        TELE NO .: 3934 7272 / 2471 7272 / 2471 7474                                     Mon- 12.00
        REGD. NO. E-13282 (BOMBAY)                                          DAY :                                                   CASE NO .:         1101294.
                                                                                          Wed-11.00
                                                                             TIME:        Sat- 1.30                                 DATE: 11/02/2023


                                   SHREE BIDADA SARVODAYA TRUST MUMBAI SANCHALIT

                                                           MATUSHRI RATANBEN PALAN MANEK

                                                         MARU HOSPITAL & RESEARCH CENTRE

                                                                  286-B, Dr. Ambedkar Road, Parel, Mumbai - 400 012.

                                       SMT. HEMLATA VERSHI HADHOO DEDHIA ( BHUJPUR )
                                                 SMT. USHA UMARSHI DEVJI SAVLA ( DEPA )


                                                                                                                                    Operation

                                                                                                                                    Date
                                                     E. N. T. DEPARTMENT                                                            Amount

                                                                                                                                    Receipt No. :

                                           Sanjay Gala                                                                              Sign.                ..
       Consult Dr .:

                          Rushikesh Nagesh Parab                                                                                            m                         26
      Name :                                                                                                                Sex :                             Age :

                               .9773421132 Patient's Signature                                                      Sushi
      Contact No .:


             DATE          RECEIPT NO.             AMOUNT                                                         DIAGNOSIS

11/02/2020
                                                   250/-(A) CHIEF COMPLAINTS:

                         1609438
                                                                              Irritant Court




                                                                                           1ur Any Allergie Coyle

                                                             3


                                                                     F
                    1611725-                                                Betekend Onal Ganon



                                                                     The Permox (V)
                                                                                                                        655 ,-


                                                                     -Cab


                                                                                               Labem- DSR


                                                                                               7v.r
                                                                      cal




                                                                                                                                                 Dr. SANJAYY GALA
                                                                                                                                                          . T. SURGeOM

     Mediclaim holder please check your name & age on the case paper No Alternation will be made once the name is entered on the computer
     ····· ········· ········ ········· ········· ···· ···· · ·· ····· ··· ·· ···· ···· ········ ···· ······. ···· ······· ········ ···· ····· ····.
     ········· ········· ········· ····· ···· ···· ····· ····, ·· ···· ······ ······ ····· ··· ··········· ···· ··· ···· ·····.
     NO REFUND on consultation will be given unless / f CONSULTING DOCTOR IS ABSENT
     Cheque in favour of " Shree Bidada Sarvodaya Trust Bombay"
     Fee paid for case paper is vaild for 15 days only for 1 visit within 15 days

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'MARU HOSPITAL & RESEARCH CENTRE', 'clinic_pharmacy_address': '286-B, Dr. Ambedkar Road, Parel, Mumbai - 400 012.', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400012'}, 'doctor_details': {'doctor_name': 'Dr. Sanjay Gala', 'doctor_qualifications': 'Surgeon', 'doctor_registration_number': 'E-13282 (BOMBAY)'}, 'patient_details': {'patient_name': 'Rushikesh Nagesh Parab'}, 'prescription_details': {'date_of_doctor_consultation': '11/02/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat'}, 'medicine_details': [{'medicine_name': 'Permox (V)', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': 'NA'}, {'medicine_name': 'Betekend Onal Ganon', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': 'NA'}, {'medicine_name': 'Labem-DSR', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'Irritant Court, Any Allergie Coyle', 'procedure_request': 'NA'}}