4 T3/FT3 ALT “| AST 4 a [in| 19 ia Mazumdar Shaw'" Medical Center | op casesHeeT a) 7 mano 410020001036341 ate 04-11-2020 10:22 AM Patient Name 1D, Gopal Rao patent Mr. Gopal Ro Department VASCULAR SURGERY male, 62¥ears 4 Months Consultant Or. Prasenjit Sutradhar Address No.293/2, Nanda Gokula First Ref, Hospital Floor, ath Cross, Gowramma Layout, Teacher Colony, at Coster Chandapura, , Bangalore, eee . Karnataka, IN, Visit No or-006 Consultation Type FOLLOW UP Mobile No; 8790383926 - 9632057848 i case mstonr Cee (lls by ae: we: RR: Temperature: mae p. dL) Se A Opel debhe MP GENERAL EXAMINATION: N bvot efor Allergies:Known/Unknown ) ‘rn | Body Habitus:Cachectc/ Thin Bult/ Average Built/ Obese/ Normal at blue Pertinent Family History:Negative/ Unknown. ie — Psychological Assessment:Normal/Any Psychological Problem 8f fer as SYSTEMIC EXAMINATION: INVESTIGATIONS: REATMENT SUGGESTED: EW ON: Generated On:04-11-2020 10:22 AM srated By: Shilpa N A, 345869 | One free consultation with the same doctor within next 6 days | | | @ ea { tiecie | Narayana ees sya Put, Ltd) CIN: L851 1OKAZ000PLCO27497 INH Health City, 258/4, Bommasandra Industrial Area, Anekal Taluk, Bangalore 560089 Fax: 491 80.2783 2648, infosmsme@nhhospitals.or, www. nerayanaheaih.o ‘andra Industrial Area, Anekal Taluk, Bangalore 560099 Registered Office: 258/A, Bommas Corporate Ofice: 261/8, 2nd Flot, Bommasancra Industral Area, Anoka Taluk, Bangalore 560099 (Previously Nerayana Hrudayalaya ; // 0% SUBRAMANIAN KANNAN ‘31 Oct 2020 MRN 19020001036341-RlrD Cops! Rao, 62¥.M Prescription - Medications (page 1 of 1) ated Ly OS Unless STOPPED by the doctor c+ specitied differently in today's prescription, please continue the course of existing medications as prescribed by your doctor. ae) 1. JuccTos INSULATARD VIAL 2OIU/ML (TOL) G po tore Food 3M ec | Inalin dese sure taneously 30 minutes be! ites betore Deve! Insulin Syringes 401U/ml (30 Nos.) Alcohol Swabs (30 Nos.) 2 oo HUMAN AcTRAPIO aorU/ME(TOML) (=) B80 evERrOA Unt Next Visit ULIN OIL’ 1ORL ©? afore Food 20 Mins | SPEOALNSTRUCTONS Inject Insuin dose subctsareousl 20 minutes stot Irinutes before Linen and 20 mets Geter Denar Ingulin Syringes 401U/ml (30 Nos.) Alcohol Swabs (30 Nos.) 3. a -GLYCOMET ERS SK oy 10 1 0 EveRrpAr Unt teen Vs cue? METOPROLOL (ER) 5OMG 21.0. ER) SMS 8 ‘stor Food - 5. sc.) TELMAAM 40MG+5MG 10 1 0 BeWoA Uuntinent 8 ser Food SMG + AMLODIPINE, SMG 0 0 1 0 BRAY ssi nert 3 ater Food \ DR SUBRAMANIAN KANNAN NARAYANA RUDAYALSY LOATED Marna Si Mcicsl Coe Mel Cy FoR anzonrvenrs bets A Hoe Re eg S Ne 9080712 ee ESPATCH abe BILi CUM RECEIPT My 1 rec aerontS wt ie Mazumdar Shaw” lazumdar Shaw Medical Centre, RING ITE A. EPTION TIME a fom) MERON x Medical Center. a\ih 0 vom wy 90ers Patient N40 GooalR