bs Medications on Discharge: (Medication / Dose / Frequency / Route / Duration) Ge wiGOkk See me BB (904d / Grav! / BOS, / Ro ya gemrda / arc wODodes) Pe Ee ek D+ Coamo xc tay bow my Pinetree! y Git Dic! Ne so vy b Lichloe to wt +h 4 tors Engg! aig t 8. my ae aa ‘BUS Bsn of Goad eebes Goce cE O2BOD mdeto puay Ores) Pinkss DanGASUICL etnies soa aiarreaevdes syenoaira ©.¢Gaireberatb. Please use prescribed medications as advised by the Physician. Discharge Plan: (Inclusive of Management plan, Advices, Diet, Life Style Behaviour) Sone on gmedne me go mICielO (GBan a1c1ed ood{n CHOge!/q:Ed LED JO oud EE geIDvs) GoveMarbdQamy, Gc (Raunas GL -.Poysoy #00, w.sHIO], SITYPDA LpErpLiypIAIBGN w eeM. KIS WIIAL) Get 16 Yen —(1 fot [20r) Mot bed dy pe be Bo. low up Details / o 208 Exod / O51. 9 sestanonitinyehyadiach ‘Date Time Type of Clinic ‘Consultant's Name os ee eed Bodie: Some Seclace os2qatined 28 gee fer coe ers axe ou jon eh 2.8) Room No. a sep Be. Instructions in Sinhala or Tamil (Optional) (Eg;- Disease Condition, Medication, Referrals) (CBS Bnet ost egicess (elas 8 Boxe) ib / Biba) IFa/DiS.BAIset (Chg SAH GTOS) 888 odin Biclow om gBex! nostn. nib Aras yo er 8d srnext consultaion.investigations: Pr-O Ie — yup eas -toe hee Ty Metonrda’ Spo es de fy, uctan even tee tte 2.TV Coamexctay 129 Adel HBC - 13% ee 3: 0. Cocmoxcly air ch tb 186 Ub tO. Mibenetest Hoo my 8H / I tly pie - tas Dae Pe Teneo ee, ua eet. 6. DY Metals 10 oe af dew Soa na He Peraeetennel 1 ALT - 4 et en Lachiloe 10° my ie He 7 BNET ues ~ tt Na ~ 03% | Ft o- Q.2r Cr - 106 ‘Special Investigations: (Eg. Histology Report, CT Scan) Beds eisiees Satie (Cq1- Dom Bem Siti / 88 dys!) eRe uPBangencn cen (Csr Tee : Swahucd -g78e08, CT ovdse) uss COT sech) a) ef tubat pregrergy Z haemo pestone um | C26 mm dheckness of plac fteca ). L BS L [adnecal atmorbegic Cyst D enctomre tio hc ot) Pee BS etic. ph 84-61 ——v 148-49. peas be BP-H, per we