SRMS ODM

Invasive Test

POST PARTUM RECORDS

T.D.1st Dose

T.Dap Vaccine

OGTT.Test

Patient Admitted Details :-

Favourite Medication

Medication History

Add Investigation

Favourite Investigation

Investigation History

General Advise

Admission Advise

Follow Up

Remarks

Investigation Details

Chief Complaint

Add Patient ANC Detail

Add Patient History

Clinical Findings

Diagnosis / View Previous Diagnosis

Other Clinical Details

Drug Allergy

Doctor ID

Department

Qualification

Patient Admitted Details :-

Favourite Medication

Medication History

Add Investigation

Favourite Investigation

Investigation History

General Advise

Admission Advise

Follow Up

Remarks

Investigation Details

Chief Complaint

Add Patient ANC Detail

Add Patient History

Clinical Findings

Diagnosis / View Previous Diagnosis

Other Clinical Details

Drug Allergy

Add Medication

Add Medication

Patient No.

Patient Name

DOB,Sex

Last Visit

Patient Dashboard

Mobile No.
Send Prescription Link	Send GoogleMeet Link

S.No	IP No.	Ptn Name	Admit Date	Discharge Date	Doctor Name	Admitted Status

Age(Yr.MM)

Add Vitals

Vitals	Vitals Value

Save

Reset

Vitals History

Continue Same Treatment

PAID PHARAMCY

SUVIDHA EXTENSION-3(FREE PHARMACY)

Packing Size :

Medicine Code	Medicine Name	Frequency	Dosages	Days	Remarks	Meal	Route of Administration	Add Fav.

Add Other Medicine Add Additional Medicine Not Available in Suvidha

View Drug Formulary

Select?	MedicineCode	Medicine Name	Frequency	Dosages	Days	Remarks	Meal	ROA	Remove

Add Favourite Medicine

Select?	MedicineCode	Medicine Name	Frequency	Dosages	Days	Remarks	Meal	ROA

Add History Medicine

Medicine Code	Medicine Name	S.No	Frequency	Dosages	Days	Remarks	Med.Detail	Med.Rate	Total Amt.	Delete	Frequency Code	Edit
Estimated Total:

Save as Template

View All Templates

View Only Investigation Templates

View Only Medication Templates

Partail Chrgcd	Partail Srvcd	Investigation Name	Unit	Remarks	Add Fav.

Add Investigation

Select?	invchargcd	invsrvcd	Service Description	Unit	Remarks	Remove

Add Favourite Investigation

Select?	invchargcd	invsrvcd	Service Description	Unit	Remarks

Add Investigation History

Ord.No	Charge Code	Package Code	Package Description	Remarks	Date	Service Code	Inv.Rate	Delete
Grand Total:

Save Investigation in Template

View All Templates

View Only Investigation Templates

View Only Medication Templates

General Advise to Patient

Save General Advice

Advise Id	S.No	Advice	Advice Date	Delete

Admission Date

Patient Agree?

Room Type

Admission Type

Payment Type

Covered Under Scheme

Reason Of Admission

Estimated cost of treatment

Advice(if any)

Save Admission Advice

Admission Id	S.No	Advice Description	Advice Adm. Date	Reason of Admission	Delete	Print

Add Follow Up

Enter No. of days Save Follow Up

Next FollowUp Date

Save Remark

RemarksId	S.No	Remarks	Date	Delete

Add Investigation Details

Save Investigation Details

S.No	Id	Investigation Description	OPD	Date	Edit	Copy

Note* - Enter underscore "_" key for adding multiple spacing between charachters.

Add Chief Complaint

Save Chief Complaint

S.No	Id	Complaint Description	OPD	Date	Edit	Copy

Patient ANC Detail

Sr. No.	Date	Wt.(Kg.)	BP Systolic	BP Dystolic	GPE	Pedal Edema	POG	Fundal Height	FHR	P/ Contraction	EDD	Next ANC Date	Doctor Name	Remarks

Save ANC Print ANC Card

Obsetetric History

History Parameter	Value
Married Life
Obs Formula
LMP
EDD
POG
Menstural History
Past History
Family History
Drug Allergy

Save Patient History

Previous History

S.No	Date	Doctor Name	Married Life	Obs Formula	LMP	EDD	POG	Menstural History	Past History	Family History	Drug Addiction	Edit

