R& Helios BHARTI HOSPITAL NSSONE|ORTHOPADGS | AEDATRCS 1 PSYCMATRY | CRTICALCAE | Job REPLACEMENT | yuTEMITY 1 TRA | GEXERALSURCERY Shama Arcade, Floor 2&3, No.111, CTS No79, Near jyotiba Mangal Karyalaya& Pimpri Chinchwad Bank, ‘Main Road, Kalewaci, Pimpri, Pune 411017. TelNo.: 8956105357 wwwheliosbhartihospitals.com Email: [email protected] IPD FINAL BILL Bill No: sais. UHIDNo.: 2268, Patient: MRS.NAIR PRABHA VUAYAN, Consultant DR. KALIDAS BHARTI ‘Admit Date 08 September 2023 [17:58:56] Discharge Date: 10 september 2023 (11:3751] Payment Category: seur payee Page No: 1 Bill Date : 10.09.2023, 2 5417/23 ‘54/Female Room: Semi Deluxe se. Particulars Nos. Rate Amount ACCOMODATION BED CHARGES - SEMI SPECIAL. 2000.00 | _6000.00 EEEEEEEEE Group Total : 6000.00 DOCTOR CoNsuLTATION 2. _| ROUND CHARGES CONSULTANT-SEMI SPECIAL MORNING 3.00 400.00 1200.00 —{KAUIDAS BHARTH Sol falas: 3. _| ROUND CHARGES CONSULTANT - SEMI SPECIAL EVENING 3.00 400.00, 1200.00 __| KaUIoAS BHaRT a foe : || Group Total: 2400.00 HOSPITAL SERVICES IvFLuos 3.00 100.00 300.00 _| BSLON GLUCOMeETER fio 80.00 80.00 See 100 10595.00 foscuanees non | ap canes SSCS 280.00 20000 Group Total ; 14075.00 SURGERY 8._| SURGEON CHARGES DEEPAKMANE |___3s000.00 | ___as000.00 “410, | ANAESTHETIST CHARGES 10000.00 | 1000000 uu_[orcuarces sea _20000.00 | 20000.00 12. | ASSISTANT SURGEON CHARGES ___ 8000.00 ee ce 73000.00 95475.00 Hospital seal Payable Rs Wnty Five Thousand Four Hndred Seventy Fv Oni cae aan © scanned with OKEN ScannerHelios BHARTI HOSPITAL Shama Arcade, Floor 2 & 3, S.No.11 1, CTS No.7891, Near Jyotiba Mangal Karyalaya & Pimpri Chinchwad Bank Main Road, Kalewadi, Pimpri, Pune 411017. Tel.No.: 8448445568 BillNo: 13343 Date : 08.09.2023 Patient : NAIR PRABHA VUAYAN UHID No : 2268 IPD No: IPD5417 Consultant : KALIDAS BHARTI Sr. Particulars Qty Rate Amount L PRE-OPERATIVE PROFILE i 2800 2800 Total: 2800 Paid: 0 Balance : 2800 Rs.in words : Rs. Two Thousand Eight Hundred Only Signature User : Atul, Time : 19:03:24 @ scanned with OKEN ScannerTARA HELIOS MEDICAL ELIS Balt] WSFITHL ROEM 11 OD FL SEAM HAE KALI FORT BLL No: 3801 (QuTa POmE NAc ATER 1 Date: 08/09/2023 RANE: NAIR PRABHA VIJAYAN / KALEAKDI. DOCTOR: DR RALIDAS BHARTI / HELLIOS BHARTI HOGPCTWERBALEWADI © ow CompBatch Exp Anount 41x20 VASOFIX 206 BER quits) = Htat 275.00 © ix reasyrix DIN ime = AS 145.00) 2x1V IV SET SFT Gan = /4—650.00 Lx15CH_EXTEENA -DUO POL sits Wr 490.00 © 3x10 MLDISPOVAN SYRINGE HSU tara wat 7.00 @ ‘Sn ML DISPOVAN SYRINGE i nC 4x1OOMINS 100L T.V. 188.40 9 TAO Estes ty ® WES @ OTR: mucin Buneistsl. (> TARA HELIOS MEDICAL ‘FELIOG BRARTL BOSPTTAL SHOP WO 211 26D FL SEAR ARCADE CALDIASE FTKPRI MAL No: = 3901 RAMTAB] OBE TAL EARATANT 411001 Date: 08/09/2023 (NAME: NATR PRABHA VIJAYAN / KALEAWDI. > y+, DOCTOR: ‘DR KALIDAS BHARTI / HELLIOS BHARTI HOGPCTNEMEALEHADI | @ ww Product, CompBatch Exp Amount, > ‘2x1G4_ CEFTASONE 1G1 ‘ZOE C1eauet 5 139.72 © 2xVIAL ZOESOM INT. OE sis tt 270.00 2xiML NEOMIT 4ML ING NEO mst? ws 53.40 ‘LXLOOMLNEOMOL IV NEO 3831490 065 475.00 8 ‘LxUNIT GALLANT BLADE GIL teocoezt He 54.00 xi EXAMINATION Gloves; NUL MD wytt 48.00 VASOFIX 206 GzenLOTSS wa 275.00 e TARA HELIOS MEDICAE ue ‘Shama Arcade, Ground 2 & 3 Foot = © ‘BhopNO2T 1 HeieE ne AN0H7. EAE Stet to FO retin Ht SL : © ese nase ae 8 (orm: nuomeesens Rurmeisisie. € TARA HELIOS MEDICAL Qe ELLOS SAT] BDPTAL SOPHO 21 200 SNL RAE ALND PERT HDI. No: 3915 MDT EAL KE 8 Date: 08/09/2023 (MAME: NAIR PRABHA VIJAYAN / KALEANDI. e DOCTOR: DR KALIDAS BHARTT / HELLIOS BHARTI HOSPDTWBnKALEWADT CompBatch o ‘2xiG4 CEPTASONE 1G4 ‘ZOE CIs c 2xNIAL ZOESOM INJ. ZOE HiSANs ont ‘SxIML NEOMIT 4ML ING NEO tenis? we Y 3x1 ML DYNAPAR AQ PRE-FIL TRO 36128 wt C 2xL00MLNEOMOL IV NEO 3857090 wits as AxPIECEOXYGEN MASK ADULT ROM 123060006. ne 192 ML SUPRIDOL 24L INT NEO IPH@1a7 wat © TARA HELIOS MEDICAL Shama Arcade, Ground 2 & 3 Flont,... Ghop No.211, Helios Bharti Hospital, Net Amt; ee, Pearl, Puna 4100972... TAO L.Subject to POM Jurledietion ‘TAMA BELIOS MEDICAL, @ Uni a8 (or: murs Funniest © scanned with OKEN Scanner® TARA HELIOS MEDICAL 7 HLS Bat sue 2a sm ON UE rE MELA Ho: 3946 TF TL th Date: 09/09/2028 NAME (AIR PRABHA VIJAYAN / KALEAWDI. DOCTOR: DR KALIDAS BHARTI / HELLIOS BHARTI HOBPDTHEREALEWAD! oO Qty Product ‘CompBatch Exp Amount Lx4ML_ANAWIN HEAVY NEO (PIT19608 wa 30.45 ‘AxUNIT SPINAL NEEDLE NO 2 BDS 24018 wat 236.50 Q ‘2x2 ML DISPOVAN SYRINGE ‘HSU 22H3008201, we 24.00 4x10 MLDISPOVAN SYRINGE ‘HSU 22qzit8201, 0a 104.00 (© 4x5 ML DISPOVAN SYRINGE ‘HSU 22mnent20 wet 66.00 > 1x14 ROFOLEY CATHETER 14 RUR Pow We 137.00 1x30 GMLOX 2% JELLY NEO W061 7 ne 33.93 © 4xPAIR GI AFE 7 ‘NUL ‘TPSmHHtF ¢ TARA HEL Ss mepicat ‘Shama Arcade, Ground 2 & 3 Floor, e- Shop. No.211 TA Lutes Glemeet tonn, Pune - 411047, Tk HELIS HIS 1-309 1-58 © Sth: mums Pamvsi. — O) ‘TARA HELIOS MKDICAL oe HLS UBT MGT, SAP 992 HD FL SL ARCO ALOT PPR EBL. NO: 3916 ‘ETN PBT nt Date: 09/08/2023 @ NAVE: NAIR PRABHA VIJAYAN / KALBANDI. e - POOTOR: DR KALIDAS BHARTY / HELLIOS BHARTY HOBPOTAEAMALENADI @ Sy — Product CompBatch Exp Aout» () 1xPTECEURINE BAG Ray we = WaT 292.00 @ 120 NOFOLEYs CATHETER 3 FUR Manto 6% 485.00 @ 2xUNIT NS 1000 ML ABS RIG = WIS «116.40 1xPCS_ TUR SET ROM qm? = eT 455.00 @ 4*PAIR GLOVES NULIFE 7.5 NUL ot nh 268.00 xIUNTTIWREE WAY STOPCOCK ROR cate? «= tNT—225.00 ixlV IV SET SET aqme = th 325.00 (@ Uxlooe VET O LINE 10 C4 ROM win? =m 289.00 fe TARA HELIOS MEDICAL ‘Shama Arcade, Ground 2 & 3 Floor, > Ng.211, Helos Strat Hospital, ¢ © Teoria SEUSS Puneet ee ad Qo ‘HN D0-S03567 21-325868 © (GST BO: 2TALOETOORSELIG Phareactet Sig, QO © TARA HELIOS MEDICAL 2 ‘HELIOS BHARTI HOSPITAL SHOP WO) 21 24D FL SHANE ARCADE KALEWADI PIMPR HAD No: 3916 ‘HAKATA PORE TAL RARATANT 412001 Date: 09/09/2023 © (NAME: NAIR PRABHA VIJAYAN / KALEAHDI. 