ST. PHILOMENAS Hogpyr a, 0. ™ No.4, Campbell Road, Viveknagar p. » Bangalore - 560 047 + Ph: 25303129/30/3 V34,40164300 Fang 25575704 > AN DISCHARGE SUMMARY Patient's Name SUNANDA CHOUDHARY UMID:25F4882 Ad, pig, 4 Address KONFIDO LeGeNcy Age: 69y Sex: Female PRA MILAYour DOA: 7525 Ward pb LORE.37 DOD: 207525 ed oe Contacto 08197783449 TOA: 12:59 TOD: 17:69 IPNO:P 2899 pwa Admitted under: VENKATACHAL4 KDR. (oncology) Consultant Surgical Oncologist Consutatons Cardiology Ordti Babu), Neurologist (r.A.R.Bhat), ———— a Contact Numbers + 080-40164300, Demet Numbers DepartmentSpeciatty + MBBS, MS, MCh KMC REG NO: 50143, @ Mcn :NA FIR No NA PROVISIONAL DIAGNOSIS ; * RECURRENT. PERITONEAL CARCINOMATOsIS * HYPERTENSION * HYPOTHYROIDISM * CVA WITH DEMENTIA FINAL DIAGNOsIs; * HYPOTHYROIDISM CVA WITH DEMENTIA @cnoveummasis Drug Allergies: NOTKNOWN TR. "LED COLORECTAL, ANASTOMOSIS + RIGHT CHEST TUBE INTERCOSTAL, DRAINAGE) INSERTION DONE UNDER Ga ON 952025, yo ee Peed Yona StPhiomenas Hospital Ph S505 SBaaTSSSE Go (G® scanned with OKEN ScannerST.PHILOMENAS HOSPITAL SFL Paves Name: SUNANDA CHOUDITARY IP Ne P 299 y ting Complaints with Duration & Rew ae tunanda Choudhary i K/C/O primary periton tteatinent, recent P) showed progressive d # Now came for firther management @) 1 carcinomatosis diygsed in September 2023 on for Admission: se. Chowlhary, aged 69 years, a K/C/O hypothyroidism, post CVA with psychiatric issues, hypertension Sn reament, was diagnosed with primary pettoncal carcinomatosis, stage 3C, in September 2023, with CA 125- Progressive disease with serum CA 125 - 108 IU/ml She received INJ. LIPODOX + IP CARBOPLATIN x3 cycks, hst eye 01 27/3/2025, PET CT on 1042025 showed progressive disease inpelvis and abdomen with Serum CA 125-35,9 IU/ml, HRD ‘mutation negative, icant Past Medical and Surgical History, if any : neal carcinomatosis since September 2023, Stage 3C . . Hypothyroidism, HTN, Psychiatric issues post CVA on 15/12/2024, Fracture right humerus ORIF Dec 2024, Medication history: * TABTHYRONORM = 75McG. 1-0-0 * TABSTAMLO SMG 0-0-1 * TABPROLOMET 25MG 150-0 » TABIVABRAD. SMG 1-0-1 TAB.BREVIPIL S0MG 1-0-1 © TABQUTAN 2.5MG 0-0-1/2 @ History of alcoholism, Tobacco or substance abuse, if any : NA Family History if significant / Relevant to diagnosis or Treatment : NA Key findings, on physical Examination at the time of Admission : Conscious, oriented, afebrie. : No pallor /icterus / eyanosis / clubbing / ymphadenopathy / edema, Afbrik, PR- 88/min, BP- 150/90 mmHg, RR:22/mnin, O/B :Neck - NED, Both breasts ala NED. RS :Nomml vesicular breath sounds, CVS :Nommalcaitiac activity P/A _:Sof, No mass/ ascites vertical midline laparotomy scar - healthy Bikteral goin NED. Page: 2 © scanned with OKEN Scanner‘P.Urine Sugar. e Name: 07/087 Date: P.Urine Sugar... Prothrombin Time TW Reese etc Prothrombin Control Activated Partial Thromboplastin 7 Date: 09/05/25 P.Urine Sugar. Blood Urea... S. Creatinine... Bilirubin - Total. Bilirubin - Direct Total Protein. Albumin. . Globulin, 8.6.0.7. S.G.P.T. ; Alk. Phosphatase. Sodium... Potassium. Chloride Date: 10/05/25 P.Urine Sugar. Prothrombin Time Cen ene Prothrombin Control Activated Partial ‘Thromboplastin T: Date: 10/05/25 BIOCHEMISTRY REPORT Test Blood Urea..... S. Creatinine... Bilirubin - Total., Bilirubin - Direct. Total Protein. Albumin. 