       It Fortis                                                                                                Dr. Gopi A
                                                                                                                MD ., DNB ., DM, PSCAL,FACC
                                                                                                                Consultant Interventional Cardiologist
                                                                                                                Senior Director - Cardiology
                                                                                                                KMC Reg No : 27346
                                                                                                                 Dr. Harsha G
                                                                                                                 MBBS ., MD ., D.M (Cardiology)
                                                                                                                 Cardiologist
                          UNID : 12745773                                                                         KMC Reg No : 105668
                           Mrs. Mary Jacquline 1
                            AGE: 39YEAR(S) Sex: Female                                                                                   03-10-2023
                                                                                                                   Date & Time: ........
                             Dr.
                                                                                                          39 up f. UHID: 12743713
                                                                  Jacquline Age | Gender ...
                ent Name: 10/Rs Plany

                                  ...... Wt: ............ Z.k.1 .... Allergy: ..

               ef Complaints:


                                                              develd to hay                                          Past Medical History
                                  Nawh
                                                                                                                     Diabetes mellitus
                                                                                                                             Hypertension
                                                                                                                             Asthma
                                                                                                                             Coronary Heart Disease
                                            cb .
                                                      headede                                                                 CABG
                                                                                                                              PCI
                                                                  mild jest on par                                            Obesity
                                                                                                                              Reno Vascular Disease
             Inical Findings:
                                                                                                                              F/H Premature Vascular
            ROYAL                                                  mild sauce
                                                                                                                              Disease
                                                                                                                              Others

                                  01
                                                                                                                         Vitals:
                                             13
                                                                                                                             BP - 110/80 mantig

                                                                                                                                         P- 114 6/mt

                                                                                                                                               Sp0 2 - 97 1.00
            jagnosis:
                                                                                                                              Investigation:




       atment Plan:
                                                                         & Sale.                                                                AI
                                                            - Fat restrict die




                                             AMLONG H                                                 100.                                                       1

                                                                                                                                                                 Um




 Follow up:
                                 Klimt



                                                                                                                              Doctor's Signature

1t Fortis                                                                                                                      Date & Time:
                                                                                                                                                                      .....

                        YEARS
   REDMI NOTE 8
                                      Fortis Hospital, 14, Cunningham Road, Bangalore - 560 052.
   AI QUAD-CAMERA4199 4444. E-mail : care.cg@fortishealthcare.com www.fortisbangalore.com

                                                            Emergency No. : 96860 96860 / 080 4199 4401
                                   00

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Fortis Hospital', 'clinic_pharmacy_address': '14, Cunningham Road, Bangalore - 560 052', 'clinic_pharmacy_city': 'Bangalore', 'clinic_pharmacy_pincode': '560 052'}, 'doctor_details': {'doctor_name': 'Dr. Gopi A', 'doctor_qualifications': 'MD, DNB, DM, PSCAL, FACC', 'doctor_registration_number': 'KMC Reg No : 27346'}, 'patient_details': {'patient_name': 'Mrs. Mary Jacquline'}, 'prescription_details': {'date_of_doctor_consultation': '03-10-2023'}, 'procedure': {'chief_complaints_diagnosis': 'Throat infection'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '10 days'}, {'medicine_name': 'Paracetamol', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '5 days'}, {'medicine_name': 'Cough Syrup', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'None', 'procedure_request': 'None'}}