BVVS Homoeopathic Medical College 169

and Hospital Bagalakot

MEDICAL CASE SHEET
WITH
i- 19 REPERTORISATION
Case No.
of; the patient:- O.P.D/ 1.P.D.No:
Name
at- Lyes Sex: Male/Female

Address:- Bag alkote

Ocupation: ohool die
Admitted
on:
Discharged on:
osnosis: Nosological
Hpeket k1 9, Skas
(disease):-

smedial: ud 00 Atim
present Complaints with Duration:

- Npk bm, duy Aundn,

had wion ,
tlo
bwmng
em ot tb t
nce

Details of Present Complaints with Duration:

4eneat
Past History:

Family History:

- wAl

Bro Hy
tpay
-Mothe heallhy

Personal History:

Diet : MAyd Appetite :

Takes Neal uile a day
Thirst : 9-3L]day Bowel: uie daly eatkfattony
Micturition:

Aversion:

Dreams: \00t
N
4-rot DJN
Sleep :: atg
Desires : N

Sound,
Generaid
Habits : ebaceo leamy
Perspiration

Thermal: Abthemal

Menstrualand ObstetricHistory(In case of female patient):

 191
Mentals:

Hos

General Physical Examination:

Bult aJoushmes
Muad ymett
. Gyes - Conžunctna-
h blach hartV
ule
Sle- leaa
No D

Nouth

Tongui- deon
Nonbuediy
Teth hod
Toahea
plaed.
yhno des- ot palpable.
Unne Ghemty Nutple hand, day,tonds dsio

Louse otntes NAD

Golama,
Vital
Tu, cyanos, palla,ceb bing - Ab(eud

PP-7e bpm
-93°F
Systemic Examination:

1.Respiratory System:

Inspection:

Palpation: NAO

Percussion:

Auscultation: NNAS heard

2. Cardiovascular system:

Inspection:

Palpation:
NAD

Percussion:

Auscultation: S,,Sa heand,

 Gastrointestinal
System:

Inspection:

Palpation:
NAD

Percussion:

Auscultation:

eelalie Gound eand

Central
A. Nervous System:

Higher Functions:

Cranial Nerve Examination:

Motor System:

Reflexes:

Deep/Superficial:

Sensorysystems:
5. Locomotor System:
o leHons Mond
Lotal Gauinaton
Bones:
deton
pelion - Nulkple, day
1 at widdle
Joints:
4 at

Spine:

alpatn- tars,

Provisional Diagnosis:

ypekeaatoe
Differential Diagnosis(with discussion):

Plata want
Callus

Nuiple Cetns.

Investigations:

Blood:
1.
2. Urine:

3. Stool:

4.X-Ray :
5. USG:

6. Others:

Final Diagnosis:

Indicated Remedy

Other Remedies

- Atm ud
lauttum

itue aud
 toms
of Symptoms: land, paluul
Totality

Cnauolug

Analysis and Evaluationof Symptoms:

2) RepertorialAnalysis :
Sub-rubric Page.No.
Rubric
S.No. Section

D9

Remarks :

Signature