2 , DOCTOE ‘DR KALIDAS BHARTI / HELLIOS BHARTI HOSPDTMEmBALEWADI © aty Product CompBatch Exp Aout =) 1x50QK VEIN O LINE 60 cf ROM sisi Wa -—250.00 | ALOOMLNICODINE 10% 100M ABB DIL WM 96,32 ‘LxLOOMLNIOODINE 7.5% SCRU ABB SHE wm 96.037 ‘tel0 MLUTERAI INT NBO Tams v3 286.00 u EDICAL J TARA HELIOS UE re Host TA OE.Sbet to PO uiieton HU ELS wa @ Mi. wee as ° (st; MMe Parelete © scanned with OKEN ScannerTARA HELIOS MEDICAL o NELIOS BHARTI HOSPITAL SHOP NO 211 2HD FL SHAKA ARCADE KALENADI PIMPRI KBKDI2 No: 3926 ARARATANT PURE TAL RAHATAR 411001 Date: 10/09/2023 4 NAME: NAIR PRABHA VIJAYAN / KALBAWDI. oO ; DOCTOR: DR KALIDAS BHARTI / HELLIOS BHARTI HOSPUTMEmBALEWADI _ © Qty — Product CompBatch Exp Amount. > 4xTAB DULCOFLEX TAB BML DLA22032 04/25 4.98 @ 4xTAB_ OGRENIL TAB KAA GK-602 1/5 20.46 9 Copsh a ® TARA HELIOS MEDICAL > wind 2 A Floor, TAO E.dubject to POMC Jurisdiction ‘TARA HELIOS HEDICAL e@ DER, 20-323567 21-323568 @ BE AO: ZTAAOFT90BSCLzG 7 Phammacist/Sig. @ TARA HELIOS MEDICAL 2 HELIOS BHARTI HOSPITAL SHOP HO 211 24D FL SHAMA ARCADE KALEWADI PIMPRI RADI No: 3927 : RABATANT ME TAL RAHATANT 411001 Date: 10/09/2023 o NAME : NAIR PRABHA VIJAYAN / KALEAWDI. @ _octoR: DR KALIDAS BHARTI / HELLIOS BHARTI HOBPOTMEMBALEWADI | At Product CompBatch Q 10xTAB CRETACEF CV 500 TA KHS cTi023008t 10/04 900.00 ¢ 10xCAP ORGOPENT 40 DSR ORGOTN23030 01/25 120.00 2 60xTAB CYSTONE TAB HIM 932100133 O14 135.00 1x100 MCITAL SYRUP IRL 23400005 105 97.00 € 10xTAB GOSPAS TAB DRL, PPOR 38 Ona 35.09 a 10S MEDICAL TARA t HELI round 2 & 3 100% Bhatti Hospital ¥ Shama os ray Stop toatl Hees pune - 4110 -eatenad! PAD! Ce; (4 « 2 £40 E.Subject to POMC Jurisdiction ‘TARA HELIOS MEDICAL » DUN, 20-323567 21-323560 os a GST HO: 27AAOFT9OB50126 Pharnacist/Sis. © scanned with OKEN Scannerwie Helios “BHARTI HOSPITAL MEDICINE ORTHOPAEDICS 1 PAEDATRICS | SYCHUTRY | CRTICAL CARE | JON REPLACEMENT | RATERKITY 1 TRAUMA 1 CENERAL SURGERY Shama Arcade, Floor 2 & 3, .No.111, CTS No.7891, Near Jyotiba Mangal Karyalaya & Pimpri Chinchwad Bank Main Road, Kalewadi, Pimpri, une 411 017. Tel.Ni 1956105357 \www:heliosbhartihospitalscom Email: [email protected] DISCHARGE SUMMARY/CARD Patient Name: MRS.NAIR PRABHA VUAVAN ‘Address : SRINIWAS, VUAYNAGAR, KALEWADI Consultant: DR. KALIDAS BHARTI Page No: 1 UHIDNo: 2268 IPDNo: 5417/23 ‘Age/Sex: 54/ Female Admitted on: 08.09.2023 | Time: 17:58:56 Discharged om : 10.09.2023 | Time: 11:37:51 MICNo: Discharge Type : Discharged Diagnosis : UPPER URETERIC CALCULUS Complaints on Admission : ‘ASAVRS FEMALE PT AMITTED WITH C/O-AFEBRILE “MILD PAIN AT RT SIDE OF LUMBAR AND ILIAC -DISTENT IN SETU ‘Medical History : K/C/O-NAD Examination Findings : GENERAL EXAMINATION PATIENT CONSCIOUS CO OPERATIVE WELL ORIENTED TO TIME PLACE PERSON AFEBRILE TEMP 96F PULSE ‘84/MIN_ RR20/MIN BP 110/70MIMHG NO PALLOR NO ICTERUS NO CLUBBING NO LNPATHY NO PEDAL EDEMA ‘SYSTEMIC EXAMINATION: PA: SOFT/NON TENDER BOWEL SOUNDS + LosoKo VS: S1 $2 PRESENT NO MURMUR RS: B/L VESICULAR BREATH SOUNDS + NO ADDED SOUNDS CNS: HIGHER FUNCTION NORMAL POWER BOTH LIMB 5/5 Payment: SELF PAYEE © scanned with OKEN ScannerBHARTI HOSPITAL Shama Arcade, Floot 2& 3, SNo111, CTS No.7891, Near fyotiba Mangal Karyalaya & Pimprl Chinchwad Banke Main Rond, Kalewadi,Pimpri, Pune 411017. TelNo : 8956105357 ‘www helioshhartihospitals com Email: [email protected] DISCHARGE SUMMARY/CARD Page No :2 + MRS.NAIR PRABHA VUAYAN. UHID No: 2268 SRINIWAS, VUAYNAGAR, KALEWAD! WPDNo: 5417/23 Consultant: DR. KALIDAS BHARTI Age/Sex: 54/ Female Admitted on: 08.09.2023 | Time: 17:58:56 _| Discharged or Time: 11:37:51 MLC No: Refby: SELF Discharge Type : Discharged Payment: SELF PAYEE 'SENSARY INTACT PLANTAR BOTH FLEXOR Pathological Investigations : DATE-9/9/2023 HB/WBC/PLT-11.5/8200/214000 BLOOD GRP. 0 POSITIVE BY/CT-1:45/5:15 Sr.NA/K/CE-141/4.3/105 BSLR-9B Sr-UREA/CREATININE-23/0,721 Pr/INR-13/0.96 HCV/HBSAg/HIV 8 Il- NON REACTIVE Operation Done : CYSTOSCOPY+R. DJ REMOVAL + R. RIRS + STONE FRAGEMENTTATIONER, DJ STENTING on : 09.09.2023 Surgeon : DIPAK KUMAR MANE Anaesthetist: DR DILIP MEHTA, Type of Anaesth OT Notes : CYSTOSCOPY- URETHRA NORMAL -RIGHT DJ REMOVAL WITH FORCEPS RIGHT RIRS DONE STONE FRGMENTED WITH LASER. -RIGHT DJ STENTING DONE -FOLYS CATHETER INTRODUCED ‘Treatment Given : INJ.MONOCEF 16M BD INJ-PAN 40MG BD INJEMSET 8 MG TDS INJ.DYNAPAR AQ SOS Condition on Discharge : PT COMFOTABLE VITALS STABLE SLEEP GOOD APPETITE IMPROVED 1 © scanned with OKEN Scanner4 Helios BHARTI HOSPITAL Shama Arcade, Floor 2 & 3, No.111, TS No.7891, Near Jyotiba Mangal Karyalaya & Pimpri Chitchwad Bank Main Roady Kalewadl,Pimpri, Pune 411 017. TeLNo.: 8956105357 \wwwheliosbhartihospitalscom_ Email: info@heliosbhartihospitals com DISCHARGE