KELKAR

HOSPITAL
Center for Orthopaedic and Diabetes Care
Run by Kelkar Hospital, Mumbai Naka, Nashik I (0253) 2313308 I (0253) 2574008
Kelkar Medicos Pvt. Ltd. www.kelkarhospital.org

Dr. Mrs. Mrunalini Kelkar Dr. Bharat R. Kelkar Dr. Sagar Bharat Kelkar
M.D. (Medicine) M.S. (Ortho). D. Ortho (Born) M.S. Orthopaedics
Consultant Physician &Dlabetologlst Consulting Orthopaedic Surgeon Consultant Orthopaedic,
Arthroscopy & Arthroplasty Surgeon

Reg.No.: 0-161043' 06.11.2024

MR. JAIN DILIP CHANDMAL
66 Yrs/ M
Address: M.P., Tel.: 7898766533

Complaints & Hlstocy :

C/0 BOTH KNEES PAIN 4 YRS + LBP 25 DAYS
X•ra.v Report Done ;
REDUCED LS-Sl
LOSS OF LUMBAR LORDOSIS
Dlaposls;
LS SPONDILOLYSIS
t'EFT OA KNEES ..... ICD M 17.3

VITNEURIN INJ/ NEUROBION

s.-
FORTEINJ
~qu(l1d(

WAKE D3 60K/ GRINCAL D

~qOl(1d(

DAZZLE OIL60Mll RLX OIL/

- ORTHODIC OIL
10 days
KETOTAC DT/ KETOROL DT TAB ~ 5lsll~l(i ~ ~ ~
~ 'qlf"~ q(uq(g-1 ~ ~ ~ ti
e,a ¥'.'- lt.? C/ )d_'}-6( l, 4 61-A.ch I Jj) ~dcf/1-;1-'.YW

fflJ !Jsl:41a Gl{gciclcl ~ ~ •

~ aq1eofte16\ ~ ~~ft q;r-r ~ ffl ~ - DR. BHARAT KELKAR

Reg.No.: 45361

WE TREAT.
HE CURES.
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 •\
MANORAMA OPD-15104
I
HOSPITAL d~ " YES" '1i ~...
o,1 r,~ If;1 •.att?f,(J
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M88S MS. OR1t10 •
OPD CASE RECORD
~,g. No. MP-16525
UHID NO : U/28007/23 Date : 23/05/2025
Organization : MANORAMA MEDICARE PVT LTD
Name : DILIP JAIN S/0 CHANDMAL JAIN
Age/Sex : 66 Year(s)/MALE
Address : ANJAD,Barwani
Moblle no : 7898766533
Consulting Dr. : DR DURGESH PATIDAR Ref By : MANORAMA HOSPITAL
RefDr MoblleNo : 7210840108

Presenting Complaints :
Temp :
l1clo t.14 Co Qt-M..L 11 PR:
BP:
Past History :
-----:f---------------_ RR:
__:!.,_

\
SPo2:
O/E 1. General :
RBS:
2.CNS :

3. CVS:

5. P/A:

Local Examination :

Provisional Diagnosis :
 MANORAMA Path- 5a_460
" (

HOSPITAL dw ~" YES" to tff(lfi!/1,...

Con. By DR OURGESH PATIDAR ID: DILIP 28007

• DATE: 23-05-2025 12:46:48
SEX: MALE AOE: 66
NAME: DILIP JAIN S/0 CHANDMAL JA

CBC REPORT
NORMAL RANOE:
HOB 12.3 (g/dLJ ( 120 • 16.0)

- - _., .

