N.K.P.S.I.M.

S & LATA MANGESHKAR HOSPITAL

DEPARTMENT OF GENERAL SURGERY
SURGICAL PROCEDURE LOG BOOK

DATE: NAME OF THE PREOCEDURE (ONE LINE PER

Sr.No REG.NO AGE /SEX
(DO/MM/YY) PROCEDURE )

1 5/7/2022 225020917 52/M DAIGNOSTIC LAPROSCOPY

2 5/7/2022 224260518 38/M MAYOS REPAIR SOS MEHOPLASTY
3 5/7/2022 2250520071 59/M LEFT INGUINAL HERNIOPLASTY
4 5/7/2022 225020891 41/M HAEMORRHOIDECTOMY
5 5/7/2022 224070393 72/M SEBACEOUS CYST EXCISION
6 5/7/2022 225020934 47/F EXCISIONAL BIOPSY
7 5/7/2022 225023141 45/F EXPLORATORY LAPROTOMY
8 5/7/2022 2251220102 30/M EXCISION OF LIPOMA
9 5/7/2022 2251220104 39/M DEBRIDEMENT
10 5/7/2022 2251220110 34/M EXCISION OF SEBACEOUS CYST
11 5/7/2022 2251220112 69/M UPPER GI ENDOSCOPY
12 5/7/2022 2251220111 54/M UPPER GI ENDOSCOPY
13 5/7/2022 2251220098 29/M UPPER GI ENDOSCOPY
 PROCEDURE

MJ
MJ
MJ
MJ
MJ
MJ
MJ
MJ
MJ
MJ
MJ
MJ
MJ
CATEGORY/Mj/Min/Int+Speciality)

EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EMERGENCY/ ELECTIVE (Em/El)

STATUS(NS/S-SMS/S-SMA/A1/A2)
DR SWANAND CHAUDHARY

COMPLICATIONS

NAME & SIGNATURE OF THE

SUPERVISING TEACHER
 N.K.P.S.I.M.S & LATA MANGESHKAR HOSPITAL
DEPARTMENT OF GENERAL SURGERY
SURGICAL PROCEDURE LOG BOOK
DR SWANAND CHAUDHARY

PROCEDU NAME &

RE STATUS(N SIGNATU
CATEGOR EMERGEN S/S- RE OF THE
Y/Mj/Min CY/ SMS/S- SUPERVIS
DATE: NAME OF THE PREOCEDURE (ONE LINE PER PROCEDURE /Int+Speci ELECTIVE SMA/ COMPLIC ING
Sr.No (DO/MM/YY) REG.NO AGE /SEX ) ality) (Em/El) A1/A2) ATIONS TEACHER
1 14/05/2022 2250220070 52/M DIAGNOSTIC LAPROSCOPY MJ EL
2 14/05/2022 2250920020 45/F LAPROSCOPIC/SOS OPEN CHOLECYSTECTOMY MJ EL
3 14/05/2022 2251320015 33/M CIRCUMCISION MJ EL
4 14/05/2022 2250320018 50/M RIGHT HEMICHOLECTOMY MJ EL
5 14/05/2022 2250920070 42/F RIGHT HEMITHYROIDECTOMY MJ EL
6 14/05/2022 2251220099 34/F INCISION AND DRAINAGE MJ EL
7 14/05/2022 2251220098 29/F EXCISION OF FISTULOUS TRACT MJ EL
8 14/05/2022 2251220100 34/F LAPROSCOPIC SOS OPEN APPENDECTOMY MJ EL
9 14/05/2022 2251220116 26/M EXCISION OF SINUS TRACT WITH RHOMBOID FLAP MJ EL
10 14/05/2022 2251220114 69/M RIGHT EVERSION OF SAC MJ EL
 N.K.P.S.I.M.S & LATA MANGESHKAR HOSPITAL
DEPARTMENT OF GENERAL SURGERY
SURGICAL PROCEDURE LOG BOOK
DR SWANAND CHAUDHA

CATEGORY/Mj/Min/Int+Speciality)
DATE:
NAME OF THE PREOCEDURE (ONE LINE PER
Sr.No (DO/MM/Y REG.NO AGE /SEX
PROCEDURE )
Y)