SUMMARY/CARD Page No :3 Patient Name: MRS.NAIR PRABHA VUAYAN UHIDNo: 2268 Address : SRINIWAS, VUAYNAGAR, KALEWADI IPDNo: 5417/23 Consultant: DR. KALIDAS BHARTI Age/Sex: 54/ Female Admitted on: 08.09.2023 _|Time: 17:58:56 | Discharged on: 10.09.2023 | Time: 11:37:51 MLCNo: SELF SELF PAYEE Discharge Type : Discharged Instructions : MEET DR.BAHRTI AFTER 5 DAYS eae, gear, etch rare a IE, ATH eT, erro a eT TET eV CRC aT AG, ae EB, Sal oa Ror ae, ge a, sire a er a Aa Covers He wR. Callimmediately on 8448445568 If any signs of Swelling, Tendemess, Rashes, Itching, Symtoms like fever, Pain, Lose motions, Unable to move fingets/toes/limbs Patient/Attendant Name and Signature ‘Treating Consultant/Aufh ' © scanned with OKEN ScannerHelios BHARTI HOSPITAL ‘Shama Arcade, Floor 2 & 3, SNo.111, CTS No.7891, Near jyotiba Mangal Karyalaya & Pimpri Chinchwad Bank Main Road, Kalewadi, Pimpri Pune 411 017. TelNo.: 8956105357 ‘wwwheliosbhartihospitalscom Email: [email protected] Patient: MRS. NAIR PRABHA VUAYAN 10.09.2028 AgelSex: 54/Female UHID Nos 2268 IPDNo: IpDsa17 & ‘Treatment on Dischar; Cl TaB.CREATCEF cv SoomG Orr Ol Tas.cystone tam. CO syp.crrat ee ee es « Rae O Tap.cosras 7 ca Ut sami 4 Rew © scanned with OKEN ScannerAK Hetios okay, SHARTI HOSPITAL Flo impr Chinchwad Bank 23.8h0313,cTs nao, Near aa Mangal alee io Si Road Kaew, mpi, Pane 411 017. TetN. 19956105: UHID No : 2964 ADMISSION FORM : 23 , IPDNo: 5417/23 patient: 7 Mrs, Nav Alsen: sy, NaI Prabha Vaan oom Type: SUPER DELUKE Female i + 105 Address : Lecelleats | ox Stinin ™5 Viaynagar, aie Adnitted On! a : pischargeon: | TM! eHENO: Sa90316955 . penton: SO) Address : in - i... - SONGS Vioga, Ktewapngr pune 11017 TelNo.: 9960138087 Payment by: SELF payee PolicyNo: : Consultant 1: DR. KALIDAS shag Allergicto. No Provisional Diagno: FINAL DIAGNOSIS : Beda namitedon: [106 Abe S [sana |S 380d Gr Dbvze— | torstert [106 PS Sel 919103 |4:Pm | re Ay Transfer 2 MIC No: a atu Constable Name : srewyone? 4 [103 soon: Pepa Ti main, Dr pip Vile swaenane: Cog CTY Dg remelt O203 + store. frets t PT $, CONDITION ON DISCHARGE Cured /fproved/fame / Discharge on request / DAMA / Expired /Wanserred edn by; SUGANONA PARTE ean) 1 © scanned with OKEN ScannerAcer tae rc UNDERTAKING: Patient’ Name: MRS. NAIR PRABHA VUAVAN ; {2} thave been fully informed in my own language about the present ta of myselt/my patie . state paps inl tne neon as eee eso cometen 2 ay roe a ‘sah ec ae eso pessoa et, Pet l eeguetobe ed Cane ech ss tse sete nove e en ‘See rege nevus nee enn Teese heh np ee Detter ining eres se et pu yc ge ‘to dispose off any tssue/organ removed from the body ofthe patient, to save his/her eas per the existing rules and regulations. (7) Ifthe patients opt era asaya benim pence ol ens eahs osha owt oY ‘Paying the estimated cost/pic. (8) I consent to taking and publshing of any Photographs/Videos/Audlos or any other storage media captures, dUFIME ‘examination/treatment/operation ofthe patient for up-tment of Medial Knowledge. ao understand that the identity of the patent wil rot be aed neo ed Lunderstand that {0} The medics an consumables sed forthe trestrent ae aot manufactured by he Hospital andthe ar beng procured fom ela ‘manifactrers to ensure the quality. agree to aceept al the materials supple by the Hospital forthe treatment ofthe patient, Hospital reserves Srvguator ses cyemescrs wen ep fener he toy ie gushes Me sera NET a fo a rcs benef aes ‘the patient by the treating doctor, ifstuation demands, If cannot ae nyse avaiable for dsussion then the Treating Doctor may proceed with ‘any new treatment/modifaton for the sake of the patient. 3) Ths has also been explained to me that my patent may worsen during the couse if aa ee nina en Se wanes an oan ae” Cae eae hoses 0a ele Nota hee east tn mee tea sa elma Nae ara ces igen st ‘eho reese eaten cher certn peg etalon ing ocaments 22 oth teint ane om creer ate ry information declared by me our my relatived. also agree %O aman [Weare owaretht itl apron th TP pre sed on rina arto ontasitnene hci reece yy iene Cant PA at an sa We ao svare tat fe ave to ma pyres [Ba sad nck nat cone yuan mgur 79, Vw ao eee pay opened osm by sacs Conger TPA dit mysel/our patient In BHART HOSPITAL, PUNE {Ne act ail terms an contin and ed '0 te Sette veer aa /se OTE (MRS. NAR PRABHA VUAYAN ) aera ae ep ero te gk fe ae Pe a - = e/a ood gh a ae org me. EM aaa et a TEMA] agen got, eee ara tit Pe ie, ye rea aaron erent meer ee A een eae eh bt. eet TTA az sea ssa a te ae net Sze et a. ‘ee rear ag armen enrages ere GE A ref een a srr svete eee ea oer Rt Ba rer an Ra BS srt ene er Slat Ra on. we argo kre far eft Ta ra ser Sec seem rgera sre afte Pm Beard he eh a aren eh aa e/a Rat a= ard er sch ae a. ote ma are a eres ibe. athe a ie aa rere ne iftetear aT eS . TRE MRE write aa, raed, aidisi, aids g. emda pees wet / Adc. / asters. ania Bore tanh arid ac aft at ews feria /HPE MRS, NAIR PRABHA VUAVAN srt es, $a oe em ae ter Pat aT. Patient's Signature Date : 08.09.2023, Patient's Relative Signature [MRS, NAIR PRABHA VUAYAN. Time: 17:58:56 Scuran cntry done by SUGANDHA PARTE © scanned with OKEN Scannera HELIQS Bia, : T Shama Arcade, roan £3.14 anette’ MRS, NAIR PRABHA VIAYAN Main Rad, xa i 10.8 M8 Pg Yt May wow: 5417/23 