                                                                        Route, Dose, Frequency, Days & Instructions
                                                                                                                              -
Medicine Name (IN CAPITALS)
                                                                                                              -       × 3months
* 1 Tab Bactrim DS                                                           1-0-

                                                                                                         AD
                                                                             ABF



                                                                              1× 1month
         2 tab Fotvite 5mg

                                                                             ABF AD .



                                                                       1-0-0 × month 15 days
                                                                                                                                             0
         3 Tab Pan 40mg

                                                                       BBF




"Medication must be consumed for the prescribed duration only and as per the dosage prescribed by the doctor."

Admit in:            Ward

Admission/Surgery/Procedure advised:




 General Instructions:

 Reference to:

 Follow up Advice:              flu after 1 month


            FOLLOW UP DATE
                                                                                                        Honeys
    DD                                                                                                  Doctors Seal & Signature
             MM          YYYY

  WHL/PC/96-DX
                                                                                                                         WOCKHARDT Wiks
     doxper
                                                                                                                            Murter Ceraut-

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'NA', 'clinic_pharmacy_address': 'NA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'NA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'NA'}, 'prescription_details': {'date_of_doctor_consultation': 'NA'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}