Hospital Shah Alam Referral Letter Patient ID + SAOD66E669 Patient Name : Shrestha Puja, Gender Female Age 2Y Encounter ID 12103329 Encounter Type Inpatient Admission Date 13/10/2023 10:18 Discharge Date Location Isolation 108 Specialty General Internal Medicine Attending GIM Dr Gowry a/p Raman Practitioner Document Reference No Note Type + Generic Referral Letter Med/Anc Service : GIM Date/Time 25/10/2023 12:54 Performed By + REHAB Or Kew Li Yan Referral Details Referral To : Referral From Purpose of Referral * Yang Berkenaan Medical HSAS This is a meme to state that this person is fit to fly. Shjrestha Puja 27 year old Nepali woman NKDA/NKFA Works at Top Glove as QC Came to malaysia since 1 year ag0 Limp : 19/9/23 Married blessed with 1 child stay at Nepal ust Newly diagnosed HPT “Diagnosed 1 month ago -On T, Amlodipine 10mg OD ~ unsure baseline RP -not compliant to meds under panel clinic Top glove f/up Treated in HSAS for 1. Advanced CKO likely 2’ missed GN ddx supplement induced 3. mixed growth urosepsis with cystitis - improving “rine C+5 19/10: Enteroccocus faecalis and staphyloccus aureus “completed D5 Tazocin 3, Anemia 2° renal anemia 4. hyponatremia Urine protein 2+, blood 3+ 24H urine protein: 2.89/day €3, C4: negative ANA: negative ASOT: negative Viral screening :non reactive Us abd 23/10/23:Hospital Shah Alam Referral Letter Patient 1D. Gender Encounter 1D Admission Date Location Specialty ‘SAQ0668669 Patient Name +: Shrestha Puja, Female Age 2 2Y 12103329 Encounter Type : Inpatient 13/10/2023 10:18 Discharge Date Isolation 108 General Internal Medicine : GIM Dr Gowry a/p Raman Practitioner Free fluid at right lumbar, Suggest clinical correlation Findings in the urinary bladder are suggestive of cystitis. Bilateral renal parenchymal disease. Left ovarian cyst. Left pleural effusion Kindly do the needful for this patient, Authorized By Last Modified By Print Date / + REHAB Dr Kew Li Yan Signature + REHAB Dr Kew Li Yan Signature 95/10/2023 12:58 Logged User : NURATIKAH