Add Clinical Findings

Save Clinical Findings

S.No	Id	Clicinical Findings	OPD	Date	Edit	Copy

Active RX

S.No	Medicine	Frequency

Add Diagnosis / Provisional Diagnosis

Diagnosis

Save Diagnosis

Previous Diagnosis

Add Other Clinical Details

Parameter	Left Eye	Right Eye
Vision
Vision With Glasses
IOP
Anterior Segment
Fundus
Retinoscopy x-axis
Retinoscopy y-axis

Save

S.No	Left Vision	Right Vision	Left Vision Glasses	Right vision Glasses	Left IOP	Right IOP	Left Anterior	Right Anterior	Left Fundus	Right Fundus	Date	Delete

Add Drug Allergy

Save Drug Allergy

S.No	Id	Drug Allergy	OPD	Date	Edit	Copy

Visit No.	Visit Date	OPD	Doctor Name	View

Get Investigation

Order No.	Department	Service Description	Order Date	Test Status	View Reports	View Diacom Images	View LabReport

Age	Vaccine	Due On	Given Date	Given

Vaccination

Refer Patient To

Same OPD
Other OPD

Select	Doctor Name	Remarks

Refer Patient

Select	Doctor Name	Remarks

Refer Patient

Add Patient Notes For OT

Pre Operation Diagnosis *

Post Operation Diagnosis *

Surgical Procedure *

Surgeon Name *

Other Surgeon (optional)

Surgery Type *

Biopsy Specimen

Duration of Surgery *

Anaesthesia Type *

Anaesthesia Dr.1 (optional)

Anaesthesia Dr.2 (optional)

OT Name*

Blood Loss

Date for OT*

Intra Operation Findings

OT Steps:-

Any important event

Sr.No	Patient No.	Patient Name	Pre OP Diagnosis	Post OP Diagnosis	Surgical Procedure	Surgeon Name	Surgery Type	Biopsy Specimen	Duration of Surgery	Ot Name	Blood Loss	OT Date	Intra OP Findings	Ot Step:	Any inportant Event	Edit	Copy

Add Patient Requisition For OT

Diagnosis *

Operation Description *

Surgeon Name *

Other Surgeon (optional)

Surgery Type *

Duration of Surgery *

Anaesthesia Type *

Anaesthesia Dr.1 (optional)

Anaesthesia Dr.2 (optional)

Preferred OT *

Date for OT*

Preferred OT Start Time

Equipment Name (if required )

Remarks (if any )

Save Record

Patient No.	Patient Name	OT Name	OT Date	Pref. Start Time	OT Duration	Surgeon Name	Status	Delete

Sr.No.	Version	View	Patient ID	Family Name	Given Name	Gender	Date of Birth	Order ID	Action Type	Order Type	order Type Code	loc	Modality Type	Patient Cell No.	Patient Email	Referrer	Referrer Cell No.	Referrer Email	Create Date

Before Procedure Photo Upload

After Procedure Photo Upload

Procedure Photos

S.No	Before Procedure	After Procedure	Date	Delete

Video Title

Upload Date

Choose a video Select max video size 500MB

Procedure Videos

S.No	Video	Title	Date	Delete

Patient's Basic Detail

Select Assessment Type

Patient No.

Patient Name

Patient's Father Name

Age

Sex

Patient Mobile No.

Patient Address

State

City

Patient Entry Date

Patient Entry Time

Claim-Id

Doctor Name

Doctor Assessment Time

Brought by / Attendant Name

Relation with Patient

Attendant Mobile No.

Attendant Address

Attendant Village/City

Attendant Post-Office

Attendant Police Station

Attendant District

Attendant State

Select Patient's Case Type*

Select Final Disposal of Patient

Select MLC Done or Not

Select MLC Location

MLC No.\PI No.

Previous Treatment Done

Remarks / Any Other Detail

Employee ID

Employee Name

Employee Department

Patient's Document

List of MLC Documents

MLC Upload

MLC Document Detail (If Any)

MLC Document
S.no	Document Name	Document	View	Delete

List of Previous Treatment Documents

Upload Previous Treatment Report

Previous Treatment Detail

Previous Treatment Document
S.no	Document Name	Document	View	Delete

Select Patient Consent

Consent Form Document
S.no	Document Name	Document	View	Delete

Non-Trauma Assessment
AIRWAY
Compromised Threatened Patent None
Any Intervention	Yes No	If Yes, Details
Oxygen Mask Oropharyngeal Airway Intubation Not Required
SPO2 With O2 :	SPO2 Without O2 :

BREATHING
Air Entry :
Any Additional Sounds?		Yes No
Any intervention required ?		ICD Insertion Nebulization Not Required
CXR -- NAD Pneumothorax Hydrothorax Consolidation Not Required Required