.,
I. , . ..,n;
(10 1 fpL] ( 3.76 • 5 . 7 0 ~ ~ · ~ -
RBC 4.71
HCT 37.1 [%] ( 33.5 • 52.0)

IICV 78.SL (ll.J ceo.o. 100, wee

MCH 26.1 L [pg] ( 28.0 • 32.0) s
(g/dl] ( 31.0 • 35.0) I
MCHC 33.2
z
WBC 7.5 (10 3 fpl] ( 4.0 • 11.0)
E
fE 5.6 74.6 (%] ( 1.1 • 7.0 I 28.0 • 78.0)
Granularity
LY 1.1 14.1 L [%] ( 0.7- 5.1 I 17.0 - 57.0) Complexity
MO 0.4 5.6 [%] ( 0.0 • 0.91 0.0 • 10.0)
EO 0.4 5.0 [%] ( 0.0 • 0.9 I 0.0 • 10.0)
BA 0.1 0.7 [%] ( 0.0 • 0.21 0.0 • 2.0) RBC
RIJW.CV 13.2 [%) ( 11.6 • 14.0)

RDW-$0 41.6 fl\.] ( 39.0 • 46.0)

3
(10 /µLJ ( 150 • 400) 200 s .·.
PLT 339
I , .
( 0.16 • 0.33)
PCT 0.17 [%] z
IIPV 4.9L [fl] ( 7.0 • 11.0) E
PLTL
POW 17.5H @. ( 15.0 • 17.0) ,.
Granularity
P-LCR [%]

e
2 .,

[WBCRMJ) [RBCFLAOJ (PLTFLAOJ·

Analysed by celtac Es Fully automated 5-part haematology Analyzer from NIHON KOHDEN, JAPAN

All Tests have technical and biological limitations. Please Correlate Clinically.
A review shall be requested in case of any disparity. This report is not valid for Medico Legal Purpose.

Run by:- MANORAMA MEDICA~tPRIVATE LIMITED ··-\,;:''•>;-··-"'"'-••, ·=-··,

• ·, ._ .: RaJghatR.~~!iJ''W_,_~u_a Stand,__Opp. Daya ~~!~t~!W'~,TP,_ e,RWANI (M.P.) 451 551 •'~
Mob\72108401 PB~'72106501 OB, 72108601 oar ·erne.11 t manoramamedlcare@ mail.c.om
·:,-• . ,•· . • ·-•,.•i·._• • •:.,, . -. II ..• ,.I' . 1 • , -' • /!,~ .·, - ,...~.•. r_ ••
 MA NO RA MA Path- 52461

HOSPITAL

Patient Name : DILIP JAIN S/0 CHANDMAL JAIN 1:57PM

Received Date : 23/05/2025 Time:
Age/Gender : 66 Year(s) 7 Month(s) 19Day(s)/MAL
Reported Date : 23/05/2025 Time: 01:57PM
Con.By : OR OURGESH PATIOAR
: U/2J007/23 lab No. : 74987
UHIDNo.
Report status : ANAL

Test Name Result Unit Reference Interval

_ _~
Ql.___ _ _ _ _ _ _ _ _ _~B:..:LOO.=...:...:D=--G:..:L..:..UCO=S~EAN~A_LY_S_IS_ _ _ _ _ _ _ _
RBS 132.0 mg/di 80-140

Note : h can be done at any lime under any condition. High reading may occur because the patient
has recently
eaten, if the test were repeated in another hour, the result could totally different but there is no way d knowing
by how much the result would differ. In the same way, a nonnal result may not be correct, giving a false sense
al sea.rity to bolh Doctor and Patient Abnormaly high or low readings thus warrant further, more accurate
~ measurement.

ESR.

ESR (WESTERGREEN) 22 mm/hr 0-20

~

RA FACTOR..
RA Factor 10.00 IU/ml 0-18

Nace:
Comments:-

Rhednatoid factor is an antibody directed agant the Fe portion ol lhe lgG molerule. Polyreactive RF
has
0 binding specificity for substances other than lgG like nuclear components. This polyreactive RF Is usually
of the
lgM dass with low affinity. RF is not specific only for Rheumatoid arthritis, but it is often seen in cases of
chronic infection and other systemic Inflammatory conditions. Heahhy indMduals > 65 years of age may also
lgA
show poeltlve RF results. In addition to the common lgM RF, both lgA RF & lgG RF have been detected.
RF has been related to the more severe form of lhe disease with erosions.

