                                                                                                                 Dr. Pravin Sakharam Narkhede

                                                                                                                  (Vascular and Endovascular Surgeon)
                                        Peripheral
                                                                                                                  (··············· ···· )

                                        Vascular Solutions                                                        MBBS, DNB (General Surgery),
                                                                                                                  MNAMS, DNB (Vascular & Endovascular Surgery)
       Save Limb Save Life              PVS Clinic
                                                                                                                     President Gold Medal




           vaspravin2017@gmail.com (. 0253 - 4060377, 9021071708, 7030074740 @ www.drpravinnarkhede.com

                                                                                                                                                                       Date :
                         1439         : MRS.HARSHADA CHAUDHARY (37y, Female) 7760817992
           No.
                         Date         : 10-Aug-2023
                                                                                                                                            Age :                        Sex :
                         Ref. by : SELF
           Name :

                        Complaints:                                                                                                                                 Weight :

           Address :· NO COMORBIDITIS
                        . CESARIAN SECTION IN PAST
                                  SITTING JOB IN PAST
                                  LEFT UPPER LIMB PAIN 3 MONTHS


                       Vascular Examination: LEFT UPPER LIMB PAIN IN ARM AREA. NO DISCOLOURATIONOF FINGERS

                                        ::::: Right ::::::::: Left   Left
                         Subclavian                                  ++
                         Axillary
                         Brachial                                     +1
                                              ++
                         Radial               ++
                         Ulnar                                        1

                          Diagnosis:
                               LEFT UPPER LIMB PAIN NEED EVALUATION MORE

ce
                          Diet and Exercise: AVOID HIGH CHOLESTEROL DIET
                          INCREASE HIGH FIBER DIET ( JAVAS, CUCCUMBER, GAJAR,MULA, SALADS)
es                        AVOID SMOKING AND ALCOHOL
                          WALKING DAILY 30mins MORNING AND EVENING.




                                                                                               Dosage                         Timing - Freq. - Duration
Ban                               Medicine
                                                                                                                               ········· - ····· - 10 ····
                                                                                                 1-0-1
                           1) TAB, ETOSHINE MR
For                                                  : ETORICOXIB 60 MG + THIOCOLCHICOSIDE 4 MG
                                  Composition
                                  Timing             : 1 TAB - ······ ····, 1 TAB - ······ ···· ····· ····
                                                                                                 1-0-0                         ········ - ····· - 10 ····
                           2) CAP. RABEZ D
                                  Composition         1 DOMPERIDONE 30 MG + RABEPRAZOLE 20 MG
                                  Timing               1 CAP - HIRET ain

                                                                                                 0-1-0                          ········· - ····· - 6 ·····
                            3) TAB. ECOSPIRIN 150MG
                                Composition   : ASPIRIN 150 MG
                                Timing         : 1 TAB - ······ ·········
                                                                                                                                ········· - ·· ········ - 2 ·····
                                                                                                 0-1-0
                             4)     TAB. GEN D3 60K NANO
                                   Composition      CHOLECALCIFEROL 60000 1U
                                   Timing         : 1 TAB - ······ ·········

                             ··· ····· :
                                    · LEFT UPPER LIMB ARTERIAL VENOUS DUPLEX


                              Referred to:
                              1. Dr. AKSHAY SARDA - Radiologist (9588463117 - DOCTOR HOUSE OPPOSITE THAKKAR BAZZAR TRIMBAK NAKA NASHIK)


     Tri
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                    Plot No. 2, Gurudwara Road, Opp. Sandip Hotel, Old Agra Road, Mumbai Naka, Nashik - 422002.
                    Time : Mon, to Sat. 11.00 am to 9:00 pm (Friday & Sunday OPD Closed)
                    CPVS Clinic (Dr. Pravin Narkhede) | PVS Clinic;@vascularsurgeonnashik

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'PVS Clinic', 'clinic_pharmacy_address': 'Plot No. 2, Gurudwara Road, Opp. Sandip Hotel, Old Agra Road, Mumbai Naka, Nashik - 422002.', 'clinic_pharmacy_city': 'Nashik', 'clinic_pharmacy_pincode': '422002'}, 'doctor_details': {'doctor_name': 'Dr. Pravin Sakharam Narkhede', 'doctor_qualifications': 'MBBS, DNB (General Surgery), MNAMS, DNB (Vascular & Endovascular Surgery)', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'MRS.HARSHADA CHAUDHARY', 'patient_age': '37', 'patient_sex': 'Female'}, 'prescription_details': {'date_of_doctor_consultation': '10-Aug-2023'}, 'procedure': {'chief_complaints_diagnosis': 'LEFT UPPER LIMB PAIN NEED EVALUATION MORE'}, 'medicine_details': [{'medicine_name': 'TAB, ETOSHINE MR', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Daily', 'course_duration': '10 days'}, {'medicine_name': 'CAP. RABEZ D', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Daily', 'course_duration': '10 days'}, {'medicine_name': 'TAB. ECOSPIRIN 150MG', 'medicine_dosage': '0-1-0', 'medicine_frequency': 'Daily', 'course_duration': '6 months'}, {'medicine_name': 'TAB. GEN D3 60K NANO', 'medicine_dosage': '0-1-0', 'medicine_frequency': 'Every 8 days', 'course_duration': '2 months'}], 'lab_test_details': {'lab_test_names': 'LEFT UPPER LIMB ARTERIAL VENOUS DUPLEX', 'procedure_request': 'NA'}}