Vyawahare Netralaya
Vyawahare Netralaya & Eye Bank, Amravati
V.M.V Road, Rathi Nagar, Amravati | 0721-2664880 | Mob : 9370109617
NABH
Dr. Neeta Vyawahare
MBBS, DO (Opthal)
Regd. No. 070595
Dr. Pravin Vyawahare
MBBS, MS (Opthal)
Regd. No. 65374
Name/Age/Gender MR. RAJAT PADMAKAR DHANWALKAR / 30 / Male MRD No 1 DOA 29/04/2026
Address 34, SHESH NAGAR, KHARBI ROAD, NAGPUR Mobile 9595454907 UHID No 7387

Operation Planed : OS Phaco WITH IOL

Diagnosis :  

PAC (PreAnesthetic Checkup)

Medical History DM / HT

Allergy Yes / No  

O/E - General Condition - Mod / Fair / Poor

Pulse 
BP 
RR 
RS 
CVS 
Spo2 
ASA 

Intra Operative Monitoring

Type of Anesthesia – MAC / LA / Sedation / GA without ETT / GA with ETT

O/E - General Condition - Mod / Fair / Poor

Pulse 
BP 
RR 
RS 
CVS 
Spo2 

Medicine given 

Post Operative Monitoring

Pulse 
BP 
RR 
RS 
CVS 
Spo2 

Remark 

Patient Is Fit For Discharge

Name Of Anesthesiologist  
Sign  
29/04/2026