#### Discharge Summary

#### Death Summary

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Is Death

#### Death Information

Death Date & Time `*`
Death date is required
Cause Of Death `*`
Cause of death is required

#### General Information

Discharge Date & Time `*`
Discharge date is required
Discharge Status `*`
Discharge date is required
Discharge Instruction
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Diagnosis
Surgery
Patient's History
Past History
General Examination
Local Examination
Hospital Course
Operative Procedure
Surgeon Name
No surgeons found for '{{searchTerm}}'
Operative Notes
Condition On Discharge
Discharge Advise

#### Follow Up Information

Follow Up Date
Follow Up Days
Follow up days should be minimum 1
Follow Up Summary

#### Consultant Signature

Death Information
Death Date & Time |  | Cause Of Death |
General Information Patient is discharged
Discharge Date & Time |  | Discharge Status |
Discharge Instruction |
Discharge Advice |
Condition On Discharge |
Diagnosis |
Patient's History |
Past History |
Surgery |
General Examination |
Local Examination |
Hospital Course |
Operative Procedure |
Surgeon Names |
Operative Notes |
Follow Up Information
Follow Up Date |  | Follow Up Days |
Follow Up Summary |

##### Consultant Signature

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#### Discharge Summary Report

#### DISCHARGE SUMMARY

#### DEATH SUMMARY

Admission No | : | Discharge Date | :
Patient Name | : | Father/Husband Name | :
Date of Admission | : | Consultant | :
Department | : | Admitted Ward | :
Address | : Kothrepally, Vikarabad, Telangana | UMR No | :
Discharge Information | :
--- | ---

General Information
Discharge Instruction |
Discharge Summary |
Condition On Discharge |
Diagnosis |
Patient's History |
Past History |
Discharge Advise |
Surgery |
General Examination |
Local Examination |
Hospital Course |
Operative Procedure |
Surgeon Names |
Operative Notes |
Diet |
Follow Up Information
Follow Up Date |  | Follow Up Days |
Follow Up Summary |
Death Information
Death Date & Time |  | Cause Of Death |

##### Consultant Signature