                                                      pentonic
                                                                                                                                                                 : Re
                                                        .....
                                                                 SANTOSH




                                                                OPD ASSESSMENT FORM                                                                              an

                                                                     (First visit / Follow-up)



    .............           ...... 202305050268"
                                                                                                                                  "05-May-2023"12:42 pm" ***
           OP. ID                OP.2305059373
                                                                                .......                                           .SKIN. &.V.D.
             Patient Name       MASTER PREET
                                                                                                     Card Validity D                   1 Month
                                                                                                                       ****......... SKIN &:VD
            Guardian
              .........                                                                              Mobile No
            Address              ghaziaba , GHAZIABAD                                                ............
                                                                                                     Amount                          100.00




  Present Complaints:                                                                                                  Aris - Scabies




                                               410- Itility cut allow to body

                                                                  agg, at night x 70 days

   Past/ Family History:




                                                Alt + that in Brother, father.



                                               off multiple excoriated Papules entou


  History Given By:                                               S/L bearers spaces of hands.




Clinical Findings:                      Adv




                                                         WREMITE 5% COTTON (Tonight while
                                          4)
                                                                                                                                        Body below nowy




 Provisional Diagnosis:                    1) VITISOFT WTION (UNIG)




                                       1 Tab. DJ CANO M 5mg ( BroTIMO)




                                         1 CREMITE SOAP (BATH)


                                                                                           \RArday

                                                                                                                          SMH/C034/OPDASSMNT/v1.0/0423

                                                                                                                                                   Page 1 of 2

{'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': 'MASTER PREET'}, 'prescription_details': {'date_of_doctor_consultation': '05-May-2023'}, 'procedure': {'chief_complaints_diagnosis': 'Scabies, Itility cut allow to body, agg, at night x 70 days'}, 'medicine_details': [{'medicine_name': 'pentonic', 'medicine_dosage': '1 Tab', 'medicine_frequency': 'Night', 'course_duration': '70 days'}, {'medicine_name': 'Aris', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': '70 days'}, {'medicine_name': 'WREMITE 5% COTTON', 'medicine_dosage': 'Tonight while', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'VITISOFT WTION', 'medicine_dosage': '1 Tab', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'DJ CANO M 5mg', 'medicine_dosage': '1 Tab', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'CREMITE SOAP', 'medicine_dosage': 'NA', 'medicine_frequency': 'Bath', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}