TANG HRSELOa57 TPP gi ave, Ne: 268 eee ree 5 bea ‘cas; SUPER DELUXE 8 KAUDAS sg Sisfiterrand} siarcina NAIRPRABHA Vunyay ae a8 Ber a3 8 STE Ty ee Ieee en i wa oer / S/O 3) See a ara, gE a tea FA SET Hg Th oy, hf) i ak ET rh wo oer fied Sa moat ea et ae er sea vt y 3 preg 8 nem er arta ge ye ansible So een ere ce mat Fe ee ft HT Sen gy fe ee ter of oes Ft ra .e) RT SRETUREY ra pa ad Brora . ara A eit et ad From a et aT aren uae ore ng at ser i a at ae eT oT ( Saitucared x eee pa ofthe ot aaa Pee Spam Sy feces sate trate at tee oe [1] Bere over etch ae ore ibe ergs amr ee es oe P ange A geet fs a dour age zd wat aitanii: eee ‘tid 71a MRS. NAIR PRABHA VUAYAN = Rte Female ets 54 ates 08092023 tus 175856 SD sxe sitet whose eto ar em ane, OH Tas SOORAJ NAIR ‘ on __ Sesconeer IWAS, VUAYNAGAR, ardtere’ ara a 8 8 sect aa oft KAUDAS BHART! E ia _ © scanned with OKEN Scanner11108 BHARTI HOspr sama ACER, Foor 2 g Patent name: MRS, NAIR PRABHA VUATAN main Road, Kalewadl i 8 Mangal ana saat aa wone: S817/23 ‘ele. 8956105357 s4noy som: Female fee ped: 106 Height : Physician Fitness for Surgery (Page 1 cms Weight: allergies: Yes kes ery Planned : See omet Plone d Duration: lgmokine Rlateohot Brobscco [Btione Kh lone Cher: Family History: bai 5 soice) constitutional; "®™ &f Systems (ist pertinent positives only /Encicle applicable Head &Neck: Erion Gy . Ties, give deals rence Dontopne S sar Iva ner " Heart Disease: (xcre Outw Di ca valvular Clvascular Clexercise Tolerence orthopnea C1 Dyspnea on Exertion (Class) : Respiratory: (Bre Clcoueh Ckoch's Clasthama coro pleural Clothe... Gastrointestinal: Gr¥one Quiver Llother: seca pen teanenanennnn este Genito-Urinary: (fone Qother: copeuecennadenecoeeesse™ Hematologic: [S1fGne ClsleedingDithess. 1 Malignancy [Blood Transfusion Neurologic: (wane Clit ves, details vgececenenereeneenenen og Psychiatric: EHGne Clitves, deta Endocrine ClNone Cloiabetes CBAyrid Cladrenal Clother: Past Surgical History : =D) rast medication: Present Medication Investigations nv. | Date | Result _| Inv Date | Result | Inv Date | Result 1 [ow [4 | efor | si6 8 _| wa LE Sf esee fost 0a Dic urea [B14 | 25. | sar TR |” Creat. | 24 ou ‘SGOT pe ota. | eee _| Nas sid 41__| sept ber [eg _| [mit dase] KE ela | 4 | corr ral pase c_| fH 318 [eee _| LOH [a _{sia— ear | Me T Protein Ler as: | a J © scanned with OKEN ScannerHELIOS BHART pig Pin Shama Aa Forge otestone: MRS NAR PRABHA VUAYAN senor es ead tag, boo Me: 8 Teun 8550335) 1" PUNE gant tana, fe sex: ferale ee ted 105 Soi, Senses Physician Fit for Surgery (Page 2) oo: (ox\gp. Physician Fitness for Surgery (Page 2) N oy Pate: TD iin RR Tehede tome: aon Qobese aeege ee CO thin Bit whe S'sness(YAF7Ro, oriented (e6/ No), Alertness (YES7NO) Body Habitus Mental Status cyanosis : Pallor : = Ieterus : clubbi Cc Skin ceesecsetee : c Edema Feet: Cee teste Gee re , details | Bee Cardiac: WNC/ No, dey - cesta: Se secret No, details Abdomen: WNC/ 6 deta: ‘Any other Abnormality : Risk Assessment Factors: Ctigh C] Moderate (Lues~ Medical Condition(s): CLesttrolied Clpartally Controlled (] Uncontrolled ay to undergo surgical procedure within next 24/48 hours] Nott, advised a follows Sign of Physica Name of the Physician : oe ould doe Brovekt Date: Time: z © scanned with OKEN ScannerHELIOS BART) j1, sham Arcade, Hg Malo ROB, Kalewag, pe?" oi "th Pimp UH Mang Ten. eser0355 Oe meen, ww: 768 ne staid, Consent oe one ats A ar rT | yy RS, NAIR PRABHA VUAYAN, ORTH Procedy pwak mC oF Gl neat ont jag GOP + Urctorwepy + DI stern Try atest ot a ig ware bs arta a pg eT A fh ke ee rah a oar Sie 5 ea tr sy oof ne sr es PITAL, eee NAIR PRAHA ATA see Female * _give permission to undergo procedure on our Patient MRS. NAIR PRABHA Vuayay Procedure : Coytenns + Urabe + 08 steck Derm 4+ ot Ste~ ae Patient’ Signature: ‘atic’ Tas MRS. NAIR PRABHA VUAYAN Patient's Name : - : cm, REZ prisms vijay wae Relative's Name emi aa t Voet Relation with Patient: © scanned with OKEN Scanner10S BI seus HART Hospya, soma Male Foora 5 ae Name: MRS, NAIR PRABHA VUAYAN mala R024, Kalewady, pny iba won: 5417/23 famoe8serosany "MPLPUNe greta, none: 2288 fe Lol SUPER DELUXE oe 2p everclear RPRABHA VuavaN fins Female T4854 ie a ke itn a errr ae roe aR ABH BA gy ye NE Res ake a Boh ret Faron OR at ee a aah HS aS ayy, AR ah rarer oer andr wet er srt, AE, vO, SAT TTA Re, Sa Rater age Ser Ren mae ee Ge Set, er TA, EA Seb GA SI 4 Bi aati, Sel. Gn, Wea, arate? § ae Sra rat. sreateangertt edt Ry ere greys eee seer ae hrs ra at (ere on i ‘wet ch se Rar yeas ae rer ak et eae wet See TEE, cece tener Ge, eternal Soca oY Be i ear NE TT attr era aT (Fe safe aera exh eee rere ag. srt fr ey A, TAL AT FHT Sra rer ne) as eg et et A wa et AH aly wet ere ye oars ar we eh | Ta - 7 ‘reg bate cca [so Ta a 2a a oy ct Beet ee arse te Rage Teeth Se cr cds ed al ner gee 2% net Rete rr gut gery seh Po eat ae eT Riera a (are gues vt ae at a EL ‘iz 7? MRS, Nay KALIDAS BHaRT) EA seed toa a ta. 9 sea a ore eh Basha eg ce Be a ace tor ee aan ti. ‘tizdywf ¢ MRS. NAIR PRABHA VUAYAN fits Female a8 54 amfiers — 08,09.2023 ws 23:03:40 ‘ava arena we Salt aT Ase Aero Boar er Ta TTT miaisid att irs 7 ‘Gall = SRINIWAS, VUAYNAGAR, 7a! SOORAI NAIR adhe’ aa a wet ‘Baea ara a wt ¢ KALIDAS BHARTI Ko Poernyr © scanned