                                                                                                                                    CIN: U85110DL1999PTC
                                                                                                                                   Village Khichripur, Delhi -
                                                                                                                                                              R
                                                                         3 +91 120 4154949
       www.motherlandhospital.com
                                                                                                                                                             H
                                                                         +91 99537 77444
             & info@motherlandhospital.com

                                                                                    (A unit of Sarla Medical Centre Pvt. Ltd.)

                                                                         Motherland Hospital



                                                                                                                                                   Note :Bill is




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                                 BP:                  BMI                                    Allergies If Any:
  (mmHG)                                                                                                                                    Pain Score(0-10
                                   Pulse:                           (kg) Temp:                               (cm) Weight:                   Height:
                                                                              Dr. KOMAL SINGH
                            ..
                        3                       App No                                                           AMRAPALI ZODIAC SEC-120 -NOIDA, IND
                                                                                                                                     Address
                                                Room No                                                          9958491511          Contact No.
                        OSS AND GYNAE           Doctor Dept                                                      Self                Guardian
                        CASH                    Panel                                                             29 YRS / Female
                          -                                                                                          -               Age/Sex
                                                Date                                                          8. LALITA
                                                                                                                 MI     AGARWAL RANT
                        18-Feb-2023
                           -        04:26 PM                                                                                         Name
                        MOR/22-23/000006205 Receipt No.                                                      V/23/002384             UHID
                                                                                 Consultation Paper(OPD)



                                                                                                                - HOSPITAL


                                                                                                                            Motherland

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Motherland Hospital', 'clinic_pharmacy_address': 'AMRAPALI ZODIAC SEC-120 -NOIDA, INDIA', 'clinic_pharmacy_city': 'Noida', 'clinic_pharmacy_pincode': '201305'}, 'doctor_details': {'doctor_name': 'Dr. KOMAL SINGH', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'LALITA AGARWAL RANT'}, 'prescription_details': {'date_of_doctor_consultation': '18-Feb-2023 04:26 PM'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat and Gynecological issues'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': 'Before Breakfast', 'medicine_frequency': '1-0-0', 'course_duration': '5 days'}, {'medicine_name': 'PRIMOLUT', 'medicine_dosage': 'After Lunch', 'medicine_frequency': '1-0-1', 'course_duration': '5 days'}], 'lab_test_details': {'lab_test_names': '-', 'procedure_request': 'Urine Pregnancy Test'}}