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Here is the 7-day discharge summary for Sagar Amrutlal Patel:

DISCHARGE SUMMARY

Sardar Vallabhbhai Patel Institute of Medical Sciences and Research (SVP Hospital) Ellisbridge, Ahmedabad, Gujarat – 380006

PATIENT DETAILS

Field	Details
Name	Sagar Amrutlal Patel
Age/Sex	51 Years / Male
MRN	19000056922
IP No.	IP2604009364
Ward/Bed	4F-B2-GSW-F-11
Treating Unit	Unit D – General Medicine
Date of Admission	11-04-2026
Date of Discharge	18-04-2026 (7 days)

CHIEF COMPLAINTS

High-grade fever × 2 days, associated with headache × 3 days
Cough with expectoration × 2–3 days
Vomiting – 2 episodes (non-bilious, non-projectile) on Monday & Thursday
Headache
Dizziness over peripheral area

PAST HISTORY

K/C/O Hypertension since 2013
K/C/O Diabetes Mellitus since 2 years
H/O CVA Stroke (2019 & 2020)
- 2019: Acute infarct in bilateral frontal and left corona radiata
- 2020: Acute infarct in left parietal and left occipital lobe
H/O outside travel/chicken pox contact, with outside food intake

VITALS ON ADMISSION

Temperature: 98.1°F (monitored 4-hourly)
BP: Monitored regularly
RBS: 128 mg/dL (6 AM); 180 mg/dL (12 PM); 222 mg/dL (6 PM) — monitored 6-hourly
SPO2: Maintained on room air

DIAGNOSIS

Community-acquired pneumonia (CAP) — AFI under investigation
Hypertension (since 2013) — on medication
Type 2 Diabetes Mellitus (since 2 years) — on medication
Post-CVA status (2019, 2020) — old infarcts in bilateral frontal, left corona radiata, left parietal, and left occipital lobes
GNB (Gram-Negative Bacilli) present on sputum/culture (OTUM RM-GNB Present)

HOSPITAL COURSE

Patient was admitted with high-grade fever, cough with expectoration, vomiting, headache, and dizziness. Relevant blood and radiological investigations were done. Patient was assessed as a case of CAP with high-grade fever. He was managed with IV antibiotics, antiemetics, antihypertensives, antidiabetic agents, and supportive care. RBS was monitored 6-hourly and Human Insulin SC was administered as per RBS scale. Temperature was monitored 4-hourly. Patient showed gradual clinical improvement during the hospital stay. Patient is vitally stable at time of discharge.

TREATMENT GIVEN (IN-HOSPITAL)

Drug	Dose	Route	Frequency
Inj. Monocef (Ceftriaxone)	1 gm	IV	BD
Tab. Azee (Azithromycin)	500 mg	PO	OD (morning)
Tab. Metsu / Metformin	—	PO	—
Inj. PAN (Pantoprazole)	40 mg	IV	BD
Inj. Emset (Ondansetron)	4 mg	IV	TDS
Inj. NS + 1 Amp Opti	500 mL	IV	OD @ 40 mL/hr
Tab. Telma (Telmisartan)	40 mg	PO	Morning (1-0-0)
Tab. Cilacar (Cilnidipine)	10 mg	PO	BD (1-0-1)
Tab. Ecosprin AV	75/20 mg	PO	Night (0-0-1)
Syp. Respicure LS	2 TSP	PO	TDS
Tab. PCM 1 gm	IV	SOS	If Temp >100°F
Tab. PCM 500 mg	PO	SOS	If Temp >99°F
Inj. Duolin (Ipratropium/Salbutamol)	1R	INH	TDS
Human Insulin SC	—	SC	6-hourly as per RBS scale

TREATMENT ON DISCHARGE (FOR 7 DAYS)