with OKEN Scanner‘S Sa HELIOS BHARTI jo, tr, sume Ade, Fagen TAL vin ov Klong 9 ots, Patent Name: MRS. NAIR PRABHA VUAYAN fee 5e057 Pn AER, Gung 5 iron: 537/23 aan Fersle cis: SUPERDEUXE bess 106 om Dilip Ne Consent for High Risk Anaesthesia a procedure(s/surge conducted examination and had advised me eae undergo ® Ya for which iam reaiestoy mot Cy ae be araesthtiea [ sedated. i ‘have willfully conse Anaesthesiologis, gig ave wilfully concen e tsk factors and the con Summary of whichis give Rawr , Venn Headed Associated risk factors are ened to y ‘valu ine et the procedure, knowing well the risks involved. Dr. Dilio_tMebter _ mer ing well the risks in ken i pa ke involved in anaesthsang me to undergo above procedure. have wily Heteste However, since inthe opinion of ancesthesologlst there fs sigiiant risk the en discussed In details with me, in the language and manner | could understan« thave Been educated in language (| | which ican understand. (Name ofthe interpreter and signature, if involed) (eetoore ve or associates and such assistants as may be selected by him/her Therefore, j aso consent and authorize rendering of such other care and treatment as my clinician or his designee reasonably believes necessary should one or more of these or other unforeseeable events occur, CO Irefuse to authorize Dr. to anaesthesize me for the procedure. uly understand and accept responsibility of medical consequences of such refusal. ‘Sign of the Patient: Name of the Patient : MRS. NAIR PRABHA VUAYAN ree: 54 Sex: Female Date: 08.09.2023 Time: 23:03:53 Consents signed by a person other than the patient a the patients incapable of giving legal consent due to seratceotwiness: GE Tel/Mobile No Signature of consent ver: _ XY nae ee thos’ fee fp Name ofwitness: rr> flutizor— ase: DAL Relation with patient Address mipiHae Ni} Mayr — sien anaesthesologist: 4 ae ger (UE fullName DOPregn no al © scanned with OKEN ScannerHELOSBHART Sp sa NOME FOZ ya neat ata ROX Kalewad Ping YOURD Manes gy owe: 5417/23 eA 8956105357 "PY PUNE gy ygny MN wos: 2268 tel temie fee C nee: _ SUPERDELUXE ted 106 f ONse; o Detpak thet Performing a High Risk Procedure/Surge! One, conducted examination and had advised me to undergo + Dy tot store Bel, acest me: RS, NA PRAB! a procedure|s)/surge, Y and yr which iam reatment uP be "SAE be angie Cystoscopy 4. Dralre ) ized sedate have been advised on mie bedited {ats acnowedge that ical observations & diagnostics performed. ° kelihood of success or outcome. Benefits : 5 and sarc E3tos the procedure) as inated bya 1ees have been or can be made regarding the li y Bleed | SR, Blade pephs associated risk factors ae Ihave been advised of the he flowing available alternatives and ikely prognosis the procedures) isnot done: eee eet language( Hindi] ) whieh i can understand. (Name ofthe interpreter and signature itinvalved) Bator or De, pak Mars andsuch assistant / associates as may be selected by him/her to Perform any part ofthe procedure(s) upon myself. ‘Aswith any procedure, iam aware that risks such as blood infection, heart failure, change in blood pressure, SR] wrvesthetic allergic reaction, paraiysis ete, may arse necessitating attention, Therefore, i also consent and authorize rendering of such care and treatment as my clinician or his designee reasonably believes necessary should one or more ofthese or other unforeseeable events occur. If blood transfusion i required seperate consent shall be requested and given. i trefuse to authorize or. to perform the procedure/surgery. | fully understand and accept responsibility of medical consequences of such refusal. Sign of the Patient : i Name ofthe Patient: MRS. NAIR PRABHA VUAYAN fev SA Sets Female Date: 08032023 Time: 23:08:12 Consent is signed by 2 person other than the patient a the patient is incapable of giving legal consent due to: Name Nyy vor hee Name ot witness :O7- pure ave: LY sean tne Heh food Telfobile No wes: Kodatied Nj MoS on: pow “he Fall Name : Regn No: © scanned with OKEN ScannerHELIOS BHARTI og sama 8846, Floor 2 toad, Kalen » Ne yo tse onan 9 Makai, 1017 " PITAL faent ame: MRS. NAIR PRABHA VUAYAN 2268 twoe: 5417/23 elNo.: 8956105357 ne Female see ‘cass; SUPER DELUXE ead _308 ae Patient Safety Time-Out Procedure Time out called by - Times PROGRESS SHEET Date: qs? ° PatletName _ptokhe. lait! _uMDNe,_ 226 biting pose Notes Orders L220 om, SIS BY Preval lef Il el2y ole - PID = SdFE pi Bhody Rx- p ty) Porowr B™ Ei of ty pen oe BP PS ay emeeks Ory a Plan Fort = | CIS Focca py $ueMPres okey | | Ady olen thy Tstsne pool] © scanned with OKEN ScannerWR Hetios BHARTI HOSPITAL patient Name UHID No. , Dr. Name. Net ‘Orders er aa tea ss ue 5 fe Ceogele hare Romsve peer Cot ele om Sap x). 9 Te Yu (ery hd TR Pan Gop ID rm Y Vow I SU Pane xO] isa Lopes 5 fet (A bape MIT © scanned with OKEN Scanner ddaaa Helios BHARTI HOSPITAL fncnecch cad dae: 99179 PatlontName (Wes TG ReuKn WHOHO_22.5° oem go, QE Notes ld Ul CF DVO TS, Guesrd GOWN ms. Cesena FERSD SHS ay vo SEY cave TEAL OPE 2 PEINENS Getedaes Boor OS mar a ave) we, Ke BW ® Poe, sae SB BW woh : DOW POH Cr tosrogy +B HZ Sheohy VOM ReceSEd HE Qos # dh00R oe ca pas : . een estos GH oh IH 45 GEM WEB TE ss mor AEA, cy ees AAW = SRE CEN ashen AROS NR, a) cf a eo eos S ARVO ste mer eR 8 00K Lass + shoot (co eset Ss 2 SOD ems = ESL astenes) meine Behe, © scanned with OKEN Scanner*SiiaRTI HOSPITAL 0: 4 PROGRESS Tai Dat Bboth? 