KIMS (SUN CITYS) MEDICAL CENTER GR. No, 2055008727 ‘Agdal Gash Bagdad ull! quelh AS pi g98 F600- AVIV cu Place : Jubail NAME : Safya Khanam AGE/SEX :30Yrs/ Female MR. NO. 237408 DATE £ 29/01/2011 To The Pulmonologist RMCH Ranchi Sir, ‘This 30 year old lady, mother of 2 children presented to me two weeks back with history of fever, cough and breathlessness of 3 days duration. On clinical examination: Chest : Coarse crepitations + (L) lower lungs On investigating: ESR = 70mm/hr, TC = 5800, P47, La2, Ma, Er. Sputum- AFB: Negative (3 samples). CXR PA T haziness (L) lower lung zone with ? cavitatory lesion (L) mid/lower zone. Since the sputum test was negative for TB, and clinical. presentation of CAP suspected she was started on Inj. Ceftriaxone and Inj. GM twice daily and was continued for one week, along with bronchodilators and mucolytes. Symptomatically patient improved. But a repeat CXR on 28/01/2011 shows same findings. On examination:- Chest-Coarse crepitations + (L) L L. She is probably suffering from Pulmonary tuberculosis (Sputum - negative) and needs further evaluation and better management. So she is being referred to you. Kindly do the needful. The CXR reports, blood Thanking ® Dr. Nazeer S. Moh Internist on Kims Medical Ceri tests reports are enclosed. ALY PUTTY agaSld — 455 TTVYS 8h / PUTS FA .ggdld — Aysgaull Qygpall Blesl! - T1901 dealt - VS g.ge P.O, Box 1176 - Jubail 34954 - K.S.A- ODES 3 362 D039 / 362 0004 - Fax: DODSS 3 362 1342 E-mail: kimo@kims,comsa gis S set! www,kims.com.sa oyX-RAY REPORT Name ©: SAFYA KHANAM MR No”? 000237408 Age : 29 Sex : Female M-RAY ID: Ref By : Dr. NAZEER SAINULASDEEN MOHAMM Date : 28-Jan-2011 & X-RAY CHEST PA Revised old report and its follows no A large cavitatory shadow (Suspected) seen in left mid and upper 2 infiltrative lesion in left apical zone. hang £481as° aré' clear. e : .c size is normal The domes of diaphragm are normal in position and show smooth outline. ‘The bony parts are normal. ADVICE: C.T.SCAN TO R/O KOCH’S. Zp 4 Dr. JAGMOHAN LAL CHOPRA Radiologist | | IE.R, Ne, 206; X-RAY REPORT Name : SAFYA KHANAM : MR No; 000237408 Age : 29. Sex : Female X-RAY ID: 327811 Ref Ry icDz. NAZEER SAINULABDEEN MOHAMM. Pate +: 22-Jan-2011 XCRAY CHEST PA A large cavitatory shadow (Suspected) seen in left mid and upper zones with infiltrative lesion in left apical zone. Other lung fields are clear, The cardiac size is normal | The domes of diaphragm are normal in position and show smooth outline: The bony parts are normal. ADVICE: C.7.SCAN TO R/O KOCH”S. Abate Dr. JAGMOHAN LAL CHOPRA Radiologist fie ( SAGHOHAN LAL SH0py He MBAR sey moetTahal igansus sayernall geal unt 2 pi gy Pe gn al had se kenebagral. omy, ta KKIMS (sun citys) MEDICAL CENTER PO, Box: 178, Jubal 31961, KSA “Ye: 9583 982 0058 985-962 0091 Fan: 19689982 1972 xembal@gnal.con Mamie "SARA KHANAM ; MRNo 000237408 \ Age 29 Sex :F —_ Natonality INDIAN BillNo — Lovgs29611 | gama.) 2129107686 Date 22-Jan-2011 | | Doctor: NAZEER SAINULABDEEN MOHAMMED. ©» Bill Time: 7:37:50 PM | Auth: Time . | Test Name [ Resuie ‘Norma Value i ERYTHROCYTE SEDIMENTATION RATE(E S R)- 70 mmvhr 0-20 mmihr TOTAL & DIFFERENTIAL WEG COUNT-— |_-===— i TOTAL WBC COUNT ; 5,800 cellsioumm 4,000-14,000celsfoumm | DIFFERENTIAL COUNT - | Polymorptis 41% 40-75 % 7 Lymphocytes 42% 28-50% i ‘Monocytes 04% 3.0-11.0 % I Eosinophils 07 % 18% | Basophils 00% ot | SPUTUM AFB (8 SAMPLE } Negative End of the Report, | Br, Avinash Pata (SBS, MD) Pathologist Laboratory Technician: Quality & Ca 3ida iyi Feagenell yall nl 2S lig gd Soiatiea oe eseoart Sr ron ee aa nin fea aren ty serelbalK@gmal com 5 os KIMS (SUN CITYs) MEDICAL GENTER P.O. Box: 1176. Jubail 31951, K.S.A. Tol: +968 3 362 0039 4966 362 0091 Far: +966 3 352 1312 mal ksiubal@gnal am viw.kims.com.sa LABORATORY REPORT (Name PVA KHANARM ‘ MR Ne” 090297886 Age 29 Sex :F —Natonaiiy INDIAN BIINo + .000213011 nama + 2129107666 Dete taJen-2011 Auth Time : ERYTHROCYTE SEDIMENTATION RATE(E S R}~ 65 rmvhr 0-20 mavne | TOTAL & DIFFERENTIAL WBC COUNT - TOTAL WBC COUNT - DIFFERENTIAL COUNT - 000, cellsfeumnm 4,000-11,000 celisicumm i Polymorons 40-75% Lymphocytes 23.50% Monocytes 3.0-11.0% ' Eosinophils 16% Basophils 04% fombedtenses Serotec ecru a ITER ; (Sar ont ot) dale Sha | “ee... Pathologist cae eas al ual i RIMS (sum Laboratory Technician: Page | of | Quality & Caredade! Sapdenll jldi gual Aayb ¢ F680 AVTY cng X-RAY REPORT Name SAFYA FEANAM MR No: 900237408 Age : 29° Sex : Female X-RAY ID. : 212911 Ref By : Dr, ZEPERINE SACOR VAZHAPPILLY Date | : 14-Jan-2011 -RAY CHEST PA ee Left shadow.appears enlarged and surrounding pulmonary. eengestion noted. and show smooth outline. ‘The bony paris are normal. ADVICE: CORRELATE CLINICALLY AND PATHOLOGICALLY AN Dz. JAGMOHAN LAL CHOPRA RadiologistK1i5 (SUN citys) MEDICAL CENTER P.O, Box: 1176, Jchall 97951, K S.A, Tel. +966 3 362 0039 +966 362 0091 Fax; +966 3 962 1312 Emal:ksngubai@giaileon wwnwkims.com.sa or ry ack tH ny ony fe i@graltcom ye LABORATORY REPORT (same + SAEVAKHANAM MR'No 000237408 Age 29 Sex | F —Netionality INDIAN Bil|No = Lo04353410 | tgama 2128107866 Date 03-Nov-2010 | Doctor: AYED IBRAHIM ABD ALLA Bil Time: 6:57:14 PM Auth Time ‘Test Name Result a Normal Value ] | | Res- 96 mgfdl 70-140 mngid URIC ACID - 3.2 mgd! 3.5-8.5 mg/d! COMPLETE BLOOD CELL COUNT(C8C)- | TOTAL WBC COUNT DIFFERENTIAL COUNT Pelyinoipis. Lymiphooytes: Monocytes Eosinophils Basophils RBC count HEMOGLOBIN PACKED CELL VOLUME (PCV) MCV MCH MCHC ROW PLATELET COUNT 6,300 calls/oumm. 49% 45% 03% 03% 00.% 4.05 milions/eumm 11.8 gia 36.2% again 28.1 pg 32.6 gldl 134% 174 thousands/eurnm End of the Report, 4,000-11,000.calisicumm 40-75 % 23-50% 3.0-11.0% 18% 041% 4.56.5 miions/curnm 12.0-16.0 gid! 36.0-47.0% 820-920 27.0-32.0 pg 32.0-36.0 g/d 116-13.7 % 150-450 thousands/cumm Agglall slams singicarall yon yuo Aa stg 9d tr Laboratory Technician: un emmys) LABORATORY. nee SagNyAdinpenl gee sd MEDICAL CENTER sel Pathologist Quality & Care Dr. Avinash Pal (MBBS, HD) Ce ator) ie eas i Page 1 of 1Agball calgcds amgsanell ysnoll yagi S51 ofS (SUN CifYs) MEDICAL CENTER 0, Box: 1178, onl $1951, KSA, Te. 4998.3 962 0096 (4985 962 0091 Fan: 4965 9.262 1312 si: ksinoubal@igmaicom sete ay] et smjubeli@gmal vawwckims.com.sa LABORATORY REPORT {Name SAFYA KHANAM MR No: 000237408 \ Age 29 Sex. F Nationality INDIAN. Bill No, 1004353410, { gama 2129407668 + Date 03-Nov-2010 | | Doctor AYED IBRAHIM ABD ALLA Bill Time: 6:57:14 PM | | pt Time ‘ / eter “Treat Normal Value _] | URINE ANALYSIS - | | Colour - Dark yellow | ‘pH 6.0 t | Specific Gravity 4.030 | | ‘Sugar Nil | | Protein cee NI : i | Ketones Nil | Bilirubin Nil | 1 Urobilinogen Normal 0.1-4.0. i | URINE MICROSCOPY | | Pus cells 4-3 Inpf | RBC 0-4 pf Epicols, 4-3 inpt t Cast Not seen crystals Not seen | | Others Not seen | End