Drug	Dose	Frequency
Tab. Telma (Telmisartan)	40 mg	1-0-0
Tab. Cilacar (Cilnidipine)	10 mg	1-0-1
Tab. Ecosprin AV	75/20 mg	0-0-1
Tab. Azee (Azithromycin)	500 mg	OD (complete course)
Syp. Respicure LS	2 TSP	TDS
Tab. Pantop (Pantoprazole)	40 mg	1-0-0

ADVICE ON DISCHARGE

Lifestyle modifications; avoid exertion
Take all medicines regularly and on time
Monitor blood sugar (RBS/FBS/PPBS) regularly
Monitor blood pressure daily
Low-salt, low-sugar diet; avoid outside food
Follow-up in General Medicine OPD on Monday / Thursday with FBS, PPBS, Creatinine, and Potassium reports after 7 days

Summary prepared based on Drug Chart / Treatment Sheet and clinical notes dated 11-04-2026, SVP Hospital, Ahmedabad.

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/home/user/sagar_discharge_summary.html

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<body>

<!-- HEADER -->
<div class="header">
  <h1>Sardar Vallabhbhai Patel Institute of Medical Sciences and Research</h1>
  <p>Ellisbridge, Ahmedabad, Gujarat – 380006 &nbsp;|&nbsp; Tel: +91 79 2643 5555 / 6666 &nbsp;|&nbsp; www.svphospital.com</p>
  <div class="subtitle">DISCHARGE SUMMARY</div>
</div>

<!-- PATIENT DETAILS -->
<div class="patient-box">
  <div class="row"><span class="label">Patient Name</span><span class="value">: SAGAR AMRUTLAL PATEL</span></div>
  <div class="row"><span class="label">MRN</span><span class="value">: 19000056922</span></div>
  <div class="row"><span class="label">Age / Sex</span><span class="value">: 51 Years / Male</span></div>
  <div class="row"><span class="label">IP No.</span><span class="value">: IP2604009364</span></div>
  <div class="row"><span class="label">Ward / Bed</span><span class="value">: 4F-B2-GSW-F-11</span></div>
  <div class="row"><span class="label">Treating Unit</span><span class="value">: Unit D – General Medicine</span></div>
  <div class="row"><span class="label">Date of Admission</span><span class="value">: 11-04-2026</span></div>
  <div class="row"><span class="label">Date of Discharge</span><span class="value">: 18-04-2026</span></div>
  <div class="row"><span class="label">Duration of Stay</span><span class="value">: 7 Days</span></div>
  <div class="row"><span class="label">Discharge Condition</span><span class="value">: Stable</span></div>
</div>

<!-- CHIEF COMPLAINTS -->
<div class="section">
  <div class="section-title">CHIEF COMPLAINTS</div>
  <ul>
    <li>High-grade fever × 2 days, associated with headache × 3 days</li>
    <li>Cough with expectoration × 2–3 days</li>
    <li>Vomiting – 2 episodes (non-bilious, non-projectile) on Monday &amp; Thursday</li>
    <li>Headache</li>
    <li>Dizziness over peripheral area</li>
    <li>H/O outside travel, chicken pox contact, outside food intake</li>
  </ul>
</div>

<!-- PAST HISTORY -->
<div class="section">
  <div class="section-title">PAST HISTORY / CO-MORBIDITIES</div>
  <ul>
    <li>K/C/O Hypertension since 2013 — on medication</li>
    <li>K/C/O Diabetes Mellitus since 2 years — on medication</li>
    <li>H/O CVA Stroke × 2 episodes:
      <ul>
        <li><strong>2019:</strong> Acute infarct in bilateral frontal lobe and left corona radiata</li>
        <li><strong>2020:</strong> Acute infarct in left parietal and left occipital lobe</li>
      </ul>
    </li>
  </ul>
</div>

<!-- DIAGNOSIS -->
<div class="section">
  <div class="section-title">DIAGNOSIS</div>
  <ol class="diagnosis-list">
    <li><strong>Community-Acquired Pneumonia (CAP)</strong> — AFI under investigation; GNB present</li>
    <li>Hypertension (since 2013) — on medication</li>
    <li>Type 2 Diabetes Mellitus (since 2 years) — on medication</li>
    <li>Post-CVA status — old infarcts (bilateral frontal, left corona radiata, left parietal, left occipital lobe)</li>
  </ol>
</div>