5 Globulin... S.G.0.T.... S.G.P.T Alk. Phosphatase Sodium. Potassium. Chloride. . Date: 10/05/25 BIOCHEMISTRY REPORT Test of key investigation Durinye Hospitalization ST.PHILOMENAS HOSPITAL SUNANDA CHOUDHARY, IP No: Normal value P29 " 12.8 ime..: 25 Sec (21-29) Result Normal Value 41 ng/dt {15-40 ) 1.47 mg/d (0.4- 1.4) 2.64 mg/dl (upror 0.60 mg/di Cupto1 +h 3.4 gt ( 6-8) 2.0 ga (3s | 1.4 gt ( 2-4 4 568 U/L ( 8-40 ) 405 U/L (5 35) 55 U/L ( 30-90 ) 139 mmol/L (130 - 150) 5.0° mmol/L (3.8 - 5.0) 116 mmol/t, (97-411) Result Normal Value 25.0 2.08 12.8 Mme..: 33 sec (21-29) Result Normal Value 55 mg/dl (15-40 ) : 1.50 mg/dl (0.4- 1.4) 2.63" mg/di (UPTO1 =) 1.40 mg/d. (veto. ) 4.6 gf { Geo } 2.6 gt (3-5 ) . 2.0 8 (22 1275 U/L (840 } 1025 U/E (ooo) 64 O/L ( 30-90 ) set 141 mmol/L (130 - 150 *) apo 4.1 mmol/L (3.8 - 5.0) 113 mmol/L (97 -411,) Normal Value Result ’ Page: 3 © scanned with OKEN Scannere at's Name: tne Suga... Hugi. . Sa08 Date: BIOCHEMISTRY REPORT 11/08/25 Test P.Urine Sugar... Prothrombin Time. ene ee Prothrombin Control. Activated Partial Thromboplastin Time. .: Date: 11/05/25 BIOCHEMISTRY REPORT Test P.Urine Sugar... Blood Urea..... S. Creatinine. Bilirubin ~ Total Bilirubin - Direct. Total Protein. Albumin, . Globulin 8.6.0.7. S.G.P.7. Alk. Phosphatase. Sodium. ee Potassium. Chloride Date: 11/05/25 BIOCHEMISTRY REPORT Test P.Urine Sugar....., Sodium. . Potassium... Chloride... Date: 12/05/25 BIOCHEMISTRY REPORT Test P.Urine Sugar. Prothrombin Time. INR. Prothrombin Control. Activated Partial Thromboplastin Time..: Date: 12/05/25 BIOCHEMISTRY REPORT Test P.Urine -Sugar..... Blood Urea........ S. Creatinine... ST.PHILOMENAS HOSPITAL SUNANDA CHOUDHARY 143 mol st 3.6 mmol/L. 117 mmol /1 Result, 29.3 2.49 12.8 36 Sec Result 59 mg/dd 1.26 mg/d 1.38 mg/d 9.59 mg/dh 4.4 gf 2.8 gt 1.6 gt 615 O/E 888 U/L 56. U/L 141 nmol/L 2.8 mmol/L 117 nmol/L Result 144 mmol/L 3.1 mmol/L 119 mmol/L Restilt 19.6 1.60 12.8 33 Sec Result 51 mg/d 1,05 mg/d IP No P an99 Normal value (21-29) Normal value (15-40) (04-14) (ero) i Optor ( 6-8 ) (3-5) ( 2-4 4 (8-40 ) (5-35 3 (30-90 ) (130 ~ 150} (3.8 - 5.0} ( 97-- 111) Normal Value (130 ~ 150") (3.8 - 5.0) (ore iia) Normal Value . (21 = 29 5 Normal Value (15-40 ) (0.4 =a) Page: 4 © scanned with OKEN ScannerST.PHILOMENAS HOSPITAL SR Patient’s Name SUNANDA CHOUDIARY call Me, anon nigh ide... 121 mal /t ay Thrombin Time 2 CWA 2.2 Prothrombin Contro| Activated Partial Thromboplastin Time. .: 37 Bec 21-29) Date: 12/05/25 BIOCHEMISTRY REPORT Test Result Normal Value P.Urine Sugar... Bilirubin - Total,, 0.92 mg/dl ( UPTO i ) Bilirubin - Direct, 0.39 mg/dl (uprotj, Total Protein. 44 gh (G26 y Albumin. 2.7 gt (355 | Globulin. 1.7 gt (2-4 4 S.G.0.T. 290) U/L ( 8-40 ) @ s.c.e.7. tees 14 U/L (55 | Alk. Phosphatase. 