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Opd Final PDF

The document is an OPD ticket from the Chormara Primary Health Care Center in Madhyabindu Municipality, Nepal. It provides patient information for Rishi Kesh Dhakal including registration number, address, age, gender, unique patient ID, doctor name, and registration date and time. Sections are included for vital signs, chief complaints, examinations, diagnosis, investigations, medications, advice, and referral reason if needed. The document is signed by the attending physician.

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madhyabindu municipal hospital
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69 views1 page

Opd Final PDF

The document is an OPD ticket from the Chormara Primary Health Care Center in Madhyabindu Municipality, Nepal. It provides patient information for Rishi Kesh Dhakal including registration number, address, age, gender, unique patient ID, doctor name, and registration date and time. Sections are included for vital signs, chief complaints, examinations, diagnosis, investigations, medications, advice, and referral reason if needed. The document is signed by the attending physician.

Uploaded by

madhyabindu municipal hospital
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Madhyabindu Municipality

Office of the Municipality Executive


Gandaki Province, Nepal
Chormara Primary Health Care Center
Madhyabindu-07

OPD TICKET
OPD TICKET
EMERGENCY Ticket Health Insurance
Board

Patient Name: RISHI KESH DHAKAL Reg. No.:10167

Address: KAWASOTI-3 Age/Gender:42 Years/Male


Patient UHID: 20809996 INVOICE NO.:9416

Doctor Name: ROOM NO : 3 Amount: 0.00

Registration Date: 25/06/2080 4:12:45PM


*20809996*
INS.ID: | CID:
BP: mmHg PR: /min RR: /min Temp: °F SPO2: % Wt.:

C/O: EXAMINATIONS:
G/E:

S/E:
CHEST:

CVS:

P/A:

CNS:

DIAGNOSIS:

INVESTIGATIONS:
MEDICATIONS:

ADVICE/SPECIFIC INSTRUCTION:

REFER TO:

REASON:
.......................................
SIGN
COUNCIL NO.:

User: YAM -Morning # 25/06/2080# 4:12:14PM

हरर क पटक आउदद यय पपरदर अननवदयर रपमद ललई आउनप हयलद ।

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