@php $surgeryName = trim((string) ($patient->Advice ?: $patient->Diagnosis ?: 'OT Procedure')); $formattedDate = $patient->ScheduleDate ? date('d/m/Y', strtotime(str_replace('-', '/', $patient->ScheduleDate))) : ''; $patientAgeSex = trim(($patient->Age ?: '') . (($patient->Gender ?? '') ? ' / ' . $patient->Gender : ''), ' /'); $patientIdText = trim((string) ($patient->PatientId ?: $patient->MrdNo)); $consultant = $patient->Consultant ?: '________________'; $gaText = $patient->Ga ?: '________________'; @endphp
Hospital Logo

Vyawahare Netralaya & Eye Bank

V.M.V Road, Rathi Nagar, Amravati

Phone: 0721-2664880 | Mobile: 9370109647

{{ $templateTitle }}
Patient Name {{ $patient->PatientName }} UHID / MRD {{ $patientIdText }}
Age / Sex {{ $patientAgeSex ?: 'N/A' }} Date {{ $formattedDate }}
Phone {{ $patient->Phone ?: 'N/A' }} Eye {{ $patient->Eye ?: 'N/A' }}
Consultant {{ $patient->Consultant ?: 'N/A' }} Category / Package {{ trim(($patient->Category ?: 'N/A') . ' / ' . ($patient->Package ?: 'N/A')) }}
Diagnosis {{ $patient->Diagnosis ?: $patient->Advice ?: 'N/A' }}
Address {{ $patient->Address ?: 'N/A' }}
@switch($template) @case('admissionfromnikhil')
Admission Details
Consultant: {{ $consultant }} UHID: {{ $patientIdText }}
DOA: {{ $formattedDate }} DOD: __________________
Diagnosis: {{ $patient->Diagnosis ?: $surgeryName }} Operation Planned: {{ $surgeryName }}
Anesthesia Planned: {{ $gaText }} Doctor: {{ $consultant }}
Medical History: {{ $patient->Advice ?: '______________________________' }}
Ocular Examination
Eye: {{ $patient->Eye ?: 'N/A' }}, IOL Name: {{ $patient->IolName ?: 'N/A' }}, IOL Type: {{ $patient->IolType ?: 'N/A' }}, IOL Power: {{ $patient->IolPower ?: 'N/A' }}
Investigation
BP: {{ $patient->Bp ?: 'N/A' }}, BS: {{ $patient->Bs ?: 'N/A' }}, US: {{ $patient->Us ?: 'N/A' }}, AL: {{ $patient->AL ?: 'N/A' }}, ACD: {{ $patient->Acd ?: 'N/A' }}
Pre-Op Instruction Initial Nursing Assessment
Take Written Consent
Check BP
Dilate The Pupil {{ $patient->Eye ?: '________' }}
Tropical Plus Eye Drop ______ 1st Time ______ 2nd Time
Temp ______
Pulse ______
BP ______
SPO2 ______
@break @case('initial-nursing-assessment')
Name: {{ $patient->PatientName }}
Incharge Doctor: {{ $consultant }}
UHID: {{ $patientIdText }}
Date & Time: {{ $formattedDate }} {{ $patient->ScheduleTime ?: '' }}
Age: {{ $patient->Age ?: 'N/A' }}
Sex: {{ $patient->Gender ?: 'N/A' }}
Initial Nursing Assessment
Duration of this problem: ________________________________
Name of Operation: {{ $surgeryName }}
Pre-Operation
Temp:Pulse:BP: {{ $patient->Bp ?: '' }}SPO2:
Intra-Operation
Temp:Pulse:BP:SPO2:
Post-Operation
Temp:Pulse:BP:SPO2:
@break @case('medication-administration')
Medication Order / Administration Record
Date: {{ $formattedDate }}
Name of the Patient: {{ $patient->PatientName }}
Age / Sex: {{ $patientAgeSex ?: 'N/A' }}
UHID / IPD No.: {{ $patientIdText }}
Diagnosis: {{ $patient->Diagnosis ?: $surgeryName }}
Surgery: {{ $surgeryName }}