69. U/L oe | Date: 13/05/25 BIOCHEMISTRY REPORT Test Result Normal Value P.rine Sugar Blood Urea. seed 39° mg/dl ( 15-40 ) S. Creatinine 1.04 mg/dl eee eee ee Sodium.... 143° mmol/L (130 - 150 ) Potassium. 2.8 = mmol/L (3.8 - 5.0) Chloride........... 113- mmol/L es Prothrombin Time... 13.9 T.N.R. sees 1.62 Prothrombin Control. 12.8 Activated Partial Thromboplastin Time. 35 Sec { 21 - 29) @ date: 14/05/25 BIOCHEMISTRY REPORT Test Result Normal Value P.Urine Sugar.. Bilirubin - Total... 3.47 mg/dl (upto1 =) Bilirubin - Direct... 0.53 mg/dl (UPTO1 =} Total Protein... 5.3 gt (Ge) . Albumin. . : 3.2 gt (3-5 ) Globulin........ 2.1 gh C2 BGO te 48 (U/L (6 0 S.G.P.T, ono 291 O/L (5-35 ) Alk. Phosphatase. 121 U/L (30-90 -) Sodium... sees? 140 mmol/L (130 -.150 } Potassium, set 2.6 © mmol/L (3.8 - 5.0) Chloride... ++ 110 mmol/L ( 97-111) Date: 10/05/25 MICROBIOLOGY REPORT Reported Date + 12/05/25 : Specimen + Urine Cultwral No. : 2835 Page: § © scanned with OKEN ScannerOy ST.PHILOMENAS HOSPITAL, ex Patient's Name: SUNANDA CHOUDHARY IP No: P 2499 yy Count : GuB/Gpc isam Tsolate, Date: 09/05/25 BLOOD REPORT Haemoglobin 28.8 om W.B.C, Total +: 11,600Cmm R.B.C Millions/cmm W.B.C. Differential P.c.V 8 Band Forms’: 05 % Bleeding Time Min sec Neutrophils : 75 % Clotting Time Min Sec Lymphocytes: 16 % Retic. Count 8 Eosinophils : 00 % Platelet Count : /omm Monocytes 04% Ab. Eosin Count : /cmm Basophils fe E.S.R mm/ehr —mm/Ihr Blood Group: MP/uE Rh Typing Date: 10/05/25 REPORT @_ Haemoglobin W.B.C. Total : Cm P.C.V E.S.R mn/1he Blood Group MP/ME Rh Typing Date: 10/05/25 BLOOD REPORT Haemoglobin 2 8.9 gmt W.B.C, Total : 15,000Cmm R.B.C HiLlions/cnm W.B.C. Differential P.c.V 8 Band Forms: 08 & Bleeding Time Min Sec Neutrophils : 73 & Clotting Time Min sec * Lymphocytes: 07.8 Retic. Count % Eosinophils : 00 & Platelet Count : /cnm Monocytes, 05 8 Ab. Eosin Count : /emm Basophils 8 E.S:R nim/ehr —mm/Ihr Blood Group MP/ME : Rh Typing @™ date: 11/05/25 : BLOOD REPORT Haemoglobin 29.6 gmt W.B.C, Total : 7,900cmm R.B.C Millions/enm W.B.C. Differential P.C.V 8 Band Forms ‘ Bleeding Time Min Sec Neutrophils ; 62 & Clotting Time Min Sec Lymphocytes: 13 § Retic. Count 8 Eosinophils : 01 & : Platelet Count: /cmm Monocytes 04 8 Ab. Eosin Count : /cmm - _Basophils’ * E.S.R mo/he — mm/1hy Blood Group: MP/ME Rh Typing Date: 12/05/25 LOOD REPORT Haemoglobin 7.5 gmt W.B.C. Total: Cam P.C. 22.2% E.S.R mm/hr — mm/lhe Blood Group MP/ME : Rh Typing Rates 19/05/98, ‘ Page: 6 © scanned with OKEN ScannerST.PHILOMENAS HOSPITAL, tg N-Terminal Brain-type natriuretic peptide (NT-proBNp) Method:~ CMIA (ABBOTT) Date: 07/05/25 Troponin I (MI Marker) Patient's Name: SUNANDA CHOUDHARY IP No: P 2899 BLOOD REPORT Satonovin 7.9 gmt W.B.C. Total + 4,600cnm c 2 Mil lions/enm W.B.C. Differential PCy 8 Band Forms; Bleeding Time Min sec Neutrophils : a2 4 Clotting Time : Min Sec Lymphocytes: 10 4 Retic. count: 8 Eosinophils : 02 & Platelet Count : /omm Monocytes 06 4 Ab. Eosin Count : /omm Basophils % E.S.R Fomm/hr mm/thr Blood Group MP/ME : Rh Typing Date: 12/05/25 Raemoglobin W.B.C. Total : 7,800cmm