Date: 3/9/21 Tine:_j.0403PM Bill a pelea Date of Admission 27/08/2021 Room/Ward # FIRST STAGE LABOUR ROOM Devs Stayec! 7 Date of Discharge 03/09/2021 Patient Name MRS NUBLA FATIMA SYED Caen aaeeieal NENG Adress H#HH -87 ST #3 PH 4 DHA LHR Phone 7 Consultant Name Dr. Samia Malik Patient Bill Service Cod _ Service Name No. Of Times Total Amount Consultation Anesthesia Fee 8415 Epidural Charges 1 28,500.00 8416 Anaesthesia Visit Fee 1 3,000.00 ‘Sub Service Total 31,500.00 Dr. Arooj Fatima Gillani 1 Visit Fee 1 3,500.00 Sub Service Total 3,500.00 Dr. Samia Malik 8071 Visit's Fee 2 5,000.00 8072 Operation Fee 3 85,000.00 ‘Sub Service Total 20,000.00 Main Service Total 125,000.00 Consultant Amount: 125,000.00 Patient Receipts Date Receipt No. Amount 03/09/2021 173 298,164.00 27/08/2021 1,795 50,000.00 Total Amount 348,164.00 Bill Summary Hospital 223,164.00 Consultant Amount 125,000.00 Total Bill : 348,164.00 Total Advance : 348,164.00 00 1 of 2Date: 3/9/21 Time: 1:01:36PM inl MR Room/Ward # Patient Name Address Phone Consultant Name 208699 208,327 FIRST STAGE LABOUR ROOM MRS NUBLA FATIMA SYED H# HH -87 ST #3 PH4 DHALHR Dr. Samia Malik Specialists Care Hospital (Pvt.) Ltd. (National Hospital & Medical Centre) 13213, L-Block, Near Sports Stadium, D.H.A. Lahore Cantt UAN: 111-17-18-19 Fax: 042-572-8761 Date of Admission 27/08/2021 Days Stayed 7 Date of Discharge 03/09/2021 Company /Reference NHMC Patient Bill Service Code Service Name No. Of Times Total Amount Hospital Services 1315 ‘Oxygen Inhalation Charges 1 5,000 2 Syring Pump 1 4,000 1601 Admission Fee 1 350 0003 CTS 6 7,200 0003 Medical Officer's Charges (Room) 8 12,000 0004 Medical Officer's Charges (Ward) 1 1,000 1702 Nursing Care (Room) 8 8,000 4705 Nursing Care (Ward) 1 500 7 Recovery Room 1 2,500 8 Operation Theater C Section (New Gyne) 1 29,500 1005 Block 4-A 6 81,000 1 ‘Specialists Care Pharmacy 2 27,036 7002 Medicines 8 39,078 1201 General Ward 2 9,000 Main Service Total 223,164 223,164.00 Reviewed By For Specialists Gare Hospital Pvt) US Prepared By Patient Atendant Singnature 1 of 4 ‘A Project of Specialists Care Hospital (Pvt) Ltd.Date. 3/9/21 Time: 1:04:17PM — Bill 206,700 ; Date of Admission ian 206,420 Senet nan aaa RoomiWard # Pending Beds / 56. pean Ratenttane BIO NUBLA FATIMA comer RHMG Address 0 Phone 0 ConsultantName Dr. Tayyaba Khawar Butt. (Peads) Patient Bill Service Cock Service Name No, Of Times Total Amount Consultation Dr. Tahir Saleem 04 Recesitation Charges 1 4,500.00 Sub Service Total 4,500.00 Dr. Tayyaba Khawar Butt. 01 Visit Fee 5 18,000.00 03 Vaccination 1 2,500.00 ‘Sub Service Total 17,500.00 Main Service Total 22,000.00 Lab Service Laboratory Services 9999 Lab Charges 1 14,260.00 Sub Service Total 14,260.00 Main Service Total 14,260.00 ConsultantiOther Discount Consultant Bill 36,260.00 Date Service Name Amount | Discount 426. losroa/2021 10% Lab Service 1,426 IBY COL USMAN $B Net Amount 34,834.00 Total Discoun 7,426.00 Pat ipts Date Receipt No. Amount! loziog/2021 122 100,000.09} los/o9/2021 174 4,765.00] Total Amount 104,765.00) ill Summary