CityCare Multispeciality Hospital
14, Ring Road, Lajpat Nagar, New Delhi
Delhi — 110024
Ph: +91-11-4567-8900 · ipd@citycare.in
Allopathy · MBBS · Reg MMC-2012-04567
Clinical Reg DL-CE-2019-04412
RMO 24×7: Dr. P. Verma (MMC-2019-22104)
60-bed hospital
Allopathy IPD Admission + Daily Record
No: IPD/25-26/000214
Dt: 20-09-2026 09:30
Allopathy IPD · Dr. A. Khan · MBBS · Reg MMC-2012-04567
Patient
Ramesh Gupta · 54 Y · M
Lajpat Nagar, New Delhi
UHID: UHID-2024-118822
General Male Ward · Bed G-07
Ph: +91-98110-22334
Diagnosis
Community-acquired pneumonia (right lower lobe) with T2DM
Provisional: Community-acquired pneumonia, right lower lobe
ICD-10: J18.1
Treating Physician: Dr. A. Khan (MMC-2012-04567)
Duty RMO 24×7: Dr. P. Verma (MMC-2019-22104)
Consents on record
Admission consent: General consent for admission and treatment signed by patient (20-09-2026); financial responsibility explained.
Procedure/high-risk consents: IV cannulation + blood sampling consent at admission; no anaesthesia/high-risk procedure this stay.
Nursing / duty roster
| Date | Shift | Staff | Role |
|---|---|---|---|
| 20-09-2026 | Morning | S. Rawat | Nurse |
| 20-09-2026 | Night | K. Mane | Nurse |
| 21-09-2026 | Morning | R. Pawar | Physiotherapist |
| 21-09-2026 | Night | K. Mane | Nurse |
Daily progress (vitals · assessment · plan)
| Date | Vitals | Assessment / Response | Meds (batch) / Diet / I-O / Plan |
|---|---|---|---|
| 20-09-2026 | BP 138/86, P 96, T 101.2 F, SpO2 93% RA → 95% on 2 L | O2 2 L/min via nasal prongs; SpO2 improved to 95%; febrile day 1 | Inj Ceftriaxone 1 GM IV BD (Batch CX33012); Inj Pantop 40 MG IV OD (Batch PT11021)Diet: Soft diet; diabetic exchanges (no added sugar)I/O: In 2200 ML / Out 1700 MLPlan: Chest X-ray done; cultures sent before first dose |
| 21-09-2026 | BP 132/82, P 88, T 99.6 F, SpO2 95% on 2 L | Afebrile since morning; cough productive, less dense sputum | Inj Ceftriaxone 1 GM IV BD (Batch CX33012); Inj Pantop 40 MG IV OD (Batch PT11021)Diet: Soft diet; diabetic exchangesI/O: In 2100 ML / Out 1600 MLPlan: Physiotherapy breathing exercises started |
| 22-09-2026 | BP 128/80, P 82, T 98.6 F, SpO2 96% RA | SpO2 96% on room air; crackles decreased at right base | Inj Ceftriaxone 1 GM IV BD (Batch CX33012); Inj Pantop 40 MG IV OD (Batch PT11021)Diet: Normal diet; diabetic exchangesI/O: In 2000 ML / Out 1800 MLPlan: SpO2 maintained on room air since 06:00; switch to oral planned |
Nursing entries signed per shift in the ward register; daily records accessible to the insurer on request.