An attempt has been made to analyse documentation of case notes and suggest changes. This retrospective study included 96 patient hospital visits of 5 randomly picked up case notes of patients who attended Eye clinic between 1st January 2005 to 30th June 2005. Appropriate paperwork and correct addressograph labels were found in more than 95 % cases. We found that maximum improvement was required in doctors signing their entries legibly, printing their names and writing the date and time of consultation. Pinpointing the clinical provisional diagnosis/diagnoses or impression(s) in the notes at the time of consultation specially before ordering investigations also needs to be given more importance.
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