VAMA
TINY HEARTS & THE KIDNEY CLINIC
Patient Registration Form
Appointment Management
| Patient ID | Name | Sex | Age | Mobile | Appointment Date | Appointment Time | Status | Next Follow-up | Actions |
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Follow-up Management
Upcoming Follow-ups
| Patient ID | Name | Follow-up Date | Follow-up Time | Reason | Actions |
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Echocardiography Reports
VAMA
CLINIC
CLINIC
VAMA
TINY HEARTS & THE KIDNEY CLINIC
Echocardiography Report
Date: 12-09-2025
Dr. Madhavi Dadwe
MBBS MD DrNB (Nephrology)
Consultant Nephrologist & Transplant Physician
+91 91725 20489
vamathekidneyclinic@gmail.com
MBBS MD DrNB (Nephrology)
Consultant Nephrologist & Transplant Physician
+91 91725 20489
vamathekidneyclinic@gmail.com
Dr. Ashishkumar Banpurkar
MBBS MD DrNB (Pediatric Cardiology)
Consultant Fetal & Pediatric Cardiologist
+91 93709 94757
vamatinyhearts@gmail.com
MBBS MD DrNB (Pediatric Cardiology)
Consultant Fetal & Pediatric Cardiologist
+91 93709 94757
vamatinyhearts@gmail.com
| PATIENT NAME: John Doe | REG NO: 5041174 | ||
| GENDER: Male | AGE: 8 years | DOB: 01-01-2017 | BP: 110/70 mmHg |
| ADDRESS: 123 Main Street, City, State | WEIGHT: 25 kg | ||
| REF DR: Dr. Shubham Bafna | HEIGHT: 120 cm | DATE: 12-09-2025 | |
| INDICATION: Routine Checkup | BMI: 17.36 | HR: 72 bpm | |
| SpO2: 98% | S1: Normal | S2: Normal | MURMUR: No Murmur |
ECHOCARDIOGRAPHY REPORT
Findings
Impression
Dr Ashishkumar Banpurkar
MBBS MD DrNB (Pediatric Cardiology)
Consultant Pediatric & Fetal Cardiologist
MBBS MD DrNB (Pediatric Cardiology)
Consultant Pediatric & Fetal Cardiologist
Consultation Reports
VAMA
CLINIC
CLINIC
VAMA
TINY HEARTS & THE KIDNEY CLINIC
Consultant Report
Date: 12-09-2025
Dr. Madhavi Dadwe
MBBS MD DrNB (Nephrology)
Consultant Nephrologist & Transplant Physician
+91 91725 20489
vamathekidneyclinic@gmail.com
MBBS MD DrNB (Nephrology)
Consultant Nephrologist & Transplant Physician
+91 91725 20489
vamathekidneyclinic@gmail.com
Dr. Ashishkumar Banpurkar
MBBS MD DrNB (Pediatric Cardiology)
Consultant Fetal & Pediatric Cardiologist
+91 93709 94757
vamatinyhearts@gmail.com
MBBS MD DrNB (Pediatric Cardiology)
Consultant Fetal & Pediatric Cardiologist
+91 93709 94757
vamatinyhearts@gmail.com
| PATIENT NAME: | REG NO: | ||
| GENDER: | AGE: | DOB: | BP: |
| ADDRESS: | WEIGHT: | ||
| REF DR: | HEIGHT: | DATE: | |
| INDICATION: | BMI: 17.36 | HR: 72 bpm | |
| SpO2: 98% | S1: Normal | S2: Normal | MURMUR: No Murmur |
CONSULTATION REPORT
Dr Ashishkumar M Banpurkar
MBBS, MD, DNB (Pediatric Cardiology)
Consultant Pediatric & Fetal Cardiologist
MBBS, MD, DNB (Pediatric Cardiology)
Consultant Pediatric & Fetal Cardiologist
Patient Database
| Patient ID | Name | Sex | Age | Mobile | Height | Weight | BMI | Indication | Diagnosis | Impression | Advise | Next Follow Up | Actions |
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