• • • • • • • • • END OF REPORT••••• • • • •

echnlcal and biological limitations . Please Correlate Clinically.

·n case of any disparity. This report is not valid for Medico Le a
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Knee LAT 23/05/2025 12:53:06 Knee LAT
DILIP JAIN 66Y/M
DR.OURGESH PATIDAR [M.S ORTHO]
MANORAMA HOSPITAL BARWANI M.P.
 MANORA MA OPDJ.9826
HOSPITAL rch!t!.., II YES" fb ~...

ECHOCARD/OGRAPHY REPORT
Date:-

Patient Name :- Echo No :-

Age/Sex :- Ref. By :-
MITRAL VALVE

ickenlng /Calcification/ Flutter/ Vegetation /Prolapse/ Doming /SAM

0 hickenlng /Calcification/ Prolapse/ Paradoxical Motion /Fixed

Subvalwlar deformity : Present / Absent Score: .........................../16

~~E
~tenosis Presentg
2
MVA _ _ _ _ _cms , (P _nimetry), _ _ _cms2 • (PHT Method)
Mitral regurgitation

TRICUSPID VALVE:

Morphology@/ Atresia • g /Calcification/ Prolapse/ Vegetation/ Doming

Trlcuspid Stenosis
rivial /Mild/ Moderate/ Severe I Fragmenttcl signals
Estimated PASP

C PULMONARY VALVE : A WAVE: _ _ _ _ mm, EF Slope: _ _ _ mm/s, Systolic Notching: Present/ Absent
.r
Morphology No mal / Thickening /,.Doming/ Vegetation. ~
-..
Pulmonary Stenosls Present Level
Pulmonary Regurgitation

AORTIC VALVE :
Morphology: Normal/, hickening /Calcification/ Restriced opening/ Flutter/ Vegetation.

No.of Cusps: 1 2 @4.

Aortic stenosls Presents Levn

Aortic Regurgitation Present/Trivial/ Mild/ Moderate/ Severe eJ

Run by:- MANORAMA MEDICARE PRIVATE LIMITED

Rajghat Road, New Bus Stand, Opp. Daya bhai Petrol Pump, BARWANI {M.P.) 451 551
Mob. 7210840108, 7210850108, 7210860108, email : [email protected]
 MANORAMA OPDJ. 9827

HOSPITAL ~ " YES" '"1i rc/(M!A...

Measurements
DE Amplitude : ........................... mm IVS Thickness (D) : .....................................mm.
E.F. Slope : ........................... mm/s. LVPW Thickness (0) : .....................................mm.
EPSS : ............................mm. LVIO (D) : .....................................m.
Aortic Root : ............................ mm. LVIO (S) : .....................................m.
Aortic Valve Opening : ............................ mm. RV Dimension (D)
Left Atrium : ............................mm Stroke Volume
Diastolic Volume : ............................ml Ejection Fraction
Systolic Volume : ...........................ml MPA
IVS Motion : Normal/ Flat/ Paradoxical

Doppler Data
Velocity Gradients Regurgitation
Max/ Mean.

Aortic

(
Pulmonary

Tricuspld

Mitral

CHAMBERS:

LV Clear/ Thrombus / Hypertrophy

Contraction : ormai Reduced C " \ .

R • I wall motion abnormali~

LA
RA
JllQl:mai-..uEnlarged / Clear/ Thrombu§.:_

lllDJ'fffl!'f,,l,Cniarged / Clear/ Thrombus.

-
RV ~~,,._nlarged /Clear/ Thrombus.

0 hickening / Calcification / Effusion

IAS
IVS
COMMENTS&S MARY: . ~lJ'f~ Irv o/~(_ -h.. ~
"\,AP ~1,-./M,4- V 2;z~,-

J-. v ef 61) >.

