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r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID D)A:ral3lz)zo 09:00 TOTAL 3 DAYS .cN , crllzozolL77lr4l7oo447 45 - ^- . ^ i^,,.v uo' p/r7 1214/OlJztzoloszt1' SUBTOTALL BILL FOR CLAIMLU CONSULTATION CHARGES ROOM CHARGES 2OOO / DAY DR CHARGE IOOO/DAY AND NIGHT INVESTIGATIONS MEDICINE CHARGES ECG CHARGE X RAY USG REPORT TOTALL BILL 10% MOU DlscouNT ANY AMOUNT NOT COLLECTED BY PATIENT DOD : 20-03-2020 6:00 PM sH'vA$ rvltR r:f,5Lti'lfi 27954.00 SUBTOTALI 400.00 10000.00 5000.00 3900.00 6654.00 0.00 2000.00 DELU ROOM 27954.oo

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Page 1: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

r@"rsDwN-ffi"g,mffiffi\' lFrlt

"-o ""ttuna.van societv' Ja

TO. STAR TPA

eriL No:rzsrrl zorg-zo

BILL DATE:20/3/2020

A/C OF SHITALBEN A' PATEL

DIAG: ACUTE UTI-PID

D)A:ral3lz)zo 09:00

TOTAL 3 DAYS

.cN , crllzozolL77lr4l7oo447 45

- ^- . ^i^,,.v uo' p/r7 1214/OlJztzoloszt1'

SUBTOTALL BILL FOR CLAIMLU

CONSULTATION CHARGES

ROOM CHARGES 2OOO / DAY

DR CHARGE IOOO/DAY AND NIGHT

INVESTIGATIONS

MEDICINE CHARGES

ECG CHARGE

X RAY USG REPORT

TOTALL BILL

10% MOU DlscouNT

ANY AMOUNT NOT COLLECTED BY PATIENT

DOD : 20-03-2020 6:00 PM

sH'vA$ rvltR r:f,5Lti'lfi

27954.00SUBTOTALI

400.00

10000.00

5000.00

3900.00

6654.000.00

2000.00

DELU ROOM

27954.oo

Page 2: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

Dr. Prakash H' KurmiM D' (Medicine)

TimingsMon to Saturday

11.30 a.m. To 2.30 P m ,

6.30 P.m. To 8 30 P.m

lClJ Diagnostic & Research Centre

C-4, Satyanarayan Society'Phone

.i5-oi, rr*, L""noounagar char Rasta'

: 25835830, M.: 9925047695 Fax : (079)Maninagar25835831

(E), Ahmedabad-8.

-naszzslteDtto-'tzstt

DaG- zotorl2ozo o+ ra Pm

base No,SlliileeN.nPnrelName

SerAgeAddress

: iemate i +O Vears

.iTtiJ,iitl"il'i't*t"^ntoo**nir,,r6o"^b 'sHnrPun

flt"6ssnoe suNlNtlRYmtos.oo

o-ate otldm'rss'on: j Time:29993:lilifrEd'zqeesa

-oono:i'?l",ir, ,,o

'"'ffi;gpp,ffiffigru1g$*lltfli''${$-r+ill*'#*

t, t"t $jffi$!.ominsoneatEvenineAFrER

FooD - s1?6

" *t:iiJfl;tJ"r, o^" "o**'"o^o

EVENTNG BEFoREoFooD 5davs

., t"t llilll. fro .ornins one at Evenins AFrER Fooo 5 d;6

" tt

:t:i;::itl:orninsoneatEveninsAFTER Fooo 5davs

n tt T-ri5'$oto* uo ML) rHREErlIilEs DAILY AFTER FooD sdave

(10)

MFDICAL HO'P!TALCASH A'CAhmedabad' Gularat

SHIVAIVTDr- Pfs.

c/4, sal!.rer.t?

'""'.;;,ia*fr$- ui' "i'",'

r, r,,!.:il-i l!. t.rili;lil

Ph, o79-25835430008.

Page 3: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

$l$v'r-,

p&)J_m r.*{r#3i:i,frffi$ffi

Bill

Admission i

Relieveo:Dishcarged:Tansfeneo:

Expired I

fLnlng

[inlcal Flnalllng

Page 4: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID
Page 5: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

ICCU ttLgn s{c & R{'e|ci q"it'

Pt.

