Screening Test

 
Initially,you have to do certain screening tests,which will tell you whether you will be benefitted by surgery.
  Personal Details
       
  Name * :
  Age * :
  Sex :
  Hospital Number :
  Address * :
  City * :
  P.O. Box * :
  Country * :
  Telephone * :
  Mobile * :
  Abroad Number :
  Email * :
  Weight (kg) * :
  Height (cm) * :
  Waist Circumference (cm) * :
Medical History
 
       
Diabetes Hypertension
Coronary Artery Disease Respiratory Disease
Exertional Dyspnoea Sleep Apnoea
Knee Joint Disease Dyslipedemia
Depression Migraine
Hirsutism PCOD/infertility/Mens. irregularities
Cancers Others
Family H/o DM, HTN, CAD Smoking/alcoholism
Preffered Food Items & Quantity
  Tests
 
 
Anti Glutamic Acid Decarboxylase Antibody      
C Peptide Anti Islet Cell Antibody
HbA1c Fasting Insulin