'Vu "'11, ,...,0 fll...

have"tecnnlcal and biolo lcal !Imitations. Please Correlate Cllnlc

Is not valld for Medi

Run by:- MANORAMA MEDICARE PRIVATE LlriilTED

Aajghat Road, New Bus Stand, Opp. Daya bhai Petrol Pump, BAAWANI (M.P.) 451 551
Mob. 7210840108, 7210850108, 7210860108, email : [email protected]
. , / Since
1982
U..) Unity Diagnostic Centre
Dedication I Compassion I Care
Rleultl
Run Date 06/06/2025 01:22:04 PM Operator UNITY
lastNama Sample ID AlJTO_S100019
First Nam• MR.DIUP JAIN Rack/PM
Gender Male Age 66Y Department
Patient ID AUTO_PID26229 Phy1lclan
Birth Date Type Man

Sample
comments

Range Recommended actions

Rae 4.62 101 /µL 4.20 - 6.00 Slide review
HGB 13.0 g/dl Alarms
13.0 -17.0
WBC
HCT 37.4 % 39.0 - 52.0 ABC Abnormal Differentiation
MCV 80.9 µmJ 76.0 -100.0 Susp. Pathologles
MCH 28.0 pg Lymphopenla
26.0- 34.0
MCHC 34.7 g/dl 32.0- 35.0
w-cv 14.1 % 11.0 -16.0
- RDW-SD 44.5 µmJ 37.0 - 49.0 IO 100 110

Range
PLT 339 103/µL 150 - 400 Pl.T
PCT 0.23 % 0.15 - 0.40
MPV 6.9 µm] 8.0-11.0
PDW 9.9 µm, 11.0 - 22.0
P-LCC 35 103/µL 44-140
P-LCR 10.2 % 18.0- 50.0 10 20 30

Range DI~
WBC 7.94 103/µL 3.50-10.00

# Range % Range
NEU
LYM
6.62
0.91 L
* 1.60- 7.00
1.00-3.00
83.8
11.5
h*
I
40.0- 73.0
15.0 - 45.0
* *
--
MON 0.34 0.20-0.80 4.2 4.0 -12.0
EOS 0.01 0.00-0.50 0.1 I 0.5 - 7.0
BAS
UC
0.03
0.03
* 0.00-0.15
0.00 - 0.10
0.4
0.4
* 0.0 - 2.0
0.0-1.0

Dr. Zulfekar Rounak Technologist

M.B.B.S, D.M.R.D. (Radiologist)

SONOGRAPHY • CT SCAN • X-RAY & PROCEDURES • PATHOLOGY • HORMONE SJUDIES • IMMUNOLOGY • ECG • OPG

Dr. Zulfekar Rounak Opp. Prashant Hotel, Near Football - Middle School Ground,
Motl Mata Mandir Chowk, Barwani 451 551 (M.P.)
M.8.B.S, D.M.R.D. (Radiologist) Ph.: Lab & Pathology - 07290-222125, Sonography - 223253, Dental Clinic - 222175
Reg. No. MPMC-10863 Emall : [email protected] I For Appointment, Call: 9407451316
Fetal Medicine Foundation, London. Reg. No. 161875

06/06/2025 01:23:55 PM Printed by : UNITY S/N208YAXH03911 1

 Dr. Zulfekar Rounak
M.B.B.S, D.M.R.D. (Radiologist)
lD ~~1!!~ 0~ 10 Ho.
Opp. Prashant Hotel, NJ
Tut H•t
Oah

Tl••
Ratio
: Pl
: 06/0612S
: 1018
: 13.3 m
: 1.02
lest Heil!
Oah
10 Ho
TIit
APT!
06106/25
1019
: 31 6 SfC
Motl Mata Mandlr Chol Ratio : 1.13
Reg. No. MPMC-10863 For Appointment & lnq IHR : 1.03
Trained at - ScholarMD Fetal Medicine Training Programme, India Sonography • 94074S13
Cenlfifd with• Fetil Medicine Foundation, London. Reg. No.161875 Email : 1ulfekar7@gmal
SONOGRAPHY • GENETIC CLINIC• X-RAY & PROCEDURES• PATHOLOGY • HORMONE STUDIES • IMMUNOLOGY• ECG • CBCT • DIGITAL OPG
-
Patient Name :MR DILIP J1 JAIN Age/Sex : 66 Years /M
Ref.By :SELF Date : 06-06-2025

