DISCHARGE SUMMARY

Patient No: 1390163

Hospital Name Hanuman Prasad Hospital Code HOSP9P01552

Poddar Cancer
Hospital and Research
Institute

Hospital Address GORAKHPUR Hosp District GORAKHPUR

Patient Name Mahesh Prasad Soni PMJAY ID PY7N5Q84U

Patient Address , adarsh nagar nagar Age 61 Y 0 M 0 D

palika ke pichhe,
DEORIA, UTTAR
PRADESH

Gender Male Patient Contact 9454804083

Number

IP Number NA

PMJAY Case ID S1720843

Package Booked Adjuvant(MR008B)

Treating Consultant's name NA

Treating Consultant's contact number NA

Treating Consultant's Qualification NA

Treating Consultant's Registration number NA

Treating Consultant's Specialty NA

Date of Admission 15-04-2022

Date of Discharge with time NA

Date of operation (if surgical) /Treatment NA

start date (if medical)

Presenting complaints with duration NA

Initial assessment NA

Significant Past Medical and Surgical Others if any

History, if any

Primary Diagnosis at the time of Admission NA

ICD 11 code(s) for Primary diagnosis NA

Final Diagnosis at the time of Discharge NA

Key investigations Clinical notes with Indications (such as patient
age, general condition, staging, tumour size,
nodal status, presence of enlarged internal
mammary nodes at baseline, Neoadjuvant CT
received, Margin status, pre-/ post- surgery),
planned line of treatment (details of RT
planned),Histopathology report

Investigation findings NA

Treatment given during hospitalization NA

Operative Findings NA

Complications if any NA

Status at the time of discharge NA

Advice on discharge NA

Next follow-up date NA

Name & Signature of treating Consultant / Authorized Team Doctor

Name & Signature of treating PMAM

Name & Signature/thumb impression of Patient / Attendant