A R.B.c W.B.C. Differential > Pcy Band Forms 9: Bleeding Time Neutrophils ; 79 § Clotting Time Lymphocytes : 15 § Retic. Count Eosinophils : 01 § Platelet Count Monocytes 05 8 Ab. Eosin Count : /emm Basophils — E.S.R mm/hr —mm/Ihe Blood Group MP/ME Rh Typing Date: 13/05/25 Haemoglobin W.B.C. Total : 4,200cmm R.B.c W.B.C. Differential P.c.y Band Forns Bleeding Time Neutrophils Clotting Tine Lymphocytes Retic. Count Eosinophils atelet Count : /omm Monocytes “Rb. Eosin Count: /cum Basophils E.S.R mm/1br Blood Group MP/ME Rh Typing Date: 07/05/25 NT PRO BNP : PARAMETERS OBSERVED VALUES REFERANCE RANGE 91.4 pg/mt S75 years ~ <125.0 pg/mt, >75 years ~ <450.0 pg/nt, TEST RESULT. REFERENCE RANGE Troponin 1 2.3 Fem- 12.6 = 20.7 pg/m Male:- 12.6 - 20.7 pg/mL (BECKMAN) Rates navnsyo5 See G scames ts oxauscnoeST.PHILOMENAS HOSPITAL Patient's Name: SUNANDA CHOUDHARY IP No: & 2499 f RIOR RESECTION (SIGMOLD COLON) HEMOTCOLECTOMY G) ADRESIONS INVOLVING TRANSVERSE ConoN, 6} BEET RETROPERITONEUN NODES + OvARTAN PEDICLE D) BLADDER NopUELS. =) ~ VAGINAL VAULT NoDULE. F ~ LAPNOTOMY SCAR NODULES, © ~ RIGHT DIAPHRAGMATIC NODULE, 7 REGHT PaRACOLIC PERrtoNEuy, 7 ZRSSER oMENTUM AND PERIPORTAL NovEs, > SUPRACOLTC oMEwrun, 2 Ri? NETROpERTTONiEAL, NODES + OVARIAN PEDICLE, PEF? RETROPERITONEAL Nopes =» OVARIAN PEDICLE. 7 RIGHT PELVIC NopuLEs, 7 LEFT PARACOLIC NoDULES. > PRESACRAL Nope. » GRE RTIOR MESENTERIC astERY NopES. CBSE RLBDDER (CHOLECYSTECTOMY) MtcRoscoprc oBseRvations: foes geal ceo eoue8 measures 30 om in length, Peternal surface revesis aghesions. on opening a stristers is noted en ftom one of the resectise cents Measuring 2.5 x 1.1 x O8 60.00 ug/di OBSERVED VALUE >60.00 ug/di OBSERVED VALUES ng/d1 ws P 2899 Normal Value 42 + or - 58) 47 + or - (1.5-4 Lakhs) REFERENCE VALUE 6.7- 22.6 ug/dl Normal Value (F 42 + or - 58) (447 + or ~ 58) (1.5-4 Lakhs) Normal Value (© 42 + or - 58) (4 47 + or - 58) (1.5-4 Lakhs) Reference Range 1.7-2.55 mg/dl © scanned with OKEN ScannerST.PHILOMENAS HOSPITAL _ Patien’s Name: SUNANDA CHOUDHARY IP No: P 2809) _ Results Normal Value 28.7 (P42 4 or = 54) (M47 + or = 5%) Platelet count 51,000 (1.5-4 Lakhs) Date: 12/05/25 PCV, PLATELET COUNT Test Results Normal Value Pc 23.6 (F 42 + or ~ 58) (4 47 + of ~ 58) Platelet count 69,000 (1.5-4 Lakhs) Date: 13/05/25 MacNEsTUM Parameters OBSERVED VALUES Reference Range MAGNESIUM, 1.25 mg/dd 1.7-2.55 mg/dl (Chlorophosphonazo III) Date: 13/05/25 PCV, PLATELET COUNT Test Results Normal Value Pc (P42 + of - 58) (4 47 + or ~ 58) Platelet count 73,000 (1.5-4 Lakhs) * Procedure Done: — SECONDARY CYTOREDUCTIVE SURGERY + RIGHT HEMICOLECTOMY + LEFT HEMICOLECTOMY + ANTERIOR RESECTION OF SIGMOID COLON + CHOLECYSTECTOMY + BILATERAL RETROPERITONEAL NODE DISSECTION + ®R" INTRAPERITONEAL CHEMOPORT REMOVAL + HEATED INTRAPERITONEAL CHEMOTHERAPY + + STAPLED COLORECTAL ANASTOMOSIS + RIGHT CHEST TUBE (INTERCOSTAL DRAINAGE ) INSERTION DONE UNDER GA ON 9/5/2025. ‘Surgeon: by Dr:Venkatachala K + Anaesthetist: Dr Mahesh Kukreja -rative findin + Vertical midline lparotomy through prior laparotomy