   Glorious                                                                                                                                     ··. ····· ····· ····


                                                                                                                                                    ··.··.··.·· ., ··.··. (··.··.·· ., ··.··.··.)
                                                                                                                                                                                 ·······, ······ ··· ········ ········

                                                                                                                                                                                  ····· ··········, ······· ·····
                                                                                                                                                          ······ ········ ···········, ····· (·.···.)
                              Skin & Hair Clinic
                                                                                                                                                          ······ ······· - MP-25542, ··' 8989606925


                                                                                                                                                                                                Date 16/813
                                               Patient Name                     Sagarmas


                                               Age 82 Sex M ... Weight


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       ··. ····· ····· ····                                       ··· - ···· ······ ·····, 12o faloop 200
           MBBS, M.D. (MP-25542)                                                                                                                                                                                                   00

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                                                            6, ··· ···· ····, ······· ····· ·· ···, ····· (·.···.)
   ··. ········ ···········, ····· (·.···.)

                                              ··· - 07412-495411, ··. 9644650272, 8319978357
                                                                                                                               ········ ······ ··· ······ ·····

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                                                                                                                                                                                                                             101843
                               ··· :- ······ ·· ······


                      ··· 5:00 ··· ·· 7:00 ··· ··

                                         This slip is valid for 10 days only. / ·· ····· 10 ··· ···· ····· ······

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Glorious Villanik Medical Store', 'clinic_pharmacy_address': '12o Faloop 200, 6, Shahar Saray Road, Gayatri Talkies ke paas, Ratlam (M.P.)', 'clinic_pharmacy_city': 'Ratlam', 'clinic_pharmacy_pincode': '101843'}, 'doctor_details': {'doctor_name': 'Dr. Rakesh Kumar Meena', 'doctor_qualifications': 'MBBS, M.D. (MP-25542)', 'doctor_registration_number': 'MP-25542'}, 'patient_details': {'patient_name': 'Sagarmas', 'patient_age': 82, 'patient_gender': 'M', 'patient_weight': 'NA', 'patient_phone_number': 'NA'}, 'prescription_details': {'date_of_doctor_consultation': '16/8/13'}, 'procedure': {'chief_complaints_diagnosis': 'Sore Throat'}, 'medicine_details': [{'medicine_name': 'Pan 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'After Breakfast and After Dinner', 'course_duration': '7 days'}, {'medicine_name': 'Allegra 180', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning', 'course_duration': '7 days'}, {'medicine_name': 'Cetirizine 10', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Night', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}