9.26. _prNamo Nop Patient Name &rplelsha UMN. Bae a eee Sp i Orders SR OF- pIHtay fe, IE py- App Werte wig | et at pPP- geimin 6f2- Jeon PA fp puluoler se, 21654 Gos © scanned with OKEN Scanner 4Helios AGHARTIH PROGRESS SHEET Patertamn OCs fair” Drafter Notes UHID No._2- 242», seme — ee ooo oe. 1019123 Fa br Apa ILL OSPITAL Date: eg? |vloe pM oo Ge Ho naked 2. e | 0, palelsee, Le iP + - pf cdl eh ong « bay cook Gre-toed lg ok ae | Ade piPe ie ror" Gust po Pinta ( f Spa TV law ¢ cis ereden Lonuted ose gh pm —oe lt be © Scanned with OKEN Scanner* BHARTI HOSPITAL Date: LOL) aaa Patient Name Dr, Name. © Cotelogue No.: eusvwocsaa6o1 C1 Lot No. ba = lM. Cote Tr Oo : = dion P FLEX URETERAL STENT pe (DOUBLE J STENT) aera "| "Size “SFr | Package includes: Ureteral Stent, AAEM Sem | eaekame menses, Uses aft Use GW: 0.035" | Type: Both Ends Open-White Notes, © scanned with OKEN ScannerHelios eet BHARTIHOSPITAL | DRUGADMINSTRATION S# oe a | Ct ewe! UHIDNe: DOOR. Drug Hypersensitivity; — Ad] 2023 Date pr sig Drug Name Dose | Route | Frequency Time | Given Nurse | ——| Wi |monocet lo| pO [1H ts \ny fan Lorre BO [Iv 7 SBS Se 8 Vaj_[Ermesee gms [TOS fv Viel Pynapurn er | see |v |__| Ip Ydaceyg [stat [Lv4p | NSM _(y2{ Am) rd xa \ ore] WE=NE ED © scanned with OKEN Scannerse Helios *SBHART HOSPITAL | DRUG ADMINISTRATION SHEET Po Fs a . Se ha Agelsex sy) F | wows __docg Drug Hypersensitivity Le \o\ 04)23 7 Date Drug Name Dose | Route | Frequency Time | Given Nurse | Or. Sign \ rt \opm | —_—_ alin, | [pm ogom] opr [dg |MOMocer qn, | BD et fonrop aomg aD dur] Smet Bmq | TB dea | Dy hogar nw ery es] Ele Peye Th. | Dubole.e atab | shad} Plolar ab | Geni) cteut| plo-levh- 1 fil daar stat] Ly | Ky d Itt wh ep © scanned with OKEN ScannerHelios AesHaRy HOSPITAL | DRUGADMINISTRATION SHEET mime: NaS~ re . ; wow: GONE Pon bla vijay tse SHI BIg la, “ Paine Dove | Route | FrequencyTime | Given Nurse | Or Sigh ony Fae) nq aps | tv brea 5 ‘ Z Pise Momacep y,] BO [IP mI é cat Late borg | 80 |” be Zens | DUC Pans AQ [sos | Y . is rh. | Guerh shat} ple: le. ®) | fs 7 R 50 — 40 8 30 Pp 20 10 BP FEI ay TOTAL INTAKE TOTAL OUTPUT DAR cot el tt OTHERS ASAE JRA 46 I ejot. Vr Gy Last Signature DPB Dek | © scanned with OKEN Scannerindoor NO- Oo ourpuTiN™ iW. 4] cers The | eae Tex aa aa] ine fomae| | L_f€) — C4 [gle Ho ZL us _beomf— | = 1-4 Pry poe eal ee | | alaps | Dinner He] Leo os — [= el ee opm ian, @ alai23 | (Nem) Zv) pts. broomp [| - ae stare oT LQ ites my DNS [Bomy Aon dy | ee [sven | boom) Sym Ho \o0) ESN Aethro _|\on) Som . alles +| DinnerdHeo por: = = pee den a Swor| 1) ce DS ero] Befusk die Pod NS [soon — | —|_ Total © scanned with OKEN Scanner== Fees BHARTI HOSPITAL ‘Admn, DL E17 Disch. Dt. ‘TimeS 550) Time PH Detp. Unit LP} Doctor ve. Room No, —1OG, MRO No, 22 Tax} indoor No. SLY [9% | Ref Dr, = S1S5(es Gli ‘Bed Charges: Lae ‘Consutations fees, eo co + { Dr. ‘Operation Fees : Surgeon TASS Surgical Material Tmpiant X-Ray Charges Pathology EGG. Physiotherapy Woniior Ventilator Syrage Pump * Folter720 ECHO Uftersound “Colour Doppler ‘Sreat Teat TV Tnfusion Transfusion Hosipital Drogs 4 Malarial Dressing /Piasing Nursing Charges a “Ambulance Tel] Food “Ambulanca [Tel] Food Special Provedure % BST 3, 4 ‘Other Toial Rs. ‘Signature ll © scanned with OKEN ScannerHelios BHARTI HOSPITAL Name: MRS PRABHA NAIR Age & Sex: 54Years / Female Ref By: HELIOS BHARATI HOSPITAL STV et einen di, Pimpri, Pune SON OM TROLS or CHnN eS IROy B Department of Pathology Reg. ID : 31651 Collection Time + Reaisterd On : 08/09/2023 11:23PM Reported On :09/09/2023 01:40AM ‘TEST Oo" RESULT UNIT. BIOLOGICAL REF RANGE SOMPLETE BLOOD. Sample Type : WHOLE BLOOD EDTA y Hemoglobin (Hb), EDTA whole blood 11.8 gm W5105 U MtetPrtonety Total Leucooytes (WBC) count + 6200 Jemm 4000-10000, Method: Coute Principe Microscopy Piatelet count 214000 Jemm +150000-450000 “Method: Coulter Pcie Mleroscopy Red blood cell (RBC) count 2373 ‘mivemm, 3.85.2 Method: Couter Principle PCV (Packed Gell Volume) 32.6 % 3446 Method: Caleulated Mean Corpuscular Volume 874 cumicron 76-98 Method: Derived rom RBC histogram Mean Corpuscular Hemoglobin + 30.83 picograms 27-32 Method: Caeulated ‘Mean Copuscular Hb Conc 736.28 gid 32:36 Method: Calelted ROW-CV 146 % 1146 ag ett weston ane erm MPV M18 cs 67-96 WBC Differential Count ‘Neutrophils 760 % 40-70 Absolute Neutrophils 14920 foumm 2000-7000 Lymphocytes 33 % 20-40 Absolute Lymphocytes + 2708 Jeurnm 4000-4000 Monocytes 205 % 02-08 Absolute Monocytes 1410 tcumm 200-1000 Eosinophils 202 % 01-05 Ze Mrs Manisha Wagh fo. Pradhan Pagaro (@8¢ Micro) MD. (Path) ‘ADV DMLT Cconsuiting Pathologist Reg No.48808 yotiba Mangal Karyalaya & PCM Bank, 411 017. (For Appointment : 8448445568) © scanned with OKEN ScannerDepartment of Pathofouy Name: MRS PRABHA NAIR Reg.ID: 31651 IIIINNIN! Age & Sex: S4Vears / Female eee EE eae Ref By: HELIOS BHARATI HOSPITAL CE Reported On : 9109/2023 01:40AM Resenenee HAENATOLOGY Test et EU UNIT BIOLOGICAL REF RANGE compu 7 ‘Sample Type : WHOLE BLOOD EDTA Absolute Eosinophils 14 feumm 20500 Basophis 200 % 00-01 Absolute Basophits o Jeumm 