                                                                                      JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH

                                                              441702245
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                      RA
 JIMS                                                                                                Model Town, Hisar - 125005 (···· ····, ·····-125005)
                                                                                                       Ph : 01662-221169, 220169, 9896539128, 9896539182
     Quality Medical Care at Affordable Cost
                                                                                                          Email : info@ncjims.org website : www.ncjims.org
        GENERAL OPD SLIP

GSTIN :06AAATO1452C1Z1                      O.P. JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH R.No .: 241510/0PRRC220P(08-M/w/ 2023)
Dr. Sandeep                                 Patient Name    : VIETA
                                                                                                                              OPD Type                             General OPD
Choudhary, DNB                             Address           HSR                                                              Reg. Date & Time                     09-Mar-2023 11.15
                                           Age / Gender     :38Y / Female        Mob. : 8295677884                           Registration Charge            : 80                Nev
Reg. No. : DMC-65088                       Patient ID        462642/UHID                                                     V.From : 09-Mar-2023 V.To: 11-Mar-2023
Deptt. Medicine                             OPO No.          54966/OGO/220                                                   Daily No.               : 37
Chamber No-52
                                    43-5777
                                                                                                                                             Food                  Other
                                                                       Temp                    Allergy :Drug
  Veals, BP             Weight

  Nutritional Screening : Normal/Obese/Under Nutritioned Asso. Disease : HT CAD DM CA CVA
                                                                                                                                                  Pain D                         -
                                                                                                              1-10 VA             Numeri
  Diet : Normal/Diabetic/Salt Restricted/Renal/Diabetic Renal Pain
                                                                                     1111 1111
  Patient History :




  Presumptive Diagnosis

                                                                      Medicine                     Strength                       Dose Instruction                         Duration
    Patient Examination & Investigation Advice

                                                                      c/o to Coup & expectanation
   AC


                                                                                       . Fener 1-3 days.


                                                                                        · Exertional dysph.
 1 Cka-P/AC.

   · Spurten for AFB,



                                                                            17. Calpot-650mg 25.0.5




                                                                            . C. Yogur LOD



                                                                            , Syp. cevelin plus (2) The.



                                                                                                                                          x5 dk




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 Preventive Advice :

 Follow up Advice :

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH', 'clinic_pharmacy_address': 'Model Town, Hisar - 125005', 'clinic_pharmacy_city': 'Hisar', 'clinic_pharmacy_pincode': '125005'}, 'doctor_details': {'doctor_name': 'Dr. Sandeep Choudhary, DNB', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'DMC-65088'}, 'patient_details': {'patient_name': 'VIETA', 'patient_age': '38', 'patient_gender': 'Female'}, 'prescription_details': {'date_of_doctor_consultation': '09-Mar-2023 11.15'}, 'procedure': {'chief_complaints_diagnosis': 'c/o to Coup & expectanation'}, 'medicine_details': [{'medicine_name': 'Fener', 'medicine_dosage': '1 Cka-P/AC', 'medicine_frequency': 'Once daily', 'course_duration': '3 days'}, {'medicine_name': 'Calpol-650mg', 'medicine_dosage': '25.0.5', 'medicine_frequency': 'Twice daily', 'course_duration': '5 days'}, {'medicine_name': 'Cevelin plus (2)', 'medicine_dosage': '5 ml', 'medicine_frequency': '5 times daily', 'course_duration': '5 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}