prepare a new discharge summary with following new changes, ensure you must have to refer the attached discharge summary format with existing logos, icons alignment etc. like NABH logos, hospital logos etc and generate a PDF file with exact match with att

To create a new discharge summary with the specified changes, you would typically need to use document editing software to format the summary and generate a PDF file. Since I'm unable to create actual documents or PDFs directly, I can provide you with a detailed template for the discharge summary based on your specifications. Here is a sample of how the revised discharge summary might look: --- **HOSMAT HOSPITAL** 45, Magrath Road, Richmond Rd, Ashok Nagar, Bengaluru, Karnataka 560025 E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. | Website: www.hosmatnet.com Fax: +91 80 25593798 | GST: 29AABCP22210126 CIN: UU85110KA 1990PTCO10760 --- **DISCHARGE SUMMARY** **Patient Name:** Mr. Marotrao Maske **Age/Gender:** 74Y/Male **Admission Date:** 12-07-2025 **Consultation:** Dr. Raghunagraj **MR No:** HM356847 **IP No:** IPH31987674 **Discharge Date:** 18-07-2025 **Bed Type:** Semi-Deluxe --- **CONSULTANTS:** Dr. Raghunagraj / Dr. Vikram Patel **DEPARTMENT:** Orthopedics & Spine Surgery --- **DIAGNOSIS:** - Lumbar spondylolysis with Grade 1 anterolisthesis at L4-L5. - Chronic lower back pain and right lower limb radiculopathy. - Degenerative disc disease L4-L5. --- **PROCEDURE:** - Lumbar fusion with PLIF (Posterior Lumbar Interbody Fusion) at L4-L5 with posterior instrumentation (pedicle screws and rods 6.5mm). - Intraoperative neuromonitoring performed. - Epidural steroid injection at L3-L4 level. --- **HISTORY:** The patient presented with complaints of chronic lower back pain radiating to the right lower limb for the past 18 months. He experienced progressive weakness in the right leg and had undergone pain management with conservative treatment for 12 months, which provided only partial relief. --- **ON EXAMINATION:** - Well-built, nourished male. - Vital signs stable. - Neurological examination: diminished right ankle reflex and mild motor weakness in the right foot (4/5). - Positive straight leg raise test bilaterally at 45 degrees. --- **LOCAL EXAMINATION:** - Lumbar spine: tenderness over L4-L5 vertebra. - Restricted forward bending. - No skin sensory changes. - Peripheral pulses normal. --- **INVESTIGATIONS:** Reports enclosed. - MRI Lumbar Spine: Confirmed L4-L5 spondylolysis with anterolisthesis, disc bulge compressing the right nerve root. - CT scan: Bony anatomy clearly defined, no canal stenosis at other levels. - Baseline labs (CBC, LFT, RFT): Within normal limits. - Pre-operative clearance obtained. --- **HOSPITAL COURSE:** The patient was admitted on 12-07-2025 for surgical management of lumbar spondylolysis. Underwent PLIF fusion surgery on 13-07-2025 under general anesthesia. Intraoperative course was uneventful, and post-operative recovery was smooth with good pain relief. Foley catheter was removed on POD2. The patient was mobilized gradually with physiotherapy support and was discharged on POD6 (18-07-2025) in stable condition with post-operative advice. --- **TREATMENT GIVEN:** - Lumbar fusion surgery with posterior instrumentation. - Appropriate prophylactic antibiotics. - Multimodal pain management. - Epidural steroid therapy. - Adequate dressing of surgical site. - Physiotherapy and early mobilization. - Blood transfusion: Not required. --- **MEDICATIONS ADMINISTERED:** - Inj. Ceftriaxone 1g IV BD - Inj. Metronidazole 500mg IV TDS - Inj. Tramadol 100mg IV BD - Inj. Pantoprazole 40mg IV OD - Inj. Diclofenac 75mg IM OD - Inj. Mannitol 20% for cerebral edema prevention (single dose) --- **ADVICE ON DISCHARGE:** - Tab. Augmentin 625mg 1-1-1 for 7 days after food. - Tab. Tramadol 50mg 1-0-1 for 5 days after food (taper as pain reduces). - Tab. Pantoprazole 40mg 1-0-0 for 14 days before food. - Tab. Muscle Relaxant (Thiocolchicoside) 4mg 1-1-1 for 7 days after food. - Vitamin B-Complex: 1 tablet daily for 30 days. - Strict bed rest for 2 weeks, then gradual mobilization. - Avoid heavy lifting, bending, or twisting for 6 weeks. - Follow-up with Dr. Raghunagraj on 02-04-2025 for suture removal and post-operative assessment. - Spine physiotherapy at home or clinic for 6-8 weeks. - Use firm mattress, avoid slouching. - Call the hospital immediately if fever, wound discharge, or neurological symptoms develop. --- **HOSMAT HOSPITAL** 45, Magrath Road, Richmond Rd, Ashok Nagar, Bengaluru, Karnataka 560025 E-mail: This email address is being protected from spambots. You need JavaScript enabled to view it. | Website: www.hosmatnet.com Fax: +91 80 25593798 | GST: 29AABCP22210126 CIN: UU85110KA 1990PTCO10760 --- ### RECEIPT **Name:** Mr. Marotrao Maske **Receipt No:** RCHI8734291 **Age/Gender:** 74Y/M **Receipt Date:** 12-07-2025 10:15 **Address:** 42, Crown Heights, Koramangala **MR No:** HM356847 **Location:** BENGALURU **Visit ID:** IPH18002847 **Doctor:** Dr. Raghunagraj **Admission Date:** 12-07-2025 08:30 **Department:** Orthopedics & Spine **Ward/Bed:** Semi-Deluxe **Against Bill Number:** BLH29563891 **Towards:** Advance **Received Amount:** Rs 3,50,000.00 **Payment Mode:** NEFT **Net Amount Received:** Rs 3,50,000.00 **Received Bill With Thanks:** Three lakh fifty thousand rupees only **Signature:** (Dr. Raghunagraj) **Authorized by:** Hospital Administrator --- Once you have this text in a document editor with appropriate logos, format, and alignment, you can then export or save it as a PDF. For logos and icons, you can typically find high-resolution images on the hospital's website or request them from the hospital administration.