V.M.V Road, Rathi Nagar, Amravati
Phone: 0721-2664880 | Mobile: 9370109647
| 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' }} | ||
| 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 |
|---|---|
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Take Written Consent Check BP Dilate The Pupil {{ $patient->Eye ?: '________' }} Tropical Plus Eye Drop ______ 1st Time ______ 2nd Time |
Temp ______ Pulse ______ BP ______ SPO2 ______ |
| Name: {{ $patient->PatientName }} Incharge Doctor: {{ $consultant }} |
UHID: {{ $patientIdText }} Date & Time: {{ $formattedDate }} {{ $patient->ScheduleTime ?: '' }} |
Age: {{ $patient->Age ?: 'N/A' }} Sex: {{ $patient->Gender ?: 'N/A' }} |
| Pre-Operation | |||
|---|---|---|---|
| Temp: | Pulse: | BP: {{ $patient->Bp ?: '' }} | SPO2: |
| Intra-Operation | |||
| Temp: | Pulse: | BP: | SPO2: |
| Post-Operation | |||
| Temp: | Pulse: | BP: | SPO2: |
| 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 Order | Frequency / Intervals |
|---|---|---|
| 1 | Pre-Surgery – TROPICACYL PLUS EYE DROP | 1 Drop Every 10 minutes 4 times |
| 2 | Post Surgery medication as per discharge card | As per discharge card |
| 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 ?: '___________________________________' }} | |
| 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 |
|---|---|---|---|
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| Date: {{ $formattedDate }} |
| Patient Full Name: {{ $patient->PatientName }} |
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| Patient Full Name: {{ $patient->PatientName }} |
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