scar from pubic symphysis o xiphistemum No ascies/ iver Metastases, . + Fev adhesions involving appendices epplicae of ransverse colon. Multiple pigment stones in gallbladder, upto 8 mmsize, + Dense peli adhesions duc to prior treatment and nodules on surfice of sigmoid colon, bladder wal, vaginal vault ~ causing frozen pelvis - lagest- vaginal vault nodule 3 x 2.Sem. * Right daphragmatic nodule 2.5 x 1.Sem-+ dense adhesions between lver surface and diaphragm, Page: 10 Page. 12 © scanned with OKEN ScannerST.PHILOMENAS HOSPITAL. ott 5 : Patient's Name: SUNANDA CHOUDHARY IP No Pan ae ee + Few firm nodes in retroperitoncum upto 1 x Lem. * Few fa! transmural mules over kit coln and sigmoid colon and cecum nye 2 | Sem # No small bowel nodules, * Few enlarged nodes in right small bowel mesentery upto 1.5 x lem + Left paracolc peritoneal nodules upto 10 x 8 mm. * No liver parenchymal ksions, * Peritoncal carcinomatosis index (PCI) was (13), Operative notes: * Adbesiobsis done between ver and diaphragm - right diaphragmatic nodule excised and defect closed with No 1-0 vieryL * Chokeystectomy, done, periportal nodes. and lesser omentum excised. * Supracolic omentectomy done @ + Rigi parscoie pertoncum removed, * Leff paracolc peritoneal nodules excised, * Left colon, transverse colon, right colon mobilised, * Rectum, sigmoid colon mobilised preserving both ureters intact © Bladder mobilised - nodules over bladder surface excised, vaginal nodule excised. * Vault closed with No 1-0 vieryl. Bladder muscle defects reinforced with 2-0 vieryl sutures, celsius + wash given, * Oligura- eo colic anastomosis done with’stples, Rectum trarsected with contour staples, colorectal anastomosis done with CDH 29 CIRCULAR STAPLE. * Intraperitoneal chemoport removed. Fltus tube phced transanaly across the anastomosis * Tube drains kept in right upper abdomen, lef se of abdomen and pelvis. Hemostasis contimed, Allcounts ok. * Closure done, 1 unit packed cell and 2 FFP transfised intraoperatively Course co) ‘Mrs Sunanda Chaudhary was admitted on 07/05/2025, . Cardiologist (Dr Jai Babu) consultation was sought for surgery fitness and was advised TABSTAMLO 5MG 0-0-1, TAB.PROLOMET 25MG 1-0-0, TAB IVABRAD SMG 1-0-1, Newolgst (Dr.A.R Bhat) consultation was sought for surgery finess and was advised Tab Qutan 1/2 tab OD. . Psychiatrist Dr Ruchi Gupta advised Tab Brevipil 50 mg 1-0-1, After appropriate preoperative work-up and prior written informed consent taken, she underwent the above mentioned procedure on 09/05/2025. She withstood the procedure well Post operatively, she was intubated and shifted to MICU with ventilator support and for father monitoring, Page: 14 © scanned with OKEN Scannergece ST.PHILOMENAS HOSPITAL 7 a snt’'s Name: §) r A IP No: P any fg r) SR _ Patient's Name: SUNANDA CHOUDHARY @) his, IV antibiotics (cefoperazone and sulbactur, metronidazole), oter supportive Rasen Stet input an! ouput charting. She was on ventiator suppor, on onope Noradrenaline support ane ‘ntany inion I pint PRBC, 2 pint FFP hemnecel transfson une given, antibiotic changed to Inj Meropenem, She was extubated on POD! and maintained on HENC, ionotrope support slowly tapered. 