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    आशुतोष पाण्डेय
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    Ramesh Tiwari, a 51-year-old male, was admitted to the Medicine Department at District Hospital Mohali on July 28, 2021 with a provisional diagnosis of an unspecified condition. He paid an advance of 1500 rupees upon admission. His reason for admission and final diagnosis are not provided in the admission record. Basic patient details are documented including identifying information, medical history, next of kin, and admission details. The record does not indicate whether he was subsequently discharged or his health outcome.

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    Ramesh Tiwari, a 51-year-old male, was admitted to the Medicine Department at District Hospital Mohali on July 28, 2021 with a provisional diagnosis of an unspecified condition. He paid an advance of 1500 rupees upon admission. His reason for admission and final diagnosis are not provided in the admission record. Basic patient details are documented including identifying information, medical history, next of kin, and admission details. The record does not indicate whether he was subsequently discharged or his health outcome.

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    © All Rights Reserved
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    22 views1 page

    Patient Admission

    Uploaded by

    आशुतोष पाण्डेय
    Ramesh Tiwari, a 51-year-old male, was admitted to the Medicine Department at District Hospital Mohali on July 28, 2021 with a provisional diagnosis of an unspecified condition. He paid an advance of 1500 rupees upon admission. His reason for admission and final diagnosis are not provided in the admission record. Basic patient details are documented including identifying information, medical history, next of kin, and admission details. The record does not indicate whether he was subsequently discharged or his health outcome.

    Copyright:

    © All Rights Reserved
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    of 1

    Patient Admission https://hmispunjab.uat.dcservices.in/HBIMS/ipd/transactions/PatientAdm...

    DISTRICT HOSPITAL MOHALI


    Phase-6,SAS Nagar, Mohali
    , - 0 , Punjab
    Phone : 0172-2226343 Fax :

    ADMISSION RECORD

    Adm. Date/Time: 28-Jul-2021/12:01:00 Print Date/Time: 28-Jul-2021 / 11:53:46


    Case Sheet
    CR No. Adm/IPD No. MLC/Emergency
    No.

    0 NA / No
    2800412000399307 280042021000033
    Doctor/Consultant ਡਾਕਟਰ/ਸਲਾਹਕਾਰ Department/Unit/Ward/Room/Bed ਿਵਭਾਗ/ਯੂ ਿਨਟ/ਵਾਰਡ/ਕਮਰਾ/ਿਬਸਤਰੇ
    Medicine/Medicine Department/ Female Medical Ward/ 108/
    Duty Doctor
    30
    Patient Category(ਸ਼�ੇਣੀ) : Aashram School Patient (Free)(Cat.
    Referred By(ਦੁਆਰਾ ਭੇਿਜਆ):
    Id:--)
    Patient Details:-
    Date Of Birth/Age/Sex(ਉਮਰ)/(ਿਲੰ ਗ): 07-Apr-1970/51
    Name(ਨਾਮ):Ramesh Tiwari
    Yrs/M
    Father/Spouse Name : Jagat Tiowari/ - Marital Status(ਿਵਵਾਿਹਕ ਦਰਜਾ) :
    Occupation(ਿਕੱਤਾ) : Monthly Income(Rs.)(ਆਮਦਨੀ) : 0
    Weight(ਭਾਰ)(in Kg): Religion: /
    Patient Address(ਪਤਾ):-
    House No : Street : Village/Town : Phase 6 District : 28
    State : Punjab Country : India Pin Code : 0 Mobile No : 9800000000
    Next Of kin/Relative Person,Address and Phone (ਅਗਲਾ ਵਾਿਰਸ): sdfsdgdfgd , dgdfgdfg , 6786786786
    Mode Of
    Advance Amount(Inc. Adm. Charge) Admission Charge Details
    Payment
    1500 0 Cash
    Reason For Admission dagdfhdfhd
    Provisional Diagnosis (ਆਰਜ਼ੀ ਿਨਦਾਨ)
    Final Diagnosis (ਅੰਤਮ ਿਨਦਾਨ)
    Complications(if any)
    Follow up Clinical Findings:-
    Date (ਤਾਰੀਖ) Surgical Procedures (ਸਰਜੀਕਲ ਪ�ਿਕਿਰਆਵਾਂ) Surgeon's Name (ਸਰਜਨ ਦਾ ਨਾਮ)

    Result: Recovered Improved Unchanged LAMA Worsened Referred Expired


    Post-mortem with Result(if any)
    Name in Block Letters Signature/Date
    House surgeon/Med Officer ______________________________________ ______________________________________
    Specialist ______________________________________ ______________________________________

    --------------------------------------------------------------------------------------

    Patient Copy
    Patient Name : Ramesh Tiwari CR No. : 2800412000399307 Adm. No. :280042021000033
    Advance Amount Received : 1500 Admission Charge : 0 Date of Receipt : 28-Jul-2021/12:01:00

    1 of 1 28-07-2021, 12:06

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