<!-- VITALS ON ADMISSION -->
<div class="section">
  <div class="section-title">VITALS ON ADMISSION</div>
  <div class="vitals-grid">
    <div class="vital-row"><span class="vital-label">Temperature</span><span>: 98.1°F</span></div>
    <div class="vital-row"><span class="vital-label">SPO2</span><span>: Maintained on Room Air</span></div>
    <div class="vital-row"><span class="vital-label">RBS (6 AM)</span><span>: 128 mg/dL</span></div>
    <div class="vital-row"><span class="vital-label">RBS (12 PM)</span><span>: 180 mg/dL</span></div>
    <div class="vital-row"><span class="vital-label">RBS (6 PM)</span><span>: 222 mg/dL</span></div>
    <div class="vital-row"><span class="vital-label">Monitoring</span><span>: Temp 4-hourly; RBS 6-hourly</span></div>
  </div>
</div>

<!-- HOSPITAL COURSE -->
<div class="section">
  <div class="section-title">HOSPITAL COURSE</div>
  <div class="hospital-course">
    <p>
      Patient Sagar Amrutlal Patel, 51-year-old male with known history of hypertension, type 2 diabetes mellitus, and two prior CVA strokes (2019, 2020), was admitted to SVP Hospital on 11-04-2026 under Unit D – General Medicine with complaints of high-grade fever, cough with expectoration, vomiting, headache, and dizziness. Relevant blood and radiological investigations were done on admission. Patient was assessed as a case of Community-Acquired Pneumonia (CAP) with AFI under investigation; GNB was found present on culture/sputum. He was started on IV antibiotics (Inj. Monocef 1gm IV BD), oral Azithromycin, IV antiemetics (Inj. Emset), IV Pantoprazole, IV fluids, bronchodilator nebulisation (Inj. Duolin INH TDS), and syrup Respicure LS. His antihypertensive medications (Tab. Telma, Tab. Cilacar) and antiplatelet/statin combination (Tab. Ecosprin AV) were continued. Blood sugar was monitored 6-hourly and Human Insulin SC was administered as per RBS scale. Temperature was monitored 4-hourly; PCM was given as SOS for fever. The patient showed gradual clinical improvement during the 7-day hospital stay and is vitally stable at the time of discharge.
    </p>
  </div>
</div>

<!-- TREATMENT IN HOSPITAL -->
<div class="section">
  <div class="section-title">TREATMENT GIVEN DURING HOSPITALISATION</div>
  <table>
    <thead>
      <tr><th>Drug</th><th>Dose</th><th>Route</th><th>Frequency</th></tr>
    </thead>
    <tbody>
      <tr><td>Inj. Monocef (Ceftriaxone)</td><td>1 gm</td><td>IV</td><td>BD</td></tr>
      <tr><td>Tab. Azee (Azithromycin)</td><td>500 mg</td><td>PO</td><td>OD (Morning)</td></tr>
      <tr><td>Tab. Metformin (Metsu)</td><td>As ordered</td><td>PO</td><td>As per chart</td></tr>
      <tr><td>Inj. PAN (Pantoprazole)</td><td>40 mg</td><td>IV</td><td>BD</td></tr>
      <tr><td>Inj. Emset (Ondansetron)</td><td>4 mg</td><td>IV</td><td>TDS</td></tr>
      <tr><td>Inj. NS + 1 Amp Opti</td><td>500 mL</td><td>IV</td><td>OD @ 40 mL/hr</td></tr>
      <tr><td>Tab. Telma (Telmisartan)</td><td>40 mg</td><td>PO</td><td>1-0-0</td></tr>
      <tr><td>Tab. Cilacar (Cilnidipine)</td><td>10 mg</td><td>PO</td><td>1-0-1</td></tr>
      <tr><td>Tab. Ecosprin AV</td><td>75/20 mg</td><td>PO</td><td>0-0-1</td></tr>
      <tr><td>Syp. Respicure LS</td><td>2 TSP</td><td>PO</td><td>TDS</td></tr>
      <tr><td>Inj. PCM (Paracetamol)</td><td>1 gm</td><td>IV</td><td>SOS (Temp &gt;100°F)</td></tr>
      <tr><td>Tab. PCM (Paracetamol)</td><td>500 mg</td><td>PO</td><td>SOS (Temp &gt;99°F)</td></tr>
      <tr><td>Inj. Duolin (Ipratropium + Salbutamol)</td><td>1 Respule</td><td>INH</td><td>TDS</td></tr>
      <tr><td>Human Insulin SC</td><td>As per scale</td><td>SC</td><td>6-hourly per RBS scale</td></tr>
    </tbody>
  </table>
</div>