PROCEDURE
1 21/05/2022 2252020002 40/M OPEN APPENDICECTOMY MJ
2 21/05/2022 2251920145 44/M ANATOMICAL REPAIR MJ
3 21/05/2022 2251920031 55/M DEBRIDEMENT MJ
4 21/05/2022 225190577 34/F EXCISON OF FIBROADENOMA MJ
5 21/05/2022 225190668 34/F EXCISON OF FIBROADENOMA MJ
6 21/05/2022 225190453 44/F FISTULECTOMY MJ
7 21/05/2022 225191201 34/M LATERAL SPHINCERECTOMY MJ
8 21/05/2022 225191169 29/M RIGHT EVERSION OF SAC MJ
9 21/05/2022 225191342 59/M LEFT EVERSION OF SAC MJ
10 21/05/2022 225191125 43/M HAEMORRHIODECTOMY MJ
11 21/05/2022 223291367 21/M LAPROSCOPIC SOS OPEN APPENDICECTOMY MJ
12 21/05/2022 225121456 40/M DEBRIDEMENT MJ
13 21/05/2022 225191303 24/M EXCISON OF LIPOMA MJ
14 21/05/2022 225191304 32/M EXCISION OF SEBACEOUS CYST MJ
15 21/05/2022 225120091 74/F UPPER GI ENDOSCOPY MJ
16 21/05/2022 225190791 30/M UPPER GI ENDOSCOPY MJ
17 21/05/2022 225190805 26/M UPPER GI ENDOSCOPY MJ
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EL
EMERGENCY/ ELECTIVE (Em/El)

STATUS(NS/S-SMS/S-SMA/A1/A2) DR SWANAND CHAUDHARY

COMPLICATIONS

NAME & SIGNATURE OF THE

SUPERVISING TEACHER
 DATE:
Sr.No REG.NO AGE /SEX
(DO/MM/YY)

1 28/05/2022 225190791 30/M

2 28/05/2022 2109020039 59/M
3 28/05/2022 225090018 44/M
4 28/05/2022 225012006 65/M
5 28/05/2022 225260326 53/F
6 28/05/2022 225260841 64/F
7 28/05/2022 225191111 47/M
8 28/05/2022 225260210 41/F
9 28/05/2022 225190453 44/F
10 28/05/2022 225260402 28/M
11 28/05/2022 225260754 55/M
12 28/05/2022 225260467 41/M
13 28/05/2022 225260013 30/M
14 28/05/2022 225264002 40/F
15 28/05/2022 225260167 73/M
N.K.P.S.I.M.S & LATA MANGESHKAR HOSPITAL
DEPARTMENT OF GENERAL SURGERY
SURGICAL PROCEDURE LOG BOOK
DR SWANAND CHAUDHARY

NAME & SIGNATURE OF

THE SUPERVISING
TEACHER
CATEGORY/Mj/Min/Int+S

COMPLICATIONS
EMERGENCY/ ELECTIVE

STATUS(NS/S-SMS/S-
(Em/El)
NAME OF THE PREOCEDURE (ONE LINE PER
PROCEDURE )

SMA/A1/A2)
PROCEDURE

peciality)
LAP SOS OPEN CHOLECYSTECTOMY MJ EL
WIDE LOCAL EXCISIONAL BIOPSY MJ EL
FISTULECTOMY MJ EL
VAC REMOVAL AND SECONDARY SUTURING MJ EL
EXCISIONOF FIBROADENOMA MJ EL
EXCISIONOF FIBROADENOMA MJ EL
RIGHT EVERSION OF SAC MJ EL
FISTULECTOMY MJ EL
HAEMORRHOIDECTOMY MJ EL
EXCISION OF LIPOMA MJ EL
EXCISION OF LIPOMA MJ EL
EXCISION OF SEBACEOUS CYST MJ EL
UPPER GI ENDOSCOPY MJ EL
UPPER GI ENDOSCOPY MJ EL
COLONOSCOPY WITH BIOPSY MJ EL