WRY Rajeev Hospital

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Admin

Patient Admission (IPD Intake)

Search Patient UHID

OR Lookup by Name/Phone

Patient Details (Verified from Registration)

Patient Name

Age

Gender / Phone

IPD Admission Details

Admission Date

Admission Time

Admission Type

Speciality/Dept

Referring Doctor

Attending Doctor

Target Ward

Select Bed

Est Stay (Days)

Admission Diagnosis

Payer / Insurance Info

Payer Type

Payer Company

Policy No / Limit

Nearest Relative (Emergency Contact)

Relative Name

Relation

Contact Number