CASESHEET

Di
str
ict:
-Pal
amu Nameandt
ypeofcent
er:
-SadarHospi
tal
Dal
tonganj Dat
eofvi
sit
:-

OPDNo/
IPDNo_
___
___
___
___
___
___
___

Dat
eofAdmi
ssi
on_
___
___
___
___
___
___
_

Nameoft
hePat
ient
___
___
___
___
___
___
___
___

Fat
her
's/
husband'
sName_
___
___
___
___
___
___
___
___
_

Age/
Sex_
___
___
___

Addr
ess_
___
___
___
___
___
__

MEDI
CALHI
STORY

A)pr
esent
ingcompl
aint
s

1.

2.

B)Hi
stor
yofpr
esenti
ll
ness:
-

C)Fami
lyhi
stor
y:-

D)Hi
stor
yofpasti
ll
ness:
-

Sino Pastdi
sease/
s Dr
ugusedf
ort
/t Yearoftr
eat
ment T/tcompl
etedor
recei
ved not

E)Physi
calexami
nat
ion:
-

1.
Weight___
____kg2.
temperat
ure___
___C 3.
pall
or___
______
_
4.
Ict
erus___
______
_5.
cynosi
s_____
___6.
Node_ _
______
_____
____
__7.oedema__
___8.
pul
se_
__/
min
9.
B.P____
_____
_mm/ Hg10.Abdomen_ _
_____
______
____11.
Chest:
______
___
_____
___
___
_
CASESHEET

*
*anyot
her
s

F)
INVESTI
GATI
ON:
_

G)Pr
ovi
sionaldi
agnosi
s:

H)Di
ff
erent
ialdi
agnosi
s:

I
)Tr
eat
mentadvi
ce: Si
gnat
ureofst
udent

Nameofst
udent:
-RaushanKumarGupt
a

Rol
lno:
-029,
Sessi
on:
-2016-
2019

TheabovestudentofB.Sci
nCommuni t
yI PHNamkum (j
harkhand)wastaughtbymeabout
hi
stor
ytaki
ng,examinati
on,
invest
igat
ionrequi
redanddi
agnosisthecase.

Si
gnat
ureoft
hef
acul
ty

NameandDesi
gnat
ion:
-