Total OPD Patient Report
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Godavari Foundation's
डॉ.उल्हास पाटील वैद्यकीय महाविद्यालय व रुग्णालय,जळगांव खुर्द
DR. ULHAS PATIL MEDICAL COLLEGE & HOSPITAL, JALGAON KH.
OPD INITIAL ASSESSMENT FORM
OPD No.: 586978 Date                    : 15/04/2026
Aadhar No.: 586978 ABHA No.          : 98-85-89-78-89-4895
Name : XYZREOP REWQTHGI RATHYZX MLC No.            : 98-85-89-78-89-4895
Age & Sex : Female Child / 1.5 Cast & Religion:  Hindu Sali
Address 8,Rameshwar colony,meharun,Jalgaon 425001
Name of Dept: RESPIRATORY MEDICINE (TBANDCHEST)
Occupation: Private Job Monthly Income: 20000/-
  BP : 60/120mm/hg   Pulse : 82/min   R/R :   Temp :
  Weight : 60/120mm/hg   SpO2 : 82/min   Diagnosis :
  Date : Chief Complaints & Findings Plan of Care Rx For How Many Days

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