/
(Current ID : 29-4376)


Patient ID :  
Demographic Information |
Patient ID29-4376 | AI Report | Result awaited (Suspected TB/Non-TB) ( )
Hospital Name : IGGMC, Nagpur, Nagpur
Institute Name : IGGMC, Nagpur, Nagpur
Name of PatientMangal Madavi
Date of Enrollment20-09-2024
Age Category Adult
Age 65 Years
Gender Male
Name of Father/ Mother(in case of child)
Contact No9637318621
AddressAt- Hingana, Nagpur
UHID/Hospital Ref ID567750
Nikshay Id (if Applicable)
Remarks
Sign & Symptoms No
Night Sweats : No
Evening rise of temperature : No
Relieved on taking Antipyretics : No
Cough : No
Loose : No
Vomiting : No
Pain on Passing Urine : No
Sore Throat : No
Shortness of Breath : No
Chest Pain : Yes (Duration : 7 Day)
Loss of Weight : No
Loss of appetite : No
Any Blood in Sputum : No
Weakness : Yes(Duration : 1 month )
Enlarged lymph nodes cervical : No
Enlarged lymph nodes axillary : No
Enlarged lymph nodes inguinal region : No
History of smoking : No
Any other Signs or Symptoms : Abdomen Pain
Duration of complaints 7 Day
Any Investigation already done
Provisional diagnosis (by Physician)
New Investigations
Specific investigations: Chest X-ray
Date of chest X-ray 01-01-1970
Any other Investigation (USG, CT,MRI etc)
Physician/Radiologist Observation/Report
Final Diagnosis by Physician
Category of x-ray diagnosis Result awaited (Suspected TB/Non-TB)
Findings on x-ray
Any other remarks
Comment by Site
Treatment Initiation
CRF Filled By
CRF Verified by Dr. Radha Munje
x-ray image upload status |
Original X-Ray :

Any Other Investigation Reports