Age

Page 6: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

SanyaDIAGNOSTICS

IMRI I cr ffi; s"t"rttphy r colour Doppler I Digital x-Ray LD-Echo I Mammography

HiP Ev lS.lt'fi lil'"'*u **'

U.S.G. OF ABDOMEN

Liver: appears normal.in siz€lshow::"*i.tr*:XT""*J"Jifl,.'"""" is seen No dil

iiii,il"""lsiiltiflfilil' #Gd';;;;;ormar in course and cariber

::llin*,*ln*,::':#::TX*nio'""rs normar No carcurus' srudse or mass rs

Pancreas: appears normal in size & echopattem No focal lesion is seer

Spleen: appea6 normal in s|ze and shows normal echotexture No focal lesion is seen Sple

vein aPPears normal

F/ 46YRSDATE: '18/03/2020

g;#tr#ry$;i5#;g**qandech'Pa"ern

l"':::x lr*;un:1fl:liiil:l"i:13:irTr::fi:i^n No carcu'us' internarechoes or mass

Uterus appears diffusely bulky and shows heterogenous myomefialechotefure'

ItilJ:;:'J?:l,fnl[ilb,.u' mm (vorume 1s5 cc)

Para-aortic region appears normal''tti-

"oaotin"rlytptt"denopathy is seen'No aDoomrnat rv'!rP,,a

show normal peristalsis.Bowel loops appear notlgl in TUT'-:-...^r +hirrza^,^d rs seenfil1i,iiii""'Ttili;'iiiuo*"r roop" o' *arr thickenins is seen

il ilid ffijii;lump formation is seen in RIF

No ascites |s seen.

IMPRESSION:

changes of uterine adenomyosis'

OR BHAORESH CHUDASAI'AM.D.

DR PRADEEP i'AHESIIWARIot{B, MllAl{s

OR.SAI{OIP rrEvADA$.0.

Page 7: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

SanyaDTAGNOSTICS

-MRfiC s"r" I ffist"phy I c"lour Doppler r Digital X-Ray r 2D - Echo r MammograPny

F/ 46YRSNAME: SHITAL A PATELREF BY: DR. PRAKASH KURMI

X RAY CHEST PA VIEW

Both lung fields under vision appears norma'

No evidence of koch's lesion or consolidation is seen'

Both CP angles are clear'

Cardiac size is within normal limits'

Bony thoracic cage and boih domes of diaphragm appears

DR. ANSI THAKKARM.D.

18t03t2020

DR, PRADEEP I{AHESHWARIDNB, I|NAMS

2nd Floor, chauhan House, Opp,iqlgl$gtr!! lgcorner' Maninagar' Ahmedgbad - 190 99q

Fn. ozs;t6 rutfiT*dl, ;hyog m ' w€bsite: www sanyadiagnostics com

DTiSf|{H RAHEVER

(a Unit of thyog hagins Centre )

Page 8: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

Patient NameReffered bY

Ref. No

. sl-:tat Patel - Age/sex:46 Years/Female

' nr PRAKASH H KURMI (M u ):lisib&, -" s".ol" No :1803 e"s'srrari"n oare &r'ae :18/03/2020 2r:25

r,r"rhodEt""t,i"ll'Hry"d"n""/opii"urAnulv"i"bvA'tomat€dcellcounr€r

samPle : EDTA

BLOOD COTJNTS:

HaemoglobinR.B.C. CountW.B.c. CountPlatelet CountOIFFERENTIAL COUNT:

PolymorPhsLymphocYtesEosinoPhilsMonocYlesBasophils

BLOOD INDICES:P.C.VM,C,VM,C.HM.C.H.C.R.D,W-CV

SMEAR STUDY:

WBCPlatelet

Malarial Parasite

Result

:10.s: 4.73: 7!599.

408000

E421.829.7

RBCS are normochromic normocytic 'No premaiule cells are seen

Adequate and Normal

: Malarial Parasites not seen'

!d! Biolooical R''9lc-01€-bicjval

omo/o [,4 13.5-18,F 12 5-16

i'ill./".. M47'55F42'544000- 10000

;;; 15oooo-45oooo

4A-7020-40

2-140-1

M.42_52,F.37 -17

78-10027 -3132-3611 .5 - 14

80,I6

020200

%%%o/,

%fL

g/dL%

DR lllMLB titou

ir.o.{tal r0r!(11

lt6 t0 Gn05$

-_ End oi Report _-

Dr.Shreya Patel[4.D. (Patho.)

Dr.MitalYadavM.D. (Patho.)

