                                                                                                                                                     Google     eri Post Office




                                                                                                                                                              Bellarabi Rd

                                                     1



                                                     F

        QUALITY OF CARE                                                            Duration
                                                                               Dosage &
                                         .kgs.
                                                                                                                                                                                          x7 days
                      NABH


                          PRE ACCREDITED
                             PEH-2018-0667                   Unit
                         PATIENT SAFETY &         Sex : M

                                                                               Dosage &
                                                                                   Frequency




                                                                                Route
                                                                      Phone Ext. No.
                                                                                                                                                                                            25,00     Refill 1
                                       Age: 53 yrs. Weight :

                       17.8.23
                                                  I.P./O.P. No.
                                                            Phone Ext. No                                                                                         T. Aphorplus- T.
                                                                                                                                                                                100Pan 40 100
                            Date :                                              Strength


Phone
   Web: 0831-2473777  (16 Lines) Fax: 0831-2470732
         : www.klehospital.org
                                                                                                                                                      1100

                                                                                                                                                                Local: Aug 19, 2023 8:40:47 PM GMT+05:3
                                                                                                                                                                         letwork: Aug 19, 2023 8:40:48 PM
                                                                      D.O.A.




             PRESCRIPTION
                                                                                                                                                                        M.D Reg.
                                                                                                                                                                            ., UM(érdiology),
                                                                                                                                                                                 No. 6#822 FACC (USA



                                                                                                                                                                                            KLES Dr. Prabha

                                                                               Name of Medicine                                                                                         Asst. Prof. of Cardiolo
                                                                                                                                                                                                 Medical Res
                                                                                                                                                                                   Unit Head, Consultant   Inte

                                     Shobha Devamone
                TAL RE010
                                                         Cardiology                                                                                                                                       16
                                                                                                                                                                                             jeas s Belgaum


                                                                                                                                                                                  Index number: 394


                   TIME: 14:16
                       ()
                                                                                                                                                 4

          S-2
       BELGAUM                                                                                                                                                                        Karnataka
                             224                               Ward
                                                       OPD/Clinic   Name
                                                                  Name R                1 H. Monit2SR
                                                                                                    H. 30
                                                                                                       Nikos
                                                                                                          100   54.1-07                           6
                                     THANK YOU Address                                        .....     ...... 3    Gospm  75 0TO   (ALL day)
                                                                                                                        4 H. Boiling 90 1-07                                 esignation
                                                                                                                                          ............

                                                                                                                                     @ M. Tonact EZ (40/10) 0 01
KLE WELLNESS

                   DATE: 17/AUG/2023
                      TOKEN   NO:                                                                                                      -
                                                                                              MITUT

                                                                                                                                                                                               HayynH Subs

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'KLE WELLNESS', 'clinic_pharmacy_address': 'Phone : 0831-2473777 (16 Lines) Fax: 0831-2470732 Web : www.klehospital.org', 'clinic_pharmacy_city': 'Belgaum', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Prabhakar Kore', 'doctor_qualifications': 'M.D., UM(Cardiology), FACC (USA)', 'doctor_registration_number': 'Reg. No. 6822'}, 'patient_details': {'patient_name': 'Shobha Devamone'}, 'prescription_details': {'date_of_doctor_consultation': '17th August 2023'}, 'procedure': {'chief_complaints_diagnosis': 'Cardiology consultation'}, 'medicine_details': [{'medicine_name': 'H.Monit SR 30', 'medicine_dosage': '100mg', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}, {'medicine_name': 'H.Nikos 5', 'medicine_dosage': '5mg', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}, {'medicine_name': 'Gospm 75', 'medicine_dosage': '75mg', 'medicine_frequency': '1-0-0', 'course_duration': '7 days'}, {'medicine_name': 'Boiling 90', 'medicine_dosage': '90mg', 'medicine_frequency': '1-0-0', 'course_duration': '7 days'}, {'medicine_name': 'M.Tonact EZ (40/10)', 'medicine_dosage': '40mg', 'medicine_frequency': '0-0-1', 'course_duration': '7 days'}, {'medicine_name': 'T.Pan 40', 'medicine_dosage': '40mg', 'medicine_frequency': '1-0-0', 'course_duration': '25 days'}], 'lab_test_details': {'lab_test_names': 'None', 'procedure_request': 'None'}}