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DHEE OT booking
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Patient Details
Patient Name
*
Your answer
Age
*
Your answer
Sex
*
Male
Female
Other:
DHID
Your answer
Surgeon
*
Dr Adithya Murthy
Dr Chandrasekar
Dr Chandrika
Dr GowriShankar
Dr Manisha
Dr Venugopal
Dr Vibha
Dr Vinay
Other:
Required
Surgery name
*
Your answer
Surgery start timing preferred
MM
/
DD
/
YYYY
Time
:
AM
PM
Duration
*
30mins
1 hr
2 hrs
3 hrs
4 hrs
> 4 hrs
Special requirements
Your answer
Anesthesia preferred
*
GA
Spinal
Epidural
Regional block
MAC - Sedation
Local
Other:
Required
PAC status
to be done
under process
PAC completed
Not applicable
Other:
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Type
New case
Reexploration
Clear selection
Comments
Your answer
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