Dr. HiralFalduM.D.iPatho.)

Page 1 ol2

24 Hours x 7 DaYs Service AvailableWe wish our Patient to get well soon

^--..,.^ -:- -..'i-- .^ t..h;i.,| v..i5tlon klndlv con€lat€ clinicallv

DR. HIRAI- SHAVESH FALDUM.o. (Pdthology)@

Page 9: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

l|EATIl|

'IIf

PAII|OIOOY & ENOOCRINE I.ABOBAIOBY

{FULLY SARCODED fiii'fituiii1i[-fi1 , FULLY AUTOMATEO', FULLY COiIPUTERISEo ) -O:

,-,;;.::*":s:"T*'^'":#!?:'#-s'ii3Lu*..",""-r".1F

YE-mail : healthcare24xT@8mail

Patient Name :Shital Patel Age/Sex : 46 Years/Female

Reffered by : Dr. PMKASH H. KURMI (M D ) :

net. No : 151803, Sample No. :1803, Registration Date &fine 18to3no2o 23t25

Sample : EDTA (W.8.),SerumTestBlood GrouPRh typingBlood Group & Rh tYPe : "AB" Positive

Result: "AB": Positive

BiochemistrvBv DIMENSION RXL MAX-SIEMENS:Fully Automated Biochemlstry Analyser' Method : Hexokinase

Sample : Flouride Plasma

i;"i' Result !b!! Bioloqical Reference lnterval

Fandom Blood Glucose: -L4 mg% > 2OO: Provisional Diagnosis of

(RBS) Diabetes

Remarks : Value Rechecked

-- End of Report --

Dr.shreya PatelM.D. (Patho.)

Dr.Mital YadavM.D. (Patho.)

[4;thod : Slide &Tube Agglutination

1R ^^ rrB^r !u^vE<u FAI Dtl

Page 10: r@rsDwN-ffig,mffiffi · r@"rsDwN-ffi"g,mffiffi \' lFrlt "-o ""ttuna.van societv' Ja TO. STAR TPA eriL No:rzsrrl zorg-zo BILL DATE:20/3/2020 A/C OF SHITALBEN A' PATEL DIAG: ACUTE UTI-PID

@

||IAIIII EIIf PAI||O I.O$Y & E N OOCRI NE I.ABORAIORY

(FULLY EARCODED fim-nffiiiiiii-in ' f ULLY AIJToMATE0', FULIYCoiIPUTERISED)

DR. HIRAL BHAVESH FALDU M D q"'hd'? ,. -102, Aishwar/a Coimpt.*, i-erautr'ntgtt s:tltgl9o-l' t*" :o::'j^Tl:

N"". j;il; ;;JJ;;il "'*k -'s"n"uR'-24447%zesosz2ue:xTzsssotPn'a7t??1"u!i-1!;M,oloo';'-';il;1iil.#;4'?b-;;;ir.."; website : www hearthcare24xT in

Patient Name : Shital PatelReffered by :Dr. PRAKASH H. KURMI

Ref. No : 151803, Sample No.

Age/Sex : 46 Years/Female(M.D.) :

:1803, Registfation Date &T|me t18lO3l2O2O 23:25

Urine Examination

Test Name Result

Physical Examination:

-- End of Report --

Dr,Shreya PatelM.D. (Patho.)

:10: Pale Yellow: Clear

Unit Bioloqical Reference lnterval

mLQuantityColorTransparencYOdour :Nonspecific

Chemical Examination:

Albumin

Sugar

Acetone

Bile Salts-Bile Pigment

Reaction(PH) :Acidic

Microscopic Examination:

Pus Cells rPlentyRed Blood Cells :NilEpithelial Cell :1-2Amorphous :AbsentCast ;AbsentCrysials :Absent

: Absent

: Present I+l

:Absent

: Absent: Absent

Absent

Absent

Absent

AbsentAbsent

4.6-8.0

/H.P.F 0-5i H.P.F 0-2/H.P.F Present

AbsentAbsentAbsent

REMARK :-Note: l\ricroscopic examination of Urine is carried out on centrifuged urinary sediment

24 HoursWe wish

Dr.Mital YadavM.D. (Patho.)

x 7 Days Service Availableour patient to get well soon-.^-!'-,-^r --.r-.r^n |llndlv e6ml.t€ cllnrcallv

xJ ..Dr. Hir#taldulLD.(Patho.)

DR. HIRAL BHAVESH FALDUt'l.D. (P.d'oLa/)