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PCMC-DBF Clinical Core Integration
RF2- Follow up Card for Clients
Client Registration Number: CRN-2026-0922
New Monitoring Client Number (MCN): ____________________
Name of the Client: Mr. Rohan Madhav Verma
Age / Gender: 27 Yrs / Male
Phone Number: 9422003344
Date of Follow up appointment Services Availed Signature of therapists after service is complete Signature of the registration staff (on appointment day) Action
06-Jun-2026 Gait training & lower limb neuromuscular re-education exercises Dr anita Sharma Sanjay Paramsagar ✓ Logged
01-Jun-2026 Advanced parallel bar gait training and lower limb electrotherapy Dr anita Sharma Sanjay Paramsagar ✓ Logged