                                                      CIMS Hospital Pvt. Ltd
                                                      Off. Science City Rd, Science City, Panchamrut Bunglows Il, Sola, Ahmedabad,380060
Marengo CIMS                                         Gujarat
                                                     91-79-48051111

                 Hospital


  Visit Date                       15/09/2023 10:14AM                              UHID                    300249203

  Visit/IP No.                     99536                                           Doctor Name            -Dr.Keyur Harshadray Parikh

  Patient Name                    Mr. MOHANLAL BHANAWAT                            Visit Type             First Visit

  DOB                             01/01/1954                                       Mobile                1 9024582736

  Gender/Age                                                                       Department            : Interventional Cardiology
                                   69 Years/Malo
                                  DADA BHAGWAN - TRIMANDIR GROUP                   Address                    VILL-RUSHABHDEV HOLI CHOWK VILL-
  Sponsor
                                  (Cash)                                                                      RUSHABHDEV , UDAIPUR, Rajasthan, INDIA, -
                                                                                                              313802
                                   Rajasthan                                       City                       UDAIPUR
  State
  Referred By



  Vital Sign

  Vital Date                HT          WT       P            BPS        BPD       BP

  15/09/2023                173 cm     61.9 kg   56           117                  117/60
  10:47AM

  Chief Complaint

 DOING WELL


  Advice Investigation

 OPD Care charges

 Echo Screening For LV Function

 FOLLOW UP PROFILE-1

  TMT



 Advice Medications

  S. #    Drug Name                                                                   Prescriptions Detalls                        Instruction

    1     LIPICURE GOLD 40MG TAB 1X10 INTAS                                          1 Tablet(s) - 0-0-1 - (Oral)
          (CLOPIDOGREL 75MG + ASPIRIN 75MG +
          ATORVASTATIN 40M)
    2     EZENTIA 10MG TAB 1X10 SUN                                                  1 Tablet(s) - 1-0-0 - (Oral)
           (EZETIMIBE 10MG)
    3     CONCOR 5MG TAB 1X10 MERCK                                                  1 Tablet(s) - 1-0-0 - (Oral)
          (BISOPROLOL 5MG)
    4     IMDUR 30MG TAB 1X30 ASTRAZENECA                                            1 Tablet(s) - 1-0-0 - (Oral)
          (ISOSORBIDE MONONITRATE 30MG)
    5     TRIKA 0.25MG TAB 1X15 UNIVERSAL                                            1 Tablet(s) - 0-0-1 - (Oral)
          (ALPRAZOLAM 0.25MG)


 Diagnosis

 ICD Code                        ICD Diagnosis                                                           Remarks


                                                                                                                                       For Asma
                                                                                                                                                            2

   Entered By                                                                                                               Dr.Keyur Harshadray Parikh
                                                                                                                                        MD,FCSI,FACC,FESC
                                                                                                                                           Reg. No. : G-11953
                                                                                                                                   Mobile No. 9825026999

  Prepared By 5575                                                                 Printed at 15/09/2023 14:40                                      Page: 1 Of 2

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'CIMS Hospital Pvt. Ltd', 'clinic_pharmacy_address': 'Off. Science City Rd, Science City, Panchamrut Bunglows Il, Sola, Ahmedabad,380060', 'clinic_pharmacy_city': 'Ahmedabad', 'clinic_pharmacy_pincode': '380060'}, 'doctor_details': {'doctor_name': 'Dr.Keyur Harshadray Parikh', 'doctor_qualifications': 'MD,FCSI,FACC,FESC', 'doctor_registration_number': 'Reg. No. : G-11953'}, 'patient_details': {'patient_name': 'Mr. MOHANLAL BHANAWAT'}, 'prescription_details': {'date_of_doctor_consultation': '15/09/2023 10:14AM'}, 'procedure': {'chief_complaints_diagnosis': 'DOING WELL'}, 'medicine_details': [{'medicine_name': 'LIPICURE GOLD 40MG TAB 1X10 INTAS (CLOPIDOGREL 75MG + ASPIRIN 75MG + ATORVASTATIN 40MG)', 'medicine_dosage': '1 Tablet(s) - 0-0-1 - (Oral)', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'EZENTIA 10MG TAB 1X10 SUN (EZETIMIBE 10MG)', 'medicine_dosage': '1 Tablet(s) - 1-0-0 - (Oral)', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'CONCOR 5MG TAB 1X10 MERCK (BISOPROLOL 5MG)', 'medicine_dosage': '1 Tablet(s) - 1-0-0 - (Oral)', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'IMDUR 30MG TAB 1X30 ASTRAZENECA (ISOSORBIDE MONONITRATE 30MG)', 'medicine_dosage': '1 Tablet(s) - 1-0-0 - (Oral)', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'TRIKA 0.25MG TAB 1X15 UNIVERSAL (ALPRAZOLAM 0.25MG)', 'medicine_dosage': '1 Tablet(s) - 0-0-1 - (Oral)', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'Echo Screening For LV Function, TMT', 'procedure_request': 'FOLLOW UP PROFILE-1'}}