UHID:
UHID-1771330849
|
S.no:
22
|
OPD:
122
|
Receipt No:
-
Date:
17/02/2026
Name:
Test patient
W/O TEST GUARDIAN (A+)
34 / F
Mob:
9876543211
Add:
TEST ADDRESS CITY NAME
⚠️ High Risk Factors: bp, Diabetes / GDM
G5
P5
L5
A5
4 MA
EDD (LMP)
15-11-2026 (1 Wks + 4 Days)
OH (Obstetric History):
G1:
LSCS
|
Twins (M+F) (Died After)
|
2.8 Mnt
|
[DH | test indication]
G2:
Abortion
|
Triplets (F+F+F) (1 Alive, 2 Died)
|
3 Days
|
[AIWH | KIDNEY Problem in foetus]
Contra:
Mala-N,new
Med His.:
Asthma (testing)
Surg His.:
test
Vaccines:
TT1: Done, TT2: Done, D-Tap: Done, Flu: 09/01
गर्भावस्था के दौरान शिशु में विकलांगता की जानकारी के लिए इच्छुक पेशन्ट निम्नलिखित जाँचे करवाएं।
| NT Scan | 11-13 Weeks |
| Double Marker | 11-13 Weeks |
| Quadruple Marker | 16-18 Weeks |
| Cong. Anomaly Scan | 20-22 Weeks |
| Doppler Study | 2026-02-23 |
| BS F/PP & HbA1c | 16-20 Weeks |
O/E (On Examination)
BP : 130/80 | 110/70 (1:24 PM) mm of Hg Wt: 80.00 kg PR: 78 /min Temp: 98.6 F SpO2: 98% ODEMA: ++ Pallor: Moderate
PA Weeks: 32 Weeks
FHS: +Reg 140
P/V (Uterus): OS CLOSED
Urine Alb: 45
Rmks: Test Clinical
NST: Non-Reactive
Test USG Findings
Investigations
Patient BG: A- (Negative)
Husband BG: A+ (Positive)
Hb: 10 gm/dL
TSH: 10 mIU/L
OGTT: 11 mg/dL
RBS: 120 mg/dL
UPT: Doubtful
Dual: Low Risk
Quad: Intermediate
Chief Comp :-
Abdominal Pain,Bleeding PV,Constipation
MH
2-6 Days
25 Days
Irreg
Scanty
NoDM
Rx
|
SYP
Evaraft
2 चम्मच सुबह - 2 चम्मच शाम
(खाने के पहले)
30 Days
|
|
SYP
ranidomraft
2 चम्मच सुबह - 2 चम्मच शाम
(खाने के पहले)
30 Days
|
|
SYP
iceraft
2 चम्मच सुबह - 2 चम्मच शाम
(खाने के पहले)
30 Days
|
|
CAP
Crocin
सुबह
(खाने के बाद)
3 Days
|
Lab Advice:
Complete Blood Count (CBC)CRPESRHIV I & IIBlood Group & Rh TypeVDRLHBsAgUrine Routine & MicroHb (Hemoglobin)Widal TestSGOTSGPTMP (Malaria Parasite)S. BilirubinT3T4TSHS. ProlactinBeta HCGBS FastingBS PPHbA1cUrine CultureSickle Cell TestIron StudiesHb ElectrophoresisUPTDual MarkerQuadruple Marker
Sonography
USG NT/NB ScanUSG Obstetric (Routine) (Date: 06-03-2026)USG Anomaly Scan (Date: 16-02-2026)USG Breast (Date: 24-02-2026)
Inv.:
NSTECGVacine Dose 1
Signature