Name: Age/ Sex:
P. F. No: MRD No:
Estate: Date:
Indication: Referred by: Dr. Amudhan. S.
Anesthesia: Topical Xylocaine
Larynx: Normal
Esophagus: Normal
Stomach: Fundus: Normal
Body: Normal
Antrum: Normal
Duodenum: D I: Normal
D II: Normal
IMPRESSION: Normal Study
RECOMMENDATIONS:
PERFORMED BY
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