<!-- TREATMENT ON DISCHARGE -->
<div class="section">
  <div class="section-title">TREATMENT ON DISCHARGE (FOR 7 DAYS)</div>
  <table>
    <thead>
      <tr><th>Drug</th><th>Dose</th><th>Route</th><th>Frequency</th></tr>
    </thead>
    <tbody>
      <tr><td>Tab. Telma (Telmisartan)</td><td>40 mg</td><td>PO</td><td>1-0-0</td></tr>
      <tr><td>Tab. Cilacar (Cilnidipine)</td><td>10 mg</td><td>PO</td><td>1-0-1</td></tr>
      <tr><td>Tab. Ecosprin AV</td><td>75/20 mg</td><td>PO</td><td>0-0-1</td></tr>
      <tr><td>Tab. Azee (Azithromycin)</td><td>500 mg</td><td>PO</td><td>OD (complete course)</td></tr>
      <tr><td>Syp. Respicure LS</td><td>2 TSP</td><td>PO</td><td>TDS</td></tr>
      <tr><td>Tab. Pantop (Pantoprazole)</td><td>40 mg</td><td>PO</td><td>1-0-0</td></tr>
    </tbody>
  </table>
</div>

<!-- ADVICE -->
<div class="section">
  <div class="section-title">ADVICE ON DISCHARGE</div>
  <div class="advice-box">
    <ul>
      <li>Take all medicines <strong>regularly and on time</strong></li>
      <li>Lifestyle modifications — avoid exertion, adequate rest</li>
      <li>Low-salt, low-sugar, low-fat diet; <strong>avoid outside food</strong></li>
      <li>Monitor blood pressure daily at home</li>
      <li>Monitor blood sugar (RBS/FBS/PPBS) regularly</li>
      <li>Do not skip antihypertensive or antidiabetic medications</li>
      <li><strong>Follow-up:</strong> General Medicine OPD on <strong>Monday / Thursday</strong> after 7 days</li>
      <li><strong>Bring reports:</strong> FBS, PPBS, Serum Creatinine, Serum Potassium</li>
      <li>Return immediately if fever recurs, breathlessness increases, or new neurological symptoms develop</li>
    </ul>
  </div>
</div>

<!-- FOOTER / SIGNATURES -->
<div class="footer">
  <div class="sign-block">
    <div class="sign-line"></div>
    <div>Resident Doctor</div>
    <div class="small-note">Unit D – General Medicine</div>
  </div>
  <div class="sign-block">
    <div class="sign-line"></div>
    <div>Consultant / Unit Head</div>
    <div class="small-note">Unit D – General Medicine</div>
  </div>
  <div style="text-align:right; font-size:9.5px; color:#666; align-self:flex-end;">
    <div>SVP Hospital, Ahmedabad</div>
    <div>MRN: 19000056922 &nbsp;|&nbsp; IP: IP2604009364</div>
    <div>Discharge Date: 18-04-2026</div>
  </div>
</div>

</body>
</html>

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