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Discharge Summary

This document provides a template for a discharge summary that includes sections for patient name, address, admission and discharge dates and times, consulting doctor's name and qualifications, pregnancy status if applicable, present history, past history, diagnosis, treatment provided including medicines and injections, patient's course in the hospital, and advice given at discharge. The discharge summary is to be formatted according to this template on hospital letterhead with the hospital seal and doctor's signature.

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Deepak Sharma
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10K views2 pages

Discharge Summary

This document provides a template for a discharge summary that includes sections for patient name, address, admission and discharge dates and times, consulting doctor's name and qualifications, pregnancy status if applicable, present history, past history, diagnosis, treatment provided including medicines and injections, patient's course in the hospital, and advice given at discharge. The discharge summary is to be formatted according to this template on hospital letterhead with the hospital seal and doctor's signature.

Uploaded by

Deepak Sharma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

FORMAT- DISCHARGE SUMMARY

NAME AGE SEX

ADDRESS IP NO:

DATE OF ADMISSION

Time of Admission

DATE OF DISCHARGE

Time of Discharge

CONSULTANT with Qualification

Gravida Status (in case of Maternity)

PRESENT HISTORY

PAST HISTORY

DIAGNOSIS

TREATMENT GIVEN [ alongwith medicines & injections name of each item]

COURSE IN THE HOSPITAL

ADVICE ON DISCHARGE

Please make the discharge summary according to this format on the hospital letter head
With hospital seal and consultants signature.

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