nome 1 Goa Raa male. 62m) ‘HN 010035 vo ton? 2010035321 Pater rog2e0p10a634T ome 3-10 7020125404 Patient Phone No 87WORERIIG. OFA. 26 @62087 88 ‘af clase oro ress 29312, Nanda Got Fist For, th Cro. Constant 1 Subramanian Yannan.De Prasent Sutadhar Scher Cy CMAN4BD"9,. ya Wo om Rangalore krnotaka, IN, Parvclars ‘ty. UnitRate Amounts) Laboratory Semsices AEN OTA (HOUTA HDL LOL | OF Saamak ” 3 oy Stamina taman 10200 1438000 133000 EETonsr TE BLOOD COUNT (CBC) | Dy, Subramanian Kannan 3110-2020 1 43000 430.00 Seshr at | stramaian aon 102070 1 yao 3000 Been yeronntesOutuntn TOCREATIINE HATO Subramanian 3110208 1 7m 77000 cae |: Sarananan hannan 1302000 1 sao 50000 TpernsacsTULATING HORMONE) / Or Subvamanan aman (_) 4302000 1 ssa 59000 Ewa, PACA 2|8FT RANDOM) | Sram aMNaN / axiom 1 asso00 158000 : «000 Too 683000 , falance Deas crossbilamount: 689000 tessbscoun: 000 SponerAmcunt: 000 spared By nosh Hc 346526 Prepared On: 32102020 254 | INetAmount: 6630.00 Amount Paid: 683000 Balance To Py: 0.00 lished By; Jlajakshi C, 345826 | Published On: 31-102020 1255 | Narayana Hrudayataya Limited 7 (Previously Narayana Hrudayaiaya Pvt. Ltd.) CIN: L851 acute sea i cara hes ET ay To ce me encertonss ota ve jn oce 258 norms once vasandra industrial ArE3, corporate Office: 261/A, 2nd Floor, Bom ‘anekal Taluk, Bangelor® ‘Anekal Taluk, Bangalore 6 560008 a OP caSesHeeT Mazurndar Shaw™ Medical Center ‘MRNO- '10020001036341 Date +31-10-2020 11:54 aM 7 PatientName ——_:MrD. Gopal Rao Department VASCULAR SURGERY | Sex/ Age ‘male, 62¥ears 4 Months Consultant Dr. Praseniit Sutradhar Address No.293/2, Nanda Gokula First Ref. Hospital : Floor, 4th Cross, Gowramma iar Docenr Layout, Teacher Colony, es - Chandapura, , Bangalore, Sponsor Name Karnataka, IN, Visit No :0P-005 Consultation Type: FIRST VisiT Mobile No ‘8790383926 - 9632057843 4 a 7 i| . Ce vaceular 70M Ase Histon. Cade waceubar 00M | 3: we: RR: Temperature: 4 Pulse: Chief Complaint: ¢ - mplal ey é foot podeso , Cota f uJ ; yh uh dage. }ENERAL EXAMINATION: : kpae ' SENERAL EXAMINATION: F tusedepinal &p lo day! bush: Alllergies:known/Unknown - LOU. Hl Body Habitus:Cachectic/ Thin Bult/ Average Built/ Obese/ Normal HJ 0 ou « Pertinent Family History:Negative/ Unknown, © keto lauds cahou *s¥chological Assessment:Normal/Any Psychological Problem : neo ho gene] Smesny i . We ate CL ~ STEMIC EXAMINATION: De ear Wh teow mes 1 Sy, anes done warevation wo ESTIGATIONS: = (LAH. au ja cpu ported a ie 4g hY Gun ae ee ca cyasiour © 4 ;MENT SUGGESTED: nS) y ke . 