Hospital Bill : 69,931.00 Hospital Discount 00 Consultant 36,260.00 Consultant 1,426.00 Total Bill 104,765.00 Total Advance : 104,765.00 Balance Due 00 1 of 2Date: 3/9/21 Specialists Care Hospital (Pvt.) Ltd. Time: -1:04;20PM (National Hospital & Medical Centre) 182/3, L-Block, Near Sports Stadium, D.H.A. Lahore Cantt UAN: 111-17-18-19 Fax: 042-572-8761 ous 2osran babaaaeien laamanoct RoomWard# Pending Beds / 55 tbeitedane tidmaed —_ BIO NUBLA FATIMA Company / Reference NHMC Address 0 Phone 0 Consultant Name Dr. Tayyaba Khawar Butt. (Peads) Patient Bill Service Godt Service Name No. OF Times. Total Amount Hospital Services 1601 Admission Fee 4 350 1607 Phototherapy 2 4,600 0001 Nursing Care (,C.U.) 4 6,000 0004 Medical Officer's Charges (Ward) 1 1,000 1705 Nursing Care (Ward) 1 500 25 Medical Officer's Charges (ICU) 4 8,000 1 Special Care Nursery (NEW) 2 7,000 9 Nursery ICU 2 34,000 1 Specialists Care Pharmacy 2 5,281 Main Service Total 66,731 Radiology 5119 Portable X-Ray 2 3,200 Main Service Total 3,200 69,931.00 Rovewed By Prepared By Patient / Attendant Singnature 1 of 1 ‘A Project of Specialists Care Hospital (Pvt) Ltd.Date: 03/09/2021 Page of Patient Wise Item Summary Specialists Care Pharmacy 13218, L-Block, D.H.A. Lahore Cant. Email: info@thenationalhospital.com Phone(s): 111-17-18-19 Fax : 0425728761 Date: 27/08/2021 wo (03/09/2021 RegNo: 206327 tem Description Sale Sale Sale Sale Net Net Qy Amount Return Return ay ‘Amount 10.0C BD OISYRINGE a 24000 = a 840.00 10.0 NIPRO| " 44000 "1 440.00 CC BD ULTRA FINE? DISYRINGE 1 3000 1 30.00 25% DEXTROSE AMP 25ML 3 6290 3 «9.90 SWAY STOPCOCK TUBING 1 11000 1 110.00 50CC SYRINGED 1 90.00 1 0.00 6% NORMAL SALINE 25 ML 1 2085 1 20.85 BRANULLA 186 (VASOFIX) 1 11600 1 116.00 ORIP SET 22 4920.00 1 60.00 31 1060.00 DUPHALAG 120ML SYP 2 42060 2 42080 EXTENSION TUBE JNS 1 15000 1 150.00 FLAGYL 1COML IND 8 1881.40 1 14470 2 173640 LIGNOCAINE GEL 156 3 1r7T 3 sat METOMIDE 2ML IND 1 2753 1 2153 MYCITRACIN PLUS OINT 3 36288 a 362.88 NALBIN 10MG NJ 1 83.20 1 63.00 NITTOTAP 1" 3 20295 3 20295 NS 1000MI. (MEDIPAK) 1 12140 1 1140 NS 100ML (MEDIPAK) 5 327.00 5 327.00 NS HUN 100M 10 73310 10 733.10 OPSITE POST OP 25 CM x 10.CM 436.00 1 436.00 PAD WITHPANTY 4 60000 4 600.00 PANADOL TAB 2 3432 2 waz PROVAS 100MU1G INI 2 25894 2 258.98 RL 1000ML 2 237.90 2 2370 ROCEPHIN 1G IV INJ 8 07624 8 8076.24 ROPICAIN ING SOMG 6 855.42 6 85542 TAZOCIN 486 IV IN{WYETH) 5 6126.10 5 6126.10 TEGADERM DRESSING LOOSE 1 80.00 1 0.00 THERWANETER SAFETY 2 500.00 2 00.00 TISSUE BOX POP UP 1 110.00 1 110.00 TORADOL 30MG IMI INS "1 159021 "1 153021 \VOREN 50MG CAP 4 35.98 4 35.96 OREN 50MG TAB 2 1330 2 1330 WATER FOR NJ 20 ML GEESOL 6 60.00 6 60.00 1 6.00 1 600 WATER FORINJEC Total: 2035.27 204.70 2683057Date: 03/09/2021 Poge tof Patient Wise Item Summary ‘Specialists Care Pharmacy 132/3, L-Block, D.H.A. Lahore Cant, Email: info@thenationalhospital.com Phone(s): 111-17-18-19 Fax : 0425728761 Date: 28/08/2021 to 02/09/2021 Patient: b/o nubla RegNo: 206420 Item Deseription Sale Sale sale Sale Net Net Qiy Amount = -Retum Return Qy