CIRCULATION
PR: `beats/min`	RBS: `mg/Dl`	RR: `Breaths/min`
BP: `mm/Hg`	SBP: `mm/Hg`	DBP: `mm/Hg`
Temperature: `Fahrenheit`	Febrile: `℉`	AFebrile: `℉`
Distended veins in neck? :	Yes No
If patient in shock , type of shock suspected	Hypovolemic Sepsis Obstructive Cardiogenic None
ECG	Done Not Required
USG Abdomen	Done Required Not Required

DISABILITY
GCS :
EVM :
E	V	M	Total
Select Conscious Detail	Conscious Unconscious Semi Conscious None
Oriented	Yes No
Pupils :	Reactive Non Reactive Dilated Mid Dilated Pin Point
Any Signs of neurological deficits ?

OTHER DETAIL
Co-morbidities
Hypertension	Yes No	Duration	Duration Unit	Regular Medicine Irregular Medicine	Medicine
Diabetes	Yes No	Duration	Duration Unit	Regular Medicine Irregular Medicine	Medicine
Thyroid	Yes No	Duration	Duration Unit	Regular Medicine Irregular Medicine	Medicine
Others				Detail
Any Surgical History	Yes No	If Yes
Is Patient on anticoagulant			Yes No
Duration of start of Symptoms
Triage Category			Red Yellow Green Black
Triage Completed By		Enter Employee-Id	Employee-Name	Time	Remarks:
Final Submit

Trauma Assessment
AIRWAY
Compromised Threatened Patent None
C-Spine Detail - C-Spine Stabilized Not Required
Any Intervention	Yes No	If Yes, Details
Oxygen Mask Oropharyngeal Airway Intubation Not Required
SPO2 With :	SPO2 Without:

BREATHING
Air Entry :
Need For ICD Placement?		Yes No
Chest Compression Test		Positive Negative
CXR -- NAD Pneumothorax Hydrothorax Not Required Required
Any Other Finding :

CIRCULATION
RR: `Breaths/min`	PR: `beats/min`	RBS: `mg/Dl`
BP: `mm/Hg`	SBP: `mm/Hg`	DBP: `mm/Hg`
Temperature: `Fahrenheit`	Febrile: `℉`	AFebrile: `℉`
Any Source of External Haemorrhage? :	Yes No
FAST :	Positive Negative Not Required
PXR - Fracture :	Present Absent Under Evaluation
Any Long Bone Fractures?	Yes No Under Evaluation		Site
Site :

DISABILITY
GCS :
EVM :
E	V	M	Total
Select Conscious Detail	Conscious Unconscious Semi Conscious None
Oriented	Yes No
Pupils :
Reactive Non Reactive Dilated Mid Dilated Pin Point

OTHER DETAIL
Co-morbidities
Hypertension	Yes No	Duration	Duration Unit	Regular Medicine Irregular Medicine	Medicine
Diabetes	Yes No	Duration	Duration Unit	Regular Medicine Irregular Medicine	Medicine
Thyroid	Yes No	Duration	Duration Unit	Regular Medicine Irregular Medicine	Medicine
Others				Detail
Any Surgical History		Yes No	If Yes
Alleged time of Injury
Triage Category		Red Yellow Green Black
Triage Completed By		Enter Employee-Id	Employee-Name	Time:	Remarks:
Final Submit

Procedure Details
Procedure	Doctor		Remarks	Procedure Date	Action

S.No	Procedure	Doctor	Remarks	Date-Time	Remove Row

Doctor Attended Details
Select JR / SR / Consultant	Doctor		Department	Remarks		Information Date-time	Action

S.No	Type	Name		Department	Remarks	Information Date-time	Action

CLINIC WISE ODM COMPLIANCE SUMMARY

Department Name	Appointments	Checked In	% Checked In	Medicine Prescribed	% Medicine Prescribed	Billed	% Billed

Patient No. :
Appointment Details
Appointment Status : __________				Appointment ID :
Appointment Date : ________________________				Appointment Day : ________________________
Appointment Time : ________________________				Consultant Name : ________________________
Appointment Description : ss


Select Frequncy:
Select Dosages:
Select Meal:
Enter Days:
Enter Remarks:

Payment Details

Amount (Rs.) : __________

Payment ID : __________

Payment Date : __________

Personal Details

Patient Name : __________

Date of Birth : __________

Age/Sex : __________

Mobile : __________

Email-ID : __________

Select Doctor:
From Date:
To Date: