                      BSH
                                          Institution Run By Brahm Shakti Trust
                                  BRAHM SHAKTI
                 BSH/PS086
                                            HOSPITAL
                      Date                  WE TREAT HE CURES
                      Reg No                                                                                                     OPD PRESCRIPTION SUP
                      Patient Name         06/Sep/2023 09:44
                     Consultant             OP2324967                                                                   Welol
                                                                                              ISO 9001 :2015
                     Med. Reg. No          Mrs. SHEELA BANSAL                                     CERTIFIED
                    Qualification          Dr Jyotsna Gupta
               Fil Room Nover is BpblicableDMC 19870
                                          MBBS,DNB(Obs & Gynae)                                   Patient No              PU087363
                   Timings
               Te Received with Thanks from Mrs. SHEELA BANSAL Rupees 100,00 ( One Hundred only ) Age/ Sox
                                                                                                  vide CASH               53 Yrs / F
                                                                                                  Mobile
                                          Wed & Sat (Gen) 09:00AM to 12:00 Noo                                            9555596888
                                                                                                  speciality               Gynaecology
               Pulse/min                                                                          Receipt No               RCN2435616
                                                                                                  Token No
                                                                                                                           0026                26
               RR/min
                                                      Endocencal

               B.P.

                                                                       Polyp,                                                    LUP= 4 days
              Po2

                                                                                                                                                      bars
           Allergy


          Height


         Weight                                                                                                               1 Cap Pan Dion


         Length


                                                                                                                                2 Cap Danter ( B)
         Head®



        MUAC


                                                                                                                                                             × 4 weeks
      DLMP


                                                                                                                                     If heal vagnal
       E DOD



       Gravida



       Para
                                                                                                                                          8
                                                                                                                          6
                                                                                                       4                                                              PAIN SCALE
                                                                                     2
  Abortion                                                         0

                                                                                                                                                       Excruciating
                                                                                                                                         Intense

      Vision
                                                                                  Mild Pain Discomforting Distressing
                                                               No Pain

                                                                                                                  Next follow up :
GR/E


LLE


                                                                                                                                                       For lab tests - Associated with

  ON PANEL - AAI . CCRT . CGHS . DERC · DJB · DTTDC · DU · DTL · DTC · IGNOU · MOTHER DAIRY (SAFAL) . MOTHER DAIRY (MILK & ICE cream) . NDPL
  · TRAJ · ALANKIT . UNIVERSAL · MD INDIA · EAST WEST MEDICLAIM · E-MEDITEK . GENNIS · HDFC ERGO · HEALTH INDIA · PARAMOUNT · TTK ·
  VIPUIL MEDICLAIM . BUREAU OF INDIAN STANDARDS · CHOLAMANDALAM . FOCUS HEALTHCARE . GOOD HEALTH PLAN / APPOLO MUNICH / DHS / DVB
  PENSION TRUST / GOKUL HEALTH CARE / ICICI PRUDENTIAL / PAREKH HEALTH MEDICARE · STAR HEALTH · SAFEWAY TPA · DELHI POLICE · BAJAJ ALLIANZ
       BAND HEALTH SERVICE . UTI EDVICES
                                 . RELIGARE
                                         - BLOOD BANK - PHARMACY - Dr Lal PathLabs

{'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'}}