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U KII.{NE,RAHOSPITAL u

Multi &, Super Speciality


Regd No. 1308/2023.
Opp : RythuBazar, VishwanadhaLodage Lane,
Doctor's Colony, Miryalaguda - 508 207, Nalgonda Dist. (T S )
Cell : 9515132874, 9553666565.

CASE SHEET

AdmissionNo.

Admission Time :

Pt. Name D.O.A,

S/o. W/o : D.O.D.

Age/Sex

Address

ContactNumber:

Provisional Diagnosiss :

Treating Doctor :

Final Diagnosis
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KINNERA HOSPITAL, Miryataguda.
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KINNERA HOSPITAL, Miryataguda.
DOCTORS DAILY PROGRESS REPORT
Patient Name. .Age. ............Gender... "...

IP No.............

Name & Signature ofthe


Date&Time Doctor's Notes
Doctor
KINNERA HOSPITAL, Miryataguda.
DOCTORS DAILY PROGRESS REPORT
PatientName.. Age Gender

IP No..............

Name & Signature ofthe


Date&Time Doctor's Notes
Doctor
NURSINGNOTE
Date & Urine a
Time BP PR RR Temp
t/o
I
t'

tl,
NURSINGNOTE
Date & Urine
BP PR RR Temp uo
Time

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