INVESTIGATION RESULTS NORMAL RANGE

HAEMATOLOGY
PROTHROMBIN TIME

•
13.3 seconds 11 - 16 seconds
Coagulation Analyzer COSTAT - I
INR 1.03 Normal : o., - 1.50
Coagulation Analyi.er COSTAT - I
Normal : 0.5 - 2.5
Oral Anti Coag11la11t Therapy: 2.5 - 3.5
P.T.T./ A.P.TI. 31.6 seconds 28 to 35 seconds
Coagulation Analyt.er COSTAT - I

BIOCHEMISTRY

HbAlC 6.1 % 4 to 5.9 %

TURBIDIMETRIC IMMUNOASSAY
Good Control - 4 to 5. 9 %
Poor Control > 7 %
ELECTROLYTES

• SODIUM
FLAMEPHOTOMETERY
POTASSilJM
FLAMEPHOTOMETERY
132.2

4.34
135 - 155 mEq\L

3.7- 5.2 mEq\L

CHLORIDE 100.1 98 - 110 mEq/L

Mcrcurous II Thiocynatc Method

Dr. Zulftkar Rounak

M,B.B.S.
 Dr. Zulfekar Rounak Opp. Prashant Hotel, Near Football • Middle School Ground,
M.B.B.S, D.M.R.D. (Radiologist) Motl Mata Mandlr Chowk, Barwanl 451 551 (M.P.)
Reg. No. MPMC-10863 For Appointment & Inquiry Contact: lab. & Path. • 9424535875,
Tralntd at - ScholarMD Fetal Medicine Training Programme, India Sonography • 9407451316 & Dental Clinic • 9826086091
Certified with-Fetal Medicine Foundation, London. Reg. No. 161875 Emall : [email protected]

SONOGRAPHY • GENETIC CLINIC• X-RAY & PROCEDURES • PATHOLOGY • HORMONE STUDIES • IMMUNOLOGY • ECG • CBCT • DIGITAL OPG

Patient Name :MR DILIP JI JAIN Age/Sex : 66 Years /M

Ref.By :SELF Date : 06-06-2025

INVESTIGATION RESULTS NORMAL RANGE

IMMUNOLOGY

HIV I & Il ANTIBODY

•
Non Reactive
IMMUNOCHROMATOGRAPHY
HCV Non Reactive NeglUIVe
STRIP METHOD
Rapid Test Kit for HCV Antibodies

BIOCHEMISTRY

RANDOM BLOOD SUGAR 150 70- 140 mg/di

CORRESPONDING URINE SUGAR Nil
GOD-POD METHOD
CRI!ATININE 0.98 0.6 tu 1.4
Alkaline Picratc Method

• • ,,~rt\
~Dr. Zulflar Rounak
M.B.B.S.
 LD Unity Diagnostic Centre
Dedication I Compassion I Care
Dr. Zulfekar Rounak Opp. Prashant Hotel, Near Football - Middle School Ground,
M.B.B.S, D.M.R.D. (Radiologist) Motl Mata Mandlr Chowk, Barwanl 451 551 (M.P.)
Reg. No. MPMC-10863 For Appointment & Inquiry Contact: Lab. & Path. - 9424535875,
Trained at • ScholarMD Fetal Medklne Training Programme, India Sonography - 9407451316 & Dental Clinic• 9826086091
Certified with- Fetal Medicine Foundation, London. Reg. No. 161875 Email : [email protected]

