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Out Patient Registration Form - Government General Hospital, Narsampet, Warangal District
Patient Details
| Field | Details |
|---|---|
| OP No. | 55343 |
| Name | R. Varun |
| Age / Sex | 18 years / Male |
| Date | 03-08-2026 |
| Room | 34 |
Chief Complaints (c/o)
- Fever - since 4 days
- Loose motions - 6 episodes/day; described as non-mucoid (NM), foul-smelling, watery
- Headache
Examination Findings
- General condition: Patient is dull / ill-looking
- Temperature (at examination): Afebrile (no fever at time of check)
- BP: 110/70 mmHg
- PR (Pulse Rate): 86 bpm
- SpO2: 98-99%
- CvS (Cardiovascular System): S1 S2 Normal
- RS (Respiratory System): Normal
Side note on form: Fever profile, CBC/platelets ordered (investigations)
Prescription / Treatment Sheet (Back Page)
Acute / In-Hospital Treatment (Rx)
| # | Medication | Details |
|---|---|---|
| 1 | IVF 1 RL | Intravenous Fluid - 1 bottle Ringer's Lactate |
| 2 | Inj. Pan 40 mg | Injection Pantoprazole 40 mg (IV) |
| 3 | Inj. Metrogyl 400 mg | Injection Metronidazole 400 mg (IV) - with water |
Oral Medications (for discharge / home use)
| # | Medication | Details |
|---|---|---|
| 1 | Tab. Paracetamol | Tablet Paracetamol (for fever/pain) |
| 2 | Tab. Mucinite | Likely ORS / rehydration supplement |
| 3 | Tab. Sporolac (or similar probiotic) | 1-0-1 (once in morning, once at night) |
| 4 | Tab. Metrogyl 400 mg | Metronidazole 400 mg orally - morning dose |
| - | Duration: | 3 days (x 3) |
Clinical Summary
R. Varun, an 18-year-old male, presented with a 4-day history of fever, watery/foul-smelling loose motions (6 episodes/day), and headache - consistent with acute gastroenteritis, possibly infective (bacterial or protozoal in origin). He was afebrile at the time of examination with stable vitals. Treatment includes IV rehydration (Ringer's Lactate), Pantoprazole for gastric protection, Metronidazole (IV and oral) suggesting likely protozoal/anaerobic infection, and a probiotic. Investigations ordered include a fever profile and CBC with platelets (to rule out dengue/typhoid).
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