Radha Nagar, Near Pragati School,
Panchavati Square, Amravati, 444603
Ph.: 2550505, 2577703, 9130005760
www.parijatchildrenhospital.com
हॉस्पिटल मोठे पण सर्वांना परवडणारे !!!
Medical Report
Name :   Age :   Gender :  
UHID No :   Visit No :   Date :  
Weight :   Temp :   Height :  
Address :              
 
Diagnosis :
Presenting Complaints :  
   
Past History :
Birth History :
 
General Examination
H.R : R.R : B.P : Sp.O2 : H.C :
Other :
 
System Examination :
R.S  
C.V.S  
C.N.S  
P.A  
THROAT  
----------------------------------------------------------------------------------------------------------------
VACCINATION :  
INVESTIGATION:  
TREATMENT
Rx,  
*  
*  
*  
*  
Advice :  
Followup Date :
Cheaper generic alternate medicine can be taken by patient at their own responsibility
 
<Consultant Name >
 
Dr. Bhupesh Bhond,
MBBS, DCH
Consulting Pediatrician		 Dr. Laxmi Bhond,
MBBS, DCH, FPCC(MUHS)
Pediatric Intensivist		 Dr. Rohan K. Bobade,
MBBS, MD (Pediatrics), FPCC(MUHS)
Pediatric Intensivist		 Dr. Suraj G. Rathi,
MBBS, DCH, DNB (Pediatrics)
Consulting Pediatrician		 Dr. Sumit Gawande,
MBBS, DCH
Consulting Pediatrician