0-100 PERIPHERAL SMEAR EXAMINATION RBC Morphology + Normoeytie Normochromic Melatia Parasite : Not Detected Instrument Fully Automated Five Part Hematology Analyzer Nindary 85180 Tend OrRepon = (ren br. Pracan Pagnro irs. Manisha Wagh Wt. Path) (BSC Micro) Consulting Pathologist ov OMT ag No. 4808 aya} adi, Pimpri, Pune = 411 017, (For Appointment: 8448445568) © scanned with OKEN Scannerir As Helios = BHARTI HOSPITAL armen Reg. ID: 31651 wea Name : MRS PRABHA NAIR Collection Time : i Rae Sox: S4¥ears/ Female Reaisterd On : 08/09/2023 11:23PM 1 Ref By: HELIOS BHARATI HOSPITAL Reported On :09/09/2023 01:40AM i HAEMATOLOGY lel essed TEST a (RESULT unit BIOLOGICAL REF RANGE BLOOD GROUP \ Sample Type : WHOLE BLOOD EDTA RH Grouping #°0" Rh Positive METHOD. + Slide Agglutination Nove i ceoncemed authorities. Incas ‘This is for your information No tansfison/ teepetic intervention i done without confi of blood group by concerned infants less than 6 months suggested to repeat Blood Group after 6 months of age fr confirmation, BLEEDING TIME & CLOTTING TIME ‘Sample Type WHOLE BLOOD BLEEDING TIME 1 min 45 se Minutes 1-05 Method BT + Dukes Method CLOTTING TIME Simin 18 sec Min 59 Method CT + Capillary Tube mE End OF Report — | E [Dr. Pradhan Pagaro Mrs, Manisha Wagh ‘M.D. (Path) (BSC Micro) Consulting Pathologist ‘ADV DMLT Reg.No.:48808 5 anon Teuyalie Aen eMC) Caius CORONAL oN sdttur nee eee et © scanned with OKEN Scanner| Helios BHARTI HOSPITAL een wo: 31651 NNITHH Name MRS PRABHANAR cotinine Age & Sex: 54Years / Female 09/2023 11:23PM isterd On : 08/ Ref By: HELIOS BHARATI HOSPITAL hase ei ‘On :09/09/2023 01:40AM ted On: : ie BIOCHEMISTRY oH Test EU UNIT BIOLOGICAL REF RANG! ERUM ELECTROLYTES Sample Type : SERUM Serum Sodium iat mmol. 136-145 Method: 1SEINOMECT Serum Potassium 143 mmol. 355.41 Method: ISEINOIRECT Serum Chlorides 105 mmol. 98-106 Method: 1SE moMECT Method 1 ISE METHOD Instrument used + E1120 Electoiyte Analyzer |LOOD GLUCOSE - RANDOT ‘Sample Type : PLASMA Blood Sugar (R) 298 gid 70-140 ‘Method: GOD-POD method used + Fully Automated Biochemistry Analyzer, EM-200 RENAL FUNCTION TEST ‘Sample Type : SERUM Blood Urea Level 2B mgd 10-50 Method: UREASE-GLOH UV Sr.Creatinine 2071 mgd 034.40 Method: Safes Pere Acid Instrument used + Full Automated Biochemistry Analyzer, EM-200 End Of Report = AE Mrs. Manisha Wagh 'br, Pradhan Pagaro (BSC Micro) M.D. (Path) ‘ADV DMLT Consulting Pathologist RegNo.:48808 Sin ene 41 017, (For Appointment : 8448445568) © scanned with OKEN ScannerHelios BHARTI HOSPITAL See Reg. ID: 31651 cA Collection Time : Reaisterd On : 08/09/2023 11:23PM Reported On :09/09/2023 01:40AM Name: MRS PRABHA NAIR Age & Sex: 54Years / Female Ref By: HELIOS BHARATI HOSPITAL Prothrombi ‘Sample Type + Plasma -Na Citrate Patient Prothrombin Time 2130 Sec 125-485 Control Prothrombin Time Sec Prothrombin Ratio is a INR (Intemational Normalised Ratio) 10.96 0.85-1.15 NOTE ‘THERPUTIC RANGE 2.0-3.0 FOR STANDARD DOSE THEORAPY End Of Report — [pe rs, Manisha Wagh lpr. Pradhan Pagaro oo wo, (eat sovonr consting Pato RegNo.48808 Shama Arcade, Floor No. 2, and 3, Sr, No, 111 CTS No, 7891, Near Jyotiba Mangal Karyalaya & PCMC Bank Main Road Kalewadi, Pimpri, Pune - 411 017. (For Appointment ; 8448445568) © scanned with OKEN Scanner; O Helios [BHARTI HOSPITAL a. | Rog. 10: 31651 ill aaah eet ei Collection Time Ti nese Registerd On: 08/09/2023 41:23PM. Ref By: HELIOS BHARATI HOSPITAL ‘on :09/0912023 01:40AM Reported SEROLOGY REPORT rE pesuit uN JOLOGIGAL REF RANGE ANTIBODIES To HEPATITIS C Sample Type SERUM , : Non Reactive Non Reactive ea = Lateral Fow Immunochrometogranhic Assay Nore "eats vis (HCV) iow ano betes ene of prenoly neited oA nn hep +2) Until the virus was was characterized, diagnosis was 1 exclusion of al ex known causes of hepatitis. sae erie ec oe lo slence of HCV is 0.2 to2 3) Antibody to HCV i found in over 8% of patents with wel documented noa-A now B heats The Worldwide PE : ‘ood donee ad op te 8% in ntarens. rug uses. Serepdeminlogc ste show thatthe seroperaenee of HCY inst India varies Oa a ae eae ange of HCV cae tnsmission by tanfsion ad ole petra means sch as sharing of REIS occupation exposure o blood ané hema 7 FRezue blood a em ects, he route of tansisin i unknown, HCV elses a chron infin in 301 8074 of 0 Fee nc eeepc een ath presence of ver éamage aceon biopsy. Crone HCV scarce by TucaN Neen nal To SGPT levels and ccopizablechngesnliver histology. Crone inteton cn lado cinhors and hepatocel HBsAq/ AUSTRALIA ANTIGEN - RAPID SCREENING ‘Sample Type : SERUM HBsAg / Austrelia Antigen Non Reactive for Hepatitis B Surface Antigen D NOTE 1) This sony srening sal eactive patient ae confimed by HBSAG Elisa or HBV DNA PCR. Non Reastive results can occur during incubation / window period. Hepat B surface angen (HBSAg) is an inpoan vil envelope protein wich appears shorty afer infection an is key seologieal market detection and diagnosis of HBV. Clearance during teatment shows, recovery and development of neutralizing antibodies (anti-HBs) oeeur in 99% utente inouctin of hepa B vaccination programs seologial detection of ant-HBs has become important method fr monito recipients upon vaccination with synthetic and natural HDsAg. J yTueabece of nH indeates suscep