Operation Room Request

Jack Doe (1234567890)

Male - 64 year - B +ve

Dr. John Doe Surgery (NS IPD 2)

Apt. ID - 372439

Admit ID - 405588

Patient Billing Code

GEN

Payment Priority

Note Alert

Luis Hall

PID 562588

Dr. Sateesh Talpade

Lorem id natoque in elementum velit. Lorem facilisi sit id est, cras commodo. Id dignissim at elit cras mattis nulla lacus quam.

15 min ago

High Valid for this visit only

Dr. Sateesh Talpade

Lorem id natoque in elementum velit. Lorem facilisi sit id est, cras commodo.

15 min ago

Medium Valid for this visit only

Dr. Sateesh Talpade

Morbi est nisl at integer potenti tincidunt. Eget vel ac quis arcu lacus cras dui, a enim. Nam lectus arcu, ultrices egestas malesuada tempor luctus. Commodo lectus dui pellentesque dictumst. Est in tincidunt etiam.

07-07-2022, 10:10 AM

Low From 07-07-2022 to 14-07-2022

Operation Room Request

Prep - OP Surgery Name

ANTISEPTIC/100I

Ordered By

Dr. Leopold Bailey

Department

Peadiatric

Order#

419197

OR Name

Operation room - PRH2

Surgeon

Dr. Leopold Bailey

Co. Surgeon

Dr. Leopold Bailey

Anesthesiologist

John Doe

Anes Type

Severity Status

Emergency

Approx Duration Of Surgery

2 hrs

Ordered Date & Time

04-12-2021 , 3:15 PM

Preferred Date & Time

04-12-2021 , 12:00 AM

Scheduled Date & Time

15-12-2021 , 5:30 PM

Diagnosis Cystic Fibrosis Diaphragmatic Hernia Omphalocele

NPO

4 hrs

Procedure Type

OPD

Admission Date & Time

15-12-2021 , 5:30 PM

Cancellation Note

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Quisque elementum nec libero finibus rutrum.

Req. Cancelled

Back

Online Uploading (75%)

24-08-2019, 10:10 AM