SONOGRAPHY • GENETIC CLINIC• X-RAY & PROCEDURES• PATHOLOGY• HORMONE STUDIES• IMMUNOLOGY• ECG • CBCT • DIGITAL OPG

Patient Name :MR DILIP JI JAIN Age/Sex : 66 Years /M

Ref.By :SELF Date : 06-06-2025

LIVER FUNCTION TEST

I INVESTIGATION RESULTS NORMAL RANGE

BILIRUBIN t.74,,,,
___ 0.20 - 1.20 mg/di
Mod. Jcndrassik & Grofs Method

• S.G.P.T
ENZYMATIC
S.G.0.T
Mod. IFCC Method
ALKALINE PHOSPHATE
14

15

61 IlJ\I.,
upto 40 IlJ\I.,

upto 40 IlJ\I.,

25 - 147 ill/1
Optimi,cd IFCC Methad
AUSTRAI,IA ANTIGEN\HBSAG Non Reactive
IMMUNOCHROMATOGRAPHY
TOTAL PROTEIN 6.93 g/dl 6.0 to 8.2
ALBUMIN 4.40 g/dl 3.7 to 5.3
GLOBULIN 2.53 g/dl 2.3 to 3.6
A:GRATIO l.74 1.0 m 2.3

Dr. Zulfikar Rounak

M,B.B.S.
 Dr. Zulfekar Rounak Opp. Prashant Hotel, Near Football• Middle School Ground,
M.8.8.S, D.M.R.D. (Radiologist)
Motl Mata Mandlr Chowk, Barwanl 451 551 (M.P.)
Reg. No. MPMC-10863 For Appointment & Inquiry Contact: Lab. & Path.• 9424535875,
Trained at • ScholarMO Fetal Medicine Training Programme, India Sonography • 9407451316 & Dental Clinic• 9826086091
Certified with• Fetal Medicine Foundation, London. Reg, No. 161875 Email : [email protected]
SONOGRAPHY • GENETIC CLINIC• X-RAY & PROCEDURES• PATHOLOGY• HORMONE STUDIES• IMMUNOLOGY• ECG• CBCT • DIGITAL OPG

Patient Name :MR DILIP JI JAIN Age/Sex : 66 Years /M

Ref.By :SELF Date : 06-06-2025

URINE ROUTINE / MICROSCOPIC

I INVESTIGATION RESULTS NORMAL RANGE

PHYSICAL EXAMINATION

•
Quantity 25 ml
Golour Pale Yellow
Appearance Clear
Deposits Absent
Specific Gravity Q.N.S.
CHEMICAL.EXAMINATION
Reaction Acidic
Sugar Nil
Albumin Nil
Ketones Negative
Bile Pigments Negative
Blood Negative
MICROSCOPIC EXAMINATION
Epithelial Cells Occasional
0 PtisCells Nil
Red Blood Cells Nil
Spennatozoa Absent
Crystals Nil
Amorphous Material Absent
Casts Absent
Bacteria Absent

• • 11\

Dr. ZUHllcar Rounak

M.B.B.S.
 Dr. Zulfekar Rounak
LD Unity Diagnostic Centre
Dedication I Compassion I Care
Opp. Prashant Hotel, Near Football • Mlddl!! School Ground,
M.8.8.S, D.M.R.D. (Radiologist) Motl Mata Mandlr Chowk, Barwanl 451 551 (M.P.)
Reg. No. MPMC-10863 For Appointment & Inquiry Contllct: lab. & Path. - 942453S87S,
Trained at • ScholarMD Fetal Medicine T111lnlng Programme, India Sonography - 9407451316 & Dental Clinic - 9826086091
Cenlfled with • Fetal Medicine Foundation, London. Reg. No. 161875 Email : [email protected]

SONOGRAPHY • GENETIC CLINIC • X-RAY & PROCEDURES • PATHOLOGY • HORMONE STUDIES • IMMUNOLOGY• ECG • CBCT • DIGITAL OPG

NAME: MR. DILIP JAIN DATE: 06/06/2025

AGE: 66 YEARS SEX: MALE
CLINICAL PROFILE: PRE OPERATIVE SCAN
M■"1 tll■■u for tl1t rdtrnL

X • RAY CHEST · PA VIEW

Report;-
• Both lungs fields appear normal.
• Trachea is central.
• Both domes and CP angles are well defined.
0 • Bilateral hilar shadow normal.
Cardiac size & shape appear normal.
•
• Bony Thoracic cage is normal.

IMPRESSION: Normal Study.

Adv: - Clinical Correlation