of the Report, | | | | i | | | | t | fasctnnayatcicy a Kis au citys) MEDICAL CENTER CEP oder AD DRS | Laboratory Technician: __.asorsrorr see... Pathologist ae alah Page 1 of 1JIMS (Sun citys) MEDICAL CENTER udall ctymtll rayroallysell yt iat gd PO, Bou: 176, Judge 31951, KSA. Tier gagna gp Ha ge NS wg leh: +988 9.962 0029 /+ 966.962.0001 Fax: +988 9962 1312 SHO rn Sry fated ATR ON FM I et coat ‘onebbsi@gnsican ramelbal@gmaloam soiy see at www.kims.com.sa, LABORATORY REPORT Name SAFYA KHANAM MR No + 090287408 >) Age 29 Sex F Nationality INDIAN Bil No: L005227810 2129107666 Date 29-Dec-2010 } Doctor | SAJI PAUL KIZHAKKAYIL © Bill Time: 91348 .AM | Auth Time : “Test Name - Result Normal Value | Fee ss | ERYTHROCYTE SEDIMENTATION RATE(E SR) - 25 ravhe 0-20 mmvhe TOTAL WBC COUNT 9,100 celisicumm, 4,000-44,000 cetisfeumm | | COMPLETE BLOOU CELL COUNT(GBC)- | { DIFFERENTIAL COUNT | Polymorphs 80% 40-75 % i Lympnooytes 13% 2 23-60% i Monocytes 04% 3.0:11.0% | i Eosinophils 03% 16% | Basophils 00% O1% RBC count 4.08 milfonsfeumm, 4.5.6 § millonsicumm | | HEMosLoBIN 12.0 gfal 12.0-16.0 gid | PACKED CELL VOLUME (P CV) 30.4% 36.0-47.0 % mov 90.2 HL, 82.0-92.0 MoH 28.8 pq 27.0-32.0 pg MCHC 33.0 gid 32,0-36.0 gld | Row 13.0% 11.6-13.7 % PLATELET COUNT 169 thousands/cumm. 180-450 thousands/cumm End of the Report, Thi apeclliagap lal nls KEMS ou glyyef MEDICAL CENTER Laporal el Quality & Care Pathologist Dr. Avinash Patol (MBBS, MD) Souci Paology Rego. 288 (ie Netgn gt PD aS oe Page 1 of |silo ily ts Uf Geneon penal ugh A yi gd 188) pga! Ryall Sal dae sr YY Soa ort na Goal oor 5, vv 20081 Fax +9569 962 1512 saibal@gral cor kom wwnekims.com.sa LABORATORY REPORT Name SAF'YA KHANAM MRNo = 000237408 ‘ | age 23 Sex: F Nationality INDIAN BiINo + Loos227910 gama: 2129107660 Date 29.b08-2010 | Doctor = SAJI PAUL KIZHAKKAYIL Bil Time: Si1:45.AM | Auth Time 7 | [stone eit as Normal Value ] eae URINE ANALYSIS - j 1 Colour P.YELLOW | i pH 60 j | Specie Gravity 4.030 i | sugar NIL j | Protein ut | ketones NIL | Birubin NL. | | Urobitinogen NORMAL 01-19 | URINE MICROSCOPY | Pus cetls 5-5 inpt | | RBC 0-1 snpt : | Epicets 3-5 mot \ | Cast Not seen | Crystals Not seen | | | | dof the Repor i i | | | | eae 2 eee | Ds (sun cinegfbICAL CENTER Soe nigga Singin i Laboratory Technician: ... asorsvonr sae! Pathologist eae a Quality & Care Page 1 of |Hyde igen amgenrell prroll yuo AS i gy Net Segunda eee eee sya gate at ott / AN ME oe AS smejubal@gmal.comt iy a9 at KIMS (SUN CiTYs) MEDICAL CENTER P.O, Box: 1176, Jubal 31951, KS.A ‘Tel: +3603 962 0060/4988 252 O08 Fax +9889:962 1812 mal ksmcubail@gmai.com www kims.com.sa LABORATORY REPORT C Name ‘SAFYA KHANAM. MRNo — : 000237408 Age 29 Sex iF Nationality INDIAN BiINo — : Lo00329511 igama 2129107666 Date 22-Jan-2011 Doctor: NAZEER SAINULABDEEN MOHAMMED Bil Time: 7:37:60 PM Auth Time ‘Test Name Result Normal Value ERYTHROCYTE SEDIMENTATION RATE(E S R)- 70 mmihr 0-20 mmihr TOTAL & DIFFERENTIAL WBC COUNT - TOTAL WBC COUNT 6,800 celis/eurnm 4,000-11,000 celis/eurnm DIFFERENTIAL COUNT - Polymorphs a1 % 40-75 % Lymphocytes 42% 23-60 % Monocytes 04% 3.0-11.0% Eosinophils 07% 16% Basophils 00% 04% SPUTUM AFB (3 SAMPLE )- Negative End of the Report. Dr. Avinash Pate D) Al il tepals yd od SeeittPtslonr RA Ne 28 IMS ucn¥s) MEDIC ecg EAP eelgt ert Blatt a Laboratory Technician: .. asonsrow——jiy..x#e.. Pathologist cai { X Quality & Care Page | of 1