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Case Sheet for Maternity Services L3 Facility LR;ESO t;readmission Form MCTS No. Name of FacilityBookedYesNoBlockIPD/Registration No. District BPL/JAY Registration YesNoAadhar Card No. Contact number
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To fill out 1 case sheet-l3-sept 23, follow these steps:
02
Start by entering the patient's basic information such as name, age, and gender.
03
Provide details about the patient's medical history, including any previous illnesses or surgeries.
04
Document the current symptoms or the reason for the patient's visit.
05
Include any prescribed medications or treatments the patient is currently undergoing.
06
Record the vital signs such as blood pressure, temperature, and heart rate.
07
Assess and document the patient's physical examination findings.
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If applicable, add any diagnostic tests or procedures performed.
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Write down the physician's diagnosis and recommended treatment plan.
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Finally, review and sign the case sheet to validate the information entered.

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