HOSPITAL KULIM TELEFON: 04-4272733, 04-4272804,

JALAN MAHANG 04-4272805, 04-4272806.

09000 KULIM NO.FAX : 04-4900760.
KEDAH DARULAMAN
Ruj.Tuan :
Ruj. Kami : (582/22)dlm.HK/PRP/LP.
Tarikh : 11 May 2022

LAPORAN PERUBATAN (MEDICAL REPORT)

Butiran Pesakit (Patient Particulars):

Nama pesakit (Name of patient) : KEVINRAAJ A/L G.V.SANDERRAM
No K/P (I/C No) Baru (New): 061110-02-0619
MRN:
Umur (Age): 15
Jantina (Sex): MALE

Tarikh masuk wad atau menerima rawatan buat kali pertama (Date of admission or
receiving treatment for the first time):
 20/01/2022 @03.12PM

Tempat menerima rawatan (Place where patient received treatment):

 Jabatan kecemasan ( Hospital Kulim)

Tarikh discaj dari wad (Date of discharge)

 21/01/2022

Disiplin (Discipline):
 Orthopaedic
 Surgical
 OMFS

Sejarah (History):
 Patient alleged motor vehicle accident on 20/01/2022

Pemeriksaan Fisikal (Physical Examination):

 Pain over right leg
 Laceration wound over right heel
 Pain over right wrist

Keputusan ujian makmal dan radiology (Sumary of investigations):

 X ray: -fracture right distal end radius and ulna

Diagnosis (Diagnosis):
1. Closed fracture right distal end radius and ulna
2. Deep laceration wound right heel

Rawatan (Treatment) :
Rumusan prosedur yang dijalankan ke atas pesakit (summary of procedures
carried out on patient):
 Analgesic

1
  Antibiotic
 Right above elbow cast
 Toilet and suturing done over right heel

Perkembangan keadaan pesakit sepanjang di bawah penjagaan doktor termasuk

rawatan susulan (progress of patient while under the care of the doctor including
follow up):
 Given follow up to orthopaedic clinic on 07/02/2022.

Laporan disediakan oleh (Report prepared by):

Nama(Name): SANKAR PILLAI A/L SUPRAMANIAM
Jawatan (Designation): MEDICAL OFFICER
Kelulusan (Qualification): MBBS
Jabatan (Department): ORTHOPAEDIC, HOSPITAL KULIM

Tandatangan (Signature): ……………………................................

Cop Rasmi Hospital (Official Hospital Stamp):

S.K.:

MUHAMMAD SOLEHIN BIN HAIRUL HADRI

D/A:NORIYAH BT MAT ALI
40 B KG BT 7, BKT BERTAM,
34140 SELAMA, PERAK