Amount 10.60 80 DISYRINGE 8 52000 TIT) T 3 520.00 10¢C NIPRO 5 20000 5 20000 10% DN SOOM 1 $000 1 9000 26% DEXTROSE AMP 25 ‘ e320 4 9320 3 NPRO 1 2000 4 2000 SWAY STOPCOCK TUBING 1 11000 1 +1000 5CC NPRO 21 60.00 2 20.00 S0CC SYRING BD 2 18000 2 e000 46 NORMAL SALINE 25 ML 3 e255 3 6256 ARANULLA 24G INTROCAIN 8 109800 6 1096.00 BURET SET 100M. JMS 2 700.00 2 700.00 CCALCIUM GLUCONATE 10% fOML INI 1 4000 1 0.00 CLAFORAN 0.256 IN 5 551.98 5 55198 EXTENSION TUBE JMS 1 15000 1 18000 FLOW REGULATOR 1 196.00 1 196.00 GGRASIL 26MG NI 7 aati 7 aiat ACL 25MLINJ (OTSUKA) 1 2400 1 2400 NITTOTAP 1" 2 13520 2 138.0 NSHUN 100m. 3 21093 3 71093 4 4000 0.00 WATER FOR INU 20 ML GEESOL “Total 5281.34 0.00 5281.34HOGHTAI LAB INE NATION - ONE LAB PATIENT BILL Print Date: Friday, September 3, 2021 BILL FROM DATE : 8/1/2021 TO 9/3/2021 fPatentName [tet jifetly] ise | tess. [Net Total | Pale oak Be ova 1 fore [msnosacm err [once cogs co, ratenin ner | 2zmea[ oc oo { 2amon| om] ome | aon lsarar 235 fas aw _[ sma GN Tr Te] aoa] 000 | aronaa| aco] aoe [rnacora fear en [asia [nism amon |iesaCe Compe GD) om] oe] 00 | eome] aso] oo | anne sar vai aro | RS WORTA IR) ST [Une UE amet Ay ‘oDe] ooo] 06 | sonmw] aso} av] oan Totel Bill: 15,960.00 Total Less 0.00 Total Discountt: 0.00 Net Bitlt: 15,960.00 Paid Amount: 0.00 Total Due Amount Received: Reese Page | of |Patent eta: Feoisatin Ose MRS NUBLA (L/) 205327 36 Years) /Female 27-Aug-2021 0233, oie: fees 08804048815 Stondard J aa Aeon ati: constant Hiesiucksci GaiEA ada ENSIGN UNEINE Lahore DHA ation! asp! (dor) ia unsas pie Patient Bill Si. Test Name Reporting Date & Time Rate 1 Blood Group & Cross Match (Donor Name) SAAD YOUSAF | aug 27,2021 - 18:40 1050.00 2. Blood Group & Cross Match (Donor Name) NADIR ‘Aug 27,2021 - 18:40 1050.00 3. Donor Screening: HBeAg, HCV, HIV, HBe:VORL MP, HB ‘aug 27,2021 - 18:40 4950.00 4 Donor Screening: HBsAg , HCV, HIV, HBe;VDRL, MP, HB13 ‘Aug 27,2021 - 18:40 4950.00 © Total 7200.00 Due 2000.00 Registered By : Aoun4s14 Collection Center Cente ane Lahore: DHA Naticnal Hospital Indoor) Phone Number: Ena Contac Person Adress You can now view your lab results online at www.chughtailab.com Pease do not lose this receipt. You will need your patient number and case number to view your reports online. Lahore: 10 Jail Road, Main Gulberg | Karachi: Al Khaleej Plaza, Shaheed-e-Millat Road www.chughtailab.com UAN: 03- 111-456-789 Fax: 04235710262 _info@chughtaitab.com © aanitase7aa v © vow chunhtailab com20 et rs UGHTAL LAB NATION = ONE LAB PATIENT BILL 1/2021 TO 9/3/2024 BILL FROM DATE : Ba pees] i i Tow | oe te [Necro | Pate ans soe |as208 Jonna icy mem fam ce camdes,cr9 raed wr cscsnge | 420:00( ogo] 000] satom/ on {Sti Dost fy l(t ep, Sour OW, iio te es raver sas [SS | so RAN me | en Toki, Soin CP Tat] aca] eon] sam] oan] ome [Tsao raat [savas [wo noRA ION net [wor Bal 5 Tam] am] eon] samo] oon) ow [usm] jnonar m5 [arsa0m | so mA Wa) HRD _ | Sn Tain iso] ome] om | — aoa] one] ome | lsarar ont fasaiwe [uomma Gn nem [omen Tarun, Sad Gapeniace | 2500, ome) amv] —zaom] owe] om | amma larar-ear