9 ————— wh fe), splual “ple | clu) fe ‘perp ' | | | wh ‘ PIN ate pmol d By: Ramyakrishna Dhoddiah, 352065 Generated On:31-10-2020 11:54 © ge Narayana Hrudayalaye Giited NH Health City, 258/A, Bommasandra Industrial ‘Area, Anekal Taluk, Bangalore 560099 Registered Office: 258/A, Bommasandra Industrial Area, Anekal Téluk, Bangalore 560022 Comporate Office: 261/A, 2nd Floor, Bommasandra Industral Area, Anekal Taluk, Bangalore 560099 ty One fre consultation with the same doctor within next 6 days i. DAY CARE SHEET sex: fe Patient No. © Jo (OBS q | ___ day care No a yp Wace pid une: Time out: OPERATION / PROCEDURE CHART ame: Procedure | Hospital | Professional Date Name of Operation Procedure | Charges | charges | Doctors (Name) Sign \ | \ 0d / Blood Products : igen (02) Started on : —+ 3 yia\pe — & Masumaor Stam MeSica CRO Sangaiont BILLING GF A ee pn a seat ta a Se = as Ne oNS Deen ow ee x Bewroe Goons 8 Oty Unt Bate Amount) mon ‘Toca Messital args for Rendered Servcesitems ‘Total But Amouet incuing Tana before roure off 379 Sponsor Payable Patent Round OF Patent rane Area pees ine WS Se oe eect ae Se aroun : : = soe Tout 37000 Salance Deas Grossi 2m woos ess Disourt @® » Narayan Heudayalay Limited ara Hrucaya'aya Pt. Ltd) CIN: LBS110KA2000PL.C027497 ‘Borrmasandra inqustral Area, Arekal Taluk. Bangalore S60089 15:3. nfo msmeGrhhosptas.org, wn narayenaneath og egsteres Ofice: 258 8. Borasancra ingustal Ara, Anka Talk, Bapgnre 560099 re Fer Sormasarcra indus! rea. Anoka Taluk, Bangalore SE0099 ae eee DR SUBRAMANIAN KANNAN 31041 2020 - MN 1002000103641 Mi. Gopal Rao, 62. M rsa oa Care Plan ‘ousted bg 39 C1 2029 Or Subir Faro uronic ws 7 LARS A INVESTIOATIONS TO OF DONE REFERRALS ~ 1 Fasting Blood Sugar (FBS) 4. Vascular surgeon \ atic foc J 2 Post Prancial Blood Sugar (PPS) Diabotic fool/PADMLeg Ulcer. 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Gopal Rao Department DEPARTMENT OF ENDOCRINOLOGY, sex/Age male , 62Years 4 Months DIABETES AN ‘Address No.293/2, Nanda Gokula First Consultant Dr. Subramanian Kannan Floor, 4th Cross, Gowramma Ref, Hospital Layout, Teacher Colony, Ref.Doctor = ‘Sponsor Name = Chandapura, , Bangalore, karnataka, IN, Visit No oP-005 Consultation Type FIRST VISIT Mobile No 8790383926 - 9632057848 Ht - Ibo CASE HISTORY: aa . CBP pqalay We & 2 RR: Temperature: “/7o | } > C 2 Pulse: Chief Complaint: Simo Spo,-A44 GENERAL EXAMINATION: Cop- Vee (1 Allergies:known/Unknown Pole - Woo] my) Body Habitus:Cachectic/ Thin Buit/ Average Bullt/ Obe%e/ Normal 1t Family History:Negative/ Unknown. xy Psychological Problem @ hes low | Absuss Pertinent Psychological Assessment:Normal/An ‘SYSTEMIC EXAMINATION: ite. vaso fropey INVESTIGATIONS: ‘TREATMENT SUGGESTED: { bor nm | umn REVIEW Of Covlareds 'yrge Generated By: Pooja Y, 348407 ‘One free consultation with the same doctor within next 6 days Bs 443 / Zivonme | @ { itispine Va . { Narayana Hrudayalaya Limited verneant roviousy Narayana Hruayalayg Mt. 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