                                          Smt. Om Shanti Memorial                                                                                                                      ···· ····· ·· ········ ···
                                                                                                                                                                                                      11:00 A.M. To 02:00 P.M.
               Mother & Child Health Care Center
                                                                                                                                                                                                      07:00 P.M. To. 08:00 P.M.
                                             K.L. Diagnostic Centre                                                                                                                       ······ ········ ····

                                              ·· ····· ·· ···, ······· ·····                                                                                    (········· - ·········· ·· ········ ··)
                        ······· CHANDAUSt (·····), ········· ····· U.P. (INDIA)
                                                                                                                                            ··· ······· ··· ··· 5 ··· ··· ···· ·· ··· ·· ···· ·····
                                                         Mob .: 7599210282
                            ······ ·· ···· ·· ··· 1.5 ···· ·· ···· · ····· ······ ·········· ····· ········

                                                                                                                                                             Paris 21/1/23 Tam chandausi
                                                                   RT Megha                                                            38
                 71kg                                                                                                                              alla
                                120/80
              HLA/B.P.
              Po./ PR                                                          mas                                                                 Am 6 with.
              Hbs 11. 7 Na
                                                                                              20
            ABO Rh
             Complete Heamogram
                                                                                                                                         1 a 24-26
            Hos Ag
            HCV                                                                                                                                                                                                       R
             VDRL
            HIVI II
                                                                                                                                                                                    0- tab orgie 2mg,
            Torch
            Blood Sugar (R+ -
                                                                                                                                                                                  2 to mohoula X
            Thyroid Function - Mal
           Urine
           X-Ray / U/S
           Drug Allergy
           Vaccination
                                                                                                                                            18/2/23
          Antenatal TT
         History
         Consent/ Refusal Given For                                                                                                         Au ths
                                                                                        20
   Rf. 120180
                                                                                                                                                                                                                           R
                                                                                                                                      K536.00
                                                                                                                                                             fuse
                w-74.55                                                                                                                                                                                                    esh   th




                                                                                                                                                                                               Dr. (Mrs.) Smrita Bansal

                                                                                                                                                                                                                    M.B.B.S ., M.S.(GYNE. & OBST.)
                                                                                                                                                                                               ··· (·······) ······ ····

                                                                                                                                                                                                               ··. ··. ··. ·· ., (·····) ··. ··.
                                                                                                                                                                                                           ······ ······ ··· ······· ··· ········, ·····
                                                                                                                                                                                                      SIFSA & IMA Trained Family Planning Councillor

                                                                                                                                                                                                                          Regd. No. 32233 (M.C.I. U.P.)

  ····· ·· ······, ·, ·········, ······, ···········, ········· ······, ···· ·········, ······ ·· ···· ······ ··········, ········· ····, C PAP, ··· ····· ··
  ······· M.T.P. (····), ·······, ······ ··· ··· ······· ··· ·· ········· ··· ···· ···· ·····, ········ ·······, ······ ········, ···· ······, ······· ·· ····
 ······· ········ ········ ········ ·······, ········ ····· ··· ······· ·· ······· * ··· ··· ····· ·· ··· ······ ·· ····· ···· ·· ·· ···· ··· ···
·Medical Science is not perfect/everchanging, no guarantee; terms & conditions apply as explained in the paper * Invalid for legal purpose *

····· : ··········· ··········· ··· ····· ····· ····· ···· ·········· ·· ···· ··· ·· ·· ······· ····· ····· ····· ·· ····, ·· ··· ··· ···· ·····

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Mother & Child Health Care Center', 'clinic_pharmacy_address': 'नई कचहरी के पास, मुन्सिफ मार्ग, चन्दौसी CHANDAUSI (सम्भल), मुरादाबाद मंडल, U.P. (INDIA)', 'clinic_pharmacy_city': 'Chandausi', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. (Mrs.) Smrita Bansal', 'doctor_qualifications': 'M.B.B.S., M.S. (GYNE. & OBST.)', 'doctor_registration_number': 'Regd. No. 32233 (M.C.I. U.P.)'}, 'patient_details': {'patient_name': 'RT Megha'}, 'prescription_details': {'date_of_doctor_consultation': 'Paris 21/1/23'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Before breakfast and dinner', 'course_duration': '5 days'}, {'medicine_name': 'Paracetamol 500mg', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'After breakfast and dinner', 'course_duration': '5 days'}, {'medicine_name': 'Azithromycin 500mg', 'medicine_dosage': '0-1-0', 'medicine_frequency': 'Before dinner', 'course_duration': '3 days'}], 'lab_test_details': {'lab_test_names': 'Complete Heamogram, HCV, VDRL, HIV I & II', 'procedure_request': 'Please get the mentioned tests done.'}}