Orris
attachment

What does this mean

Reading File
Here's what the handwriting on this SKIMS (Sher-i-Kashmir Institute of Medical Sciences, Srinagar) prescription slip means:
Indm / Indu — likely the patient's name (partially visible on left as well)
CDR 0.4.05 — This appears to be a Controlled Drug/medication notation:
  • CDR likely = Cadrom / Cadrotril or more likely CDR is a shorthand for a specific drug formulation used at that institution. It could also refer to a dosing schedule or case/department reference number. The 0.4.05 may indicate dose: 0.4 mg and frequency/duration (e.g., 0.5 or 05 days), or it may be a date (April 5th or May 4th).
PR ① — Per Rectum (administered rectally), with ① indicating once (one time/once daily). This is a standard medical abbreviation.
DN WM — Most likely:
  • DN = Doctor's Note or abbreviation for a ward/department (e.g., "Duty Nurse" or a specific ward code)
  • WM = Ward Medicine or a specific ward designation at SKIMS
Bottom right — A doctor's signature
In plain terms: A patient named "Indu/Indm" has been prescribed a medication (likely 0.4 mg dose) to be given rectally, once, with a note directed to the duty nurse or ward medicine department at SKIMS.
If you can share more context (e.g., what the full prescription says or the patient's condition), I can give a more precise interpretation.

Fr positive means

In the context of this prescription slip from SKIMS, PR ⊕ means:
PR = Per Rectum (Latin for "through the rectum" — i.e., the medication is to be administered as a suppository or rectal enema)
⊕ (the circled plus / positive symbol) = Positive finding on rectal examination, OR more commonly in prescription writing it simply means "yes/confirmed" — i.e., the rectal route is indicated/approved.
In practical terms: the doctor is instructing that the medication (likely a suppository at 0.4 dose) should be given rectally, and the ⊕ confirms it is the intended/positive route of administration.
This is common in hospital settings for patients who:
  • Cannot swallow (unconscious, vomiting, post-op)
  • Need faster absorption bypassing the gut
  • Are children or patients with nausea

It's fr not pr

Thank you for the correction! FR ⊕ in a clinical/hospital context means:
FR = Fluid Resuscitation positive, OR more commonly:
FR ⊕ = Febrile Response Positive
Meaning the patient has a fever / febrile response — this is a clinical observation noted by the doctor indicating the patient is running a temperature.
In this context on the prescription slip, the doctor is likely noting:
  • Patient has a positive febrile response (fever present)
  • This is informing the nursing staff/ward about the patient's current status
  • The medication prescribed (CDR 0.4) may be related to managing this fever or the underlying condition causing it
CDR 0.4 could then refer to Calpol/Paracetamol suppository or a similar antipyretic at 0.4g dose, which would make clinical sense if the patient is febrile.

It is an eye examination

Of course! In ophthalmology (eye examination), FR ⊕ means:
FR = Fundus Reflex (also called Red Reflex)
⊕ (positive) = Red Reflex is Present / Normal

What is Fundus Reflex (Red Reflex)?

The red/fundus reflex is the reddish-orange reflection seen through the pupil when light is shone into the eye using an ophthalmoscope or retinoscope. It comes from light reflecting off the retina and choroid.
FR ⊕ (Positive) means:
  • The reflex is present and normal
  • The ocular media (cornea, lens, vitreous) are clear — no opacities
  • No cataract, no vitreous hemorrhage, no retinoblastoma
FR ⊖ (Negative/Absent) would indicate:
  • Cataract (lens opacity)
  • Vitreous hemorrhage
  • Retinoblastoma (white reflex / leukocoria — a red flag especially in children)
  • Retinal detachment
So in this slip, the doctor has examined the patient's eye and confirmed the fundus reflex is present and normal — a reassuring finding.
This is a shared conversation. Sign in to Orris to start your own chat.