faster | wom Tach Bem Yn cr Gonaan, Geom Tannen 25000] ova) eon] —zeam] oso] owe | aa Seen Cade Sum denoted fran aa [cian | WO MRA GN mom |omun a BN wi] om] om] som] ome] om | aaa rant ns [avianw [wonmacnion nce [Sm Tam] aoe] 200 | 000] oma] a0] tant] Total BilIL: 14,260.00 Total Less: 9.00 “otal discount: 0.00 Net Bill: 14,260.00 Pie Amount: 2.00 Total Due Amount Receiv 0.00 Tet Recevaable: 19,260.00 Page | of 1= Peeepy DEPARTMENT OF OBSTETRICS & GYNAECOLOGY DISCHARGE SUMMARY. Name: MRS NUBLA FATIMA SYED ‘Address H NO HH, 87, ST 3 PH 4 DHA LAHORE | contact no: 03334348415 Date of Admission: 26-08-21 Date of Discharge:03-09-21 MR No: 206327 Consultant: DR SAMIA MALIK J tJ Admitting Diagnosis: PG. LMP:16-11-2020..EDD:23-08-2021 at 40+4 weeks admitted for Induction of Labour Investigations: ALL LABS HANDED OVER TO PATIENTS. Hospital Course patient admitted in labour room. on admission pelvic findings were: os 2cm long tubular soft cx, vx high with intact membranes. induction done at 10:20am with tab breeky 1/4 given S/L. pre and post induction ctg done. on reassessing at 2:30pm pelvic findings were: os 2 loose finger, cx 1.5cm long tough vertex at -3. ARM done and scanty clear liquor was drained. at 05:00pm augmentation with synto 10 units started at 20drops/min. epidural sited at 7:00pm. labour then progressed to full dilatation and patient was shifted to stage 2. SURGEON: DR SAMIA MALIK ASSISTANT: DR IFFAT NAHEED/ DR AFFAF KHALEEL ANAESTHESIOLOGIST: DR SHUMAILA ANESTHESIA: EPIDURAL DATE AND TIME OF PROCEDURE: 28/08/21 TIME: 12:00-2:00PM PROCEDURE: On full dilatation of cervix pt shifted to stage 2 at 12pm. vaccum applied three times when head is at 0 station. failed vaccum shifted to theatre for Em-LSCS. After ASM, Patient painted and drapped. Abdomen opened by pfannestiel incision. uterus opened through lower segment transverse smiley incision. an alive healthy baby GIRL of 3.1kgs delievered as cephalic with no apparent conenital anomaly followed by complete removal of placenta and membranes. uterus stitched in 2 layers. hemostasis secured, packs and instruments count was completed by staff and OTA. Abdomen closed in reverse orders. ASD done. Episiotomy stitched. vaginal clots removed. urine clear at the end. 4 tab breeky placed PR. Procedures performed: Em LSCS d/t failure to descend Post operatively patient developed fever, highest peak being 102F. Patient was RE. Lg, 1 ystarted on following antibiotics: * inj tanzo 4.5 1/V 8 hrly * inj flagyl 500mg 1/V 8 hrly Condition on discharge: Patient stable, abdomen soft nontender. Discharge medications: * Inj Tanzo 4.5g 1/V 8 hrly for 3 days (complete 15 doses, 6 doses given in hospital) * Inj Flagyl 500mg I/V 8 hrly for 1 day (complete 15 doses, 13 doses given in hospital) then continue orally TAB FLAGYL 400mg thrice daily for 2 days. * Tab Voren 50mg twice daily in case of pain ‘+ Mycitracin Cream apply on stitches thrice daily * Syrup Duphalac 30m! at night (in case of constipation) ° Sitg bath daily Follow-up instructions; .Please visit DR SAMIA MALIK on 06-09-2021 MONDAY for