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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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Writing File
The discharge summary has been created as a print-ready HTML file at:
📄
/home/user/sagar_discharge_summary.htmlTo convert it to PDF:
Option 1 — Browser (easiest):
- Open the file in Chrome or Edge
- Press
Ctrl+P(orCmd+Pon Mac) - Set destination to "Save as PDF"
- Set paper size to A4, margins to Default
- Click Save
Option 2 — Command line (if available):
google-chrome --headless --print-to-pdf=sagar_discharge_summary.pdf sagar_discharge_summary.html
The PDF includes:
- SVP Hospital header with official details
- Full patient identification block
- Chief complaints, past history, diagnosis
- Vitals on admission
- Complete in-hospital treatment table
- 7-day discharge medication table
- Advice & follow-up instructions
- Signature blocks for Resident Doctor and Consultant
Option 1
The HTML file is already saved at
/home/user/sagar_discharge_summary.html. Here are the exact steps to save it as a PDF using your browser:Step 1 — Locate the file on your computer:
C:\Users\YourName\sagar_discharge_summary.html(Windows)/home/user/sagar_discharge_summary.html(Linux)
Step 2 — Right-click the file → "Open with" → Google Chrome or Microsoft Edge
Step 3 — Once it opens in the browser, press:
Ctrl + P (Windows) or Cmd + P (Mac)
Step 4 — In the print dialog:
- Destination → Click "Change" → Select "Save as PDF"
- Paper size → A4
- Margins → Default
- Turn ON "Background graphics" (so the colored headers print correctly)
Step 5 — Click "Save" → Choose where to save it → Done ✓
If you can't find the file, let me know your operating system (Windows/Mac/Linux) and I'll give you the exact file path.
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