o BY infection For this screening for ant! in bigh isk populations is recommended for identifying individuals who may benefit from vaccination, EE Kelvans Irs. Manisha Wagh br ran ra (esc mic) (at Dv NLT Consulting Pathologist 3808 PCMC Bank mpri, Pune = 411 017. (For Appointment : 8448445568) © scanned with OKEN ScannerHelios BHARTI HOSPITAL Name: MRS PRABHA NAIR. Age & Sex: 54Years / Female Department of Pathology Reg. ID: 31651 ue Collection Time : Reaisterd On ; 08/09/2023 11:29PM Ref By: HELIOS BHARATI HOSPITAL, Reported On :09109/2023 01:40AM ‘SEROLOGY REPORT seta UNIT 06K TEST RESULT ‘HIVI&i REPORT ‘Sample Type SERUM RESULT = Non Reactive for HIV I & II Antibodies METHOD TRIDOT NoTE + All reactive samples are tested by 3 diferent methods as per NACO guidetines, 2010 (Strategy) falgortvm I). * Asingl test eau isnot avays indicative of sease and ciagnosis of HIV infection must be based On resus of ‘Supplemental, confimatory tests performed on repeat sample & wih clinical correlation fr the patent's immune status at history. + The test results obtained relate only to the sample given or received and tested + Non Reactive results may not rule-out acute or early HIV infection in the window peri suspected, detection of HIV~1 RNA or HIV proviral is recommended. + Reactive results suggest possibilty of preliminary infection with HIV-1 andlor HIV-2. All reactive samples should be vert by submitting a second serum specimen for repeat testing with screening & supplemental or confirmatory HIV tests (by serology-HIV 1 & 2 western blot or molecular- HIV 1 & 2 PCR). + For the received samples, itis presumed that patient counselling is done at referring centre or by referring physician. (od. If acute HIV infection is == End Of Report — [ae Mrs. Manisha Wagh Dr. Pradhan rages (BSC Micro) ‘MD. (Path) ‘ADV DMLT Consulting Pathologist . Reg.No.:48808 Shama Arcade, Floor No. 2, and 3, Sr. No. 111/CTS No, 7891, Near Jyotiba Mangal Karyalaya & PCMC Bank, i, Pimpri, Pune - 414 017, (For Appointment :8448445568) © scanned with OKEN ScannerDrBhath 997 50S |OFS~ ' Za. ONENESS DIAGNOSTIC CENTER ® SONOGRAPHY @ 3D-4D © COLOR DOPPLER * Seca ea ‘Shop No. 4, Ground Floor, Sai Paradise, S.No. 84/1, Adarsh Nagar, Near Kalevradi Police Chowk, Behind Balaji Traders, Main Road, Kalewaci, Pune-411017. Ph. : 9861777706. Dr. Vishal Bendsure Dr. Kalyani Belokar (Bendsure) New MBBS DMIRE (Mumbai) ‘MBBS DMIRE (Reg.No.2016/08/3641) Reg No.2006/04/2103 Fellowship in Obstetric Utrasound (Chennai) Name: Mrs. Prabha Nair Age : §2Year Ref.By Dr. Kalidas Bharti Date : 07/09/2023 USG ABDOMEN AND PELVIS Clinical profile: DJ stenting done for right upper ureteric calculus Liver is normal in size, shape and shows normal echotexture. No obvious Solideystic focal lesion is seen in liver. Hepatic veins appear normal. There is no HBR dliatation, Portal vein is normal in caliber. Gall bladder is distended. GB Wall thickness is normal. No evidence of calculi or Sludge is noted. No pericholecystic fluid is seen. CBD appears normal at porta ‘Sploen appears normal in size and echotexture. Head & body of pancreas is visualised & appears normal in size and echotexture. Both kidneys appear normal in size, location, echotexture. Cortico-medullary differentiation is maintained. DJ stent is noted on right side ‘Two fragments of calculi measuring 11 mm & 5 mm are noted along the DJ ‘stent in right upper ureter about 1.5 cm distal to PU junction Mild hydronephrosis is noted on right side A simple cortical cyst measuring 16 X 14 mm is noted in upper pole of left kidney ‘No hydronephrosis, hydroureter or calculi are seen on left side. Urinary bladder is distended. No efo any calculus noted within, Bladder wall appears normal. Prevoid bladder volume:170 cc Postvoid residue: 10 co(insignificant) ‘No free fluid is noted in abdomen and pelvis. 'No obvious enlarged lymph nodes are seen in abdomen and pelvis, No abnormal bowel diatation or obvious bowel wall thickening is seen, Uterus is anteverted, small in size (post-menopausal status) and reveals no obvious focal lesion. Uterine size: 5.9 X 2.9 X 2.1 cm. Endometrial thickness measures 4.5 mm. | Both ovaries are not visualised (probably atrophic) ‘No solidicystic mass lesion or fluid collection noted in the pelvis. Qi P10 © scanned with OKEN ScannerZA ONENESS DIAGNOSTIC CENTER ‘© SONOGRAPHY ¢ 30-40 © COLOR DOPPLER * DIGITAL X-RAY Nagar, Near Kalewadi Police sh ‘Shop No. 4, Ground Floor, Sai Paradise, S.No. 84/1, Adat a eet TT7708. ‘Chowk, Behind Balai Traders, Main Road, Kalewadi, Pune-41101 Dr. Vishal Bendsure Dr. Kalyani Belokar (Bendsure) Vw (MBBS DMRE (Mumbal) ‘ues DMRE (Reg.No2016/08/264") Fellowship in Obstetric Ultrasound (Chennal) Reg.No.2006/04/2103 Name Mrs, Prabha Nair Age : 52 Year Ref.By —: Dr. Kalidas Bharti Date : 07/09/2023 USG ABDOMEN AND PELVIS \\ e Impression: ‘DJ stent on right side «Two fragments of calculi (11 mm & 5 mm) along the DJ stent in right upper ureter about 1.5 cm distal to PU junction Mild right hydronephrosis + Left renal simple cortical cyst (16 X 14 mm) « No other significant abnormality detected. ‘Suggest: X-ray KUB after good bowel preparation Dr. Vishal Bendsure Consultant Radiologist © scanned with OKEN Scannera © scanned with OKEN Scanner