follow up in OPD. in case of an emergency (fever of more than 100.6 degrees, or any other issue) please contact the labour room at National Hospital. DISCHARGE PREPARED BY DR ISRA ZULQARNAIN we Cr oe ofa a |") Ver peel & frawe et rent CBF Pea al Te ss) (eed ee ts ws Cad 8 ) OA (ere? Zz A Ci et 3 6-9-2) C421 Tazo gs ibe Cbd S28 9, (ecw p> OS Or Ww?NATIONAL HOSPITAL & MEDICAL CENTER 1132/3 L-Block, D.H.A. Lahore Cantt. UAN:111-17-78-19; Fax +92 42 5728761 E-Mail: info@thenationalhospital.com URL: www! DISCHARGE SUMMARY 206420 | ‘Sicm Biase no Heel Gram +" Cues! ii 2lo0¢ culture; Sensitive to LINEZOLID Beonatol Jeuwotle, his FG, 200 FT a LSCS {Fo't2¢ induction) Physical fies c'ng Cor re He : Cliniestty ~ in'gnificant Oral ~ Satistectory Urine = Passed, Stool ~ Passed Course anc Faatment: Rovrine + IM Vacca 02, {VFs, !V ~ Antibiotics (1** Line) ion = Given bs Hp Bik OFA CHP L024 -2at bof lf Fb wy ss twice daily for 7days. ue 2d zZ Eig cr tus sb PY, Kindy @=% TSH level of your newborn checked on DayS. Kine cos ‘o> fotlow up visit of your baby on Day7 to Room No: 289. FAP, ae DrAteluvenyee ee Mrs ‘NUBLA FATIMA ~ MRCOG London MBBS FCPS Poon ‘Disenlein erupt 2rJobfrOU i: —_ Dr. Samia Malik m7 LMP = fu) 2220 Mr: 2M tp: 22/Sl20u ; PG DeP> atte Aic: came for ANC vaiwe Y stool V a Sacks god Seaanalion Took. Flog is Fa tdo astaic a or Meta eh ais sp ebjn Je fetta wt 156 fe s i — see one 4. oo al oA ae Tpeggiek presser. Aa _eBe- Hyctergn ven we Bg TG tq + pLT= 270 \a- 1-21 ERS DoPs- SuPie yo vaginas ‘gies (wiki) , bet, ibang» Durning pensation. * Heaabbouen*. B-P, Pel ors 38 eme wh» sé Ker 4 PARE WP, oerJexQ ic XO { oa AS © K+ Volay ee MRCOG London Maas FCPS Patan jer twin Gab ohare LM? lelulro EOD 2alsbre BoP Sts POSH. HloTonsittectom DAE P= BAlangto i= Perret Mie. Nb I Fotng ADU. Dr. Samia Malik MIE 2m® ive Co NT ovr a Buciongy senscheLr KS Slao wm epigestuur * Use — Volual Steshueg T q+ nasa ait a ISUs- al) hoy ei: WONT Dt 2 = er TAT, ADT, Ome Tuprid Obst: of Perconad: Houseni > Hb> [a — + So lfc dug s a Be oe se L 3s Teuveid © Te BOs “Ole. BP 10 [ — Perot weit KD kori won fee wt: 15. edemne ee pep VB) Wheruia TYE be ee ie RP 4 s Pla. Wap v® Vit Dy ISH fee | —— D Taw + Fave auch onea deuy wee. Oibstoig [IANO @ Tow: SAVES 4b for naucees (Vomit foe NT nD & dup. anisan Atosp api. meal ae D Tay: Camacddl & @® amas Lrauesnt an a 1 ref sy aes oe (Low pall + lw eager dnt A= Dok, Takes 1b }0}) a Alc Yo bia ane oye. Orit VAs ww cont pation on & NAT 0-Tme Sees i Yp ae (W) Yo naadahe> Uxaenest to ipred Utne mpyautaNATIONAL HOSPITAL & MEDICAL CENTER 132/3, L-Block, D.H.A. Lahore Cantt. U.A.N. 111-17-18-19 Fax: 042-3572 8761 E-mail: info@thenationalhospital.com BIRTH CERTIFICATE S.No._18664 _ Certified that Mrs. _NUSca Fatima Syen Wio Mr, Sikanbae Gereaz Cugaryes Religion \slown Resident of H No. Hy 8% S7-%, PHYDHA, Lue Gave birth to an alive baby (Boy / Cin) named Hnna SiKanda Quraishi Date Month Year At National Hospital & Medical Center on é]-L 2 J-BbPt Mother's Hospital File No.2°6%29 Baby's Hospital File No. De. sha Signature of M.O. Labour Room