1 pint PRBC jcfison aminoven infision and KCI comecton done, write cultre was sent Or, POD 2, she was continied on OnPOD 4, | pint PRBC transfusion done as Hemogbbin was 7.6 9%. Fever spike noted 99° F, fds from drain Sent for cuture, urine and blood culture sent, meropenem and amikacin stopped, started on kevofloxacin 500 mgIV and Inj Ficomke 150 mgIV. On POD 5, she was started on total parenteral infision and shied to ward, e 13/05/2025: Urine C/S and subcutaneous drain fi culture showed candida tropicalis- fluconazole continued, Blood C/S showed no growth, Drain fluids culture showed no ‘growth, She was stated on clear liquids fiom POD4 which was escalated to liquid diet on POD 6, Left abdominal drain removed on PODT Right abdominal drain removed on POD?, Right chest drain removed on POD7, Foley's catheter removed on POD 8 and she has voided adequately, She has passed stools, there are no bowel anastomotic Jeaks/ urinary fistula, Pelvic drain removed on 20/05/2025, Subcutaneous drain removed on POD 11. Wounds are healthy and she is being discharged in a stable state, ‘CP Londition at the time of Discharge: en at the time of Discharge: + STABLE. Advice on Discharge: + HIGH PROTEIN DIET, SMALL FREQUENT MEALS, ONCE IN 3-4 HOURS, AS ADVISED, : |, * DUOLIN NEBS 1-0-1X5 DAYS 6 + TAB.THYROXINE 7SMCG+12.5 MCG 1-0-0. X TO CONTINUE + SERUM TSH, FREE T3 AND FREE T4 AFTER 2 MONTHS *}CAP.PAND 0-0-1 X7 DAYS (30 minutes before Bod ) *MTABFLUCONAZOLE 200 MG 0-0-1 X2 WEEKSDAILY AFTER FOOD * ENSURE PLUS POWDER. 4 SCOOPS + 140 ML WATER- TWICE DAILY X1 WEEK + SYP OROFER 10MLDAILY =X 1 WEEK 8YP BECOSULES 10ML DAILY X1 WEEK * SYP CREMAFFIN 15 ML ATNIGHT + MONITOR URINE OUTPUT/ LOOK FOR INCONTINENCE FOR URINE AND STOOLS ‘ Page: 12 © scanned with OKEN Scannerit ST.PHILOMENAS HOSPITAL s ee 2 SUNANDA CHot IP No: P 2899, % e "HIATRIST'S ADVICI BREVIPIL 50MG PO 1-0-1 NEUROLOGISTS ADVICI * TAB.QUTAN 25MG PO 0-0-1 * TAB.NEUROBION FORTE PO 0-0-1 » REVIEW AFTER 10 DAYS. CARDIOLOGIST'S ADVICE: + TAB.STAMLO SMG PO 0-0-1, IF BP >130>80 MMHG + TAB.PROLOMET T 25MG PO 1-0-0 IF BP >130/>80 MMHG @ + TABIVABRAD SMG PO 1-0-1 + MONITOR BP AT HOME, TO CONSULT PHYSICIAN IF ANY VARIATION. + Not to lift heavy weights of > Skg or squat & sit on the floor for minimum of 24 months. Review with Dr. Venkatachala K. on 26/05/2025 Monday at Sharavathi hospital with prior appointment. For emergency, visit Sharavathi hospital and inform { Contact Immediately [ 080-40164365 / 080-40164425 IN CASE OF: Fever, © Vomiting Loose motions, constipation ‘© Cough, chest pain or breathlessness, « Severe pain. + Urinary problems, vaginl discharge «© Wound discharge. Discharge Summary Explained by - rou Signature: Discharge summary has been explained to me, and I have mdestoad Sak Patient /Attendant Name | Jahep : Signature Faydery Treating Consultant/Authorised Team Doctor [Name |Dr. VepkatachalaK. | I [Signature T TER ’ 83 Page: 13 © scanned with OKEN Scanner