Pre-Surgery Medication / Drops Given Frequency / Intervals Date & Time Signature
Pre-Surgery – TROPICACYL PLUS EYE DROP 1 Drop Every 10 minutes 4 times {{ $formattedDate }}
Sr. No.Medication OrderFrequency / Intervals
1Pre-Surgery – TROPICACYL PLUS EYE DROP1 Drop Every 10 minutes 4 times
2Post Surgery medication as per discharge cardAs per discharge card
@break @case('pac')
Name of Patient: {{ $patient->PatientName }} UHID / MRD No.: {{ $patientIdText }}
Age / Sex: {{ $patientAgeSex ?: 'N/A' }} Date: {{ $formattedDate }}
Procedure: {{ $surgeryName }} Anesthesia: {{ $gaText }}
BP: {{ $patient->Bp ?: 'N/A' }} Blood Sugar: {{ $patient->Bs ?: 'N/A' }}
Remarks: {{ $patient->Advice ?: '___________________________________' }}
Anaesthetist findings and recommendation: ________________________________________________
@break @case('surgical-safety-checklist')
Surgical Safety Checklist - Ophthalmology
Name of Patient: {{ $patient->PatientName }}
UHID / IPD No.: {{ $patientIdText }}
Date & Name & Site of Surgery: {{ $formattedDate }} / {{ $surgeryName }} / {{ $patient->Eye ?: 'N/A' }}
Pre-OP Check List Before Anesthesia
Sign In
Before Incision
Time Out
Before Leaving Operating Room
Sign Out
  • Consent Taken
  • Pre-OP Medicine Taken
  • B/P Checked
  • Blood Sugar / Physician Fitness
  • Pupillary Dilatation
  • A-Scan / IOL Master
  • Patient identity confirmed
  • Site marked
  • Presurgical assessment complete
  • Preanesthesia assessment complete
  • Patient, site and procedure confirmed
  • Implant style and power reviewed
  • Critical events discussed
  • Name of procedure recorded
  • Counts correct
  • Recovery concerns reviewed
@break @case('cataractconsent')
Cataract Surgery Consent
Date: {{ $formattedDate }}
Patient Full Name: {{ $patient->PatientName }}
Age / Gender: {{ $patientAgeSex ?: 'N/A' }}     MRD No.: {{ $patient->MrdNo ?: $patientIdText }}
Address: {{ $patient->Address ?: 'N/A' }}
Telephone No.: {{ $patient->Phone ?: 'N/A' }}
Procedure advised: {{ $surgeryName }}
Eye: {{ $patient->Eye ?: 'N/A' }}
IOL Name / Type / Power: {{ $patient->IolName ?: 'N/A' }} / {{ $patient->IolType ?: 'N/A' }} / {{ $patient->IolPower ?: 'N/A' }}
Anaesthesia: {{ $gaText }}
Consent explanation has been discussed with the patient / relative in understandable language. Detailed printed consent matter and signatures can be taken on this page.
@break @case('ptyrygieum')
Pterygium Surgery Consent
Date: {{ $formattedDate }}
Patient Full Name: {{ $patient->PatientName }}
Age / Gender: {{ $patientAgeSex ?: 'N/A' }}     MRD No.: {{ $patient->MrdNo ?: $patientIdText }}
Address: {{ $patient->Address ?: 'N/A' }}
Telephone No.: {{ $patient->Phone ?: 'N/A' }}
Procedure advised: {{ $surgeryName }}
Eye: {{ $patient->Eye ?: 'N/A' }}
Notes: {{ $patient->Advice ?: 'N/A' }}
The patient has been informed about the procedure, possible recurrence, need of graft / medicines, and expected recovery. Consent signatures can be taken below.
@break @endswitch
Patient / Relative Sign
Doctor Sign
Nurse Sign