                                                                                                                                          F/HW/POAF/LA/08
              W                      BirthRight
          en's

Hostal
                                                      OUT PATIENT CARD CUM RECEIPT

                            : JND-00087618                                           Bill No                  OCS11-00534371 Bill Amount
 UHID                                                                                                                                                   : 800.00 Rs
                            I Master AYZIN A                                         Bill Date                : 23-02-2023 03:47:50 PM
 Patient Name
                           : 16-Jul-2020/2 Y 7 M 7 D /MALE                           Doctor Name              Dr. PRAKASH VEMGAL
 DOB/ Age Gender
                            : KMC#33619                                               Department              I PEDIATRICS
    tor Reg
                             First Visit / Physical                                  Specialisation       CONSULTANT NEONATOLOGIST &
     Type /
      intiment Type                                                                                       PEDIATRICIAN
                             SELFPAY




              "ONE FREE FOLLOW UP IS VALID UPTO 5 DAYS WITH SAME DOCTOR ON PRIOR
              APPOINTMENT*
                                                                                                                                                10 Kg
                                                                                                                             Weight:

                                                                                                                                                83 cm
                                                                                                                             HULE:
                                                            ( ) Yes ( ) No
              Priority Patient (Emergency):
                                                                                                                              HC:

              If Yes, Action Taken:                                                                                                            99.2f
                                                                                 do & food                                    Temp:

              Prescrit Complaints & Examination:
                                                                                                       cristales RR


                                                                                                                              HR:
               Development: ( ) Normal ( ) Abnormal


                Immunization Status: ( ) Complete ( ) Incomplete
                                                                                                                               SPOC:
                  Diet: () Breastfeeding () Formula () Weaning Food ( ) Normal Diet
                                                                                                                                                TCB

                  CVS: ( ) Normal ( ) Abnormal                                                    a liquid.


                  Congenital Anomalies: ( ) Present ( ) Not Present


                  If Yes, Specify:                                                               Syp Zmianit / Bevon.


                   RS:CNS:                                                                                      2.5ml.
                                                                                                                                                1 1 weeks

                   P/A:

                    Pain: ( ) Yes ( ) No, If Y es, Score

                    Action Taken:


                     Provisional Diagnosis:
                                                       Rainbow Children's Medicare Limited

                                                           For Appointments call: 1800 2122 or SMS "RWCH" to 57575
                                                                                                                                               Hebbal:
                                                                               Bannerghatta Road:                                        No.247/248/288/100
                      Marathahalli:                                             No 178/1 & 178/2.
                                                                                                                                       Byatarayanapura Village,
                     Survey No. 8/5.
                                                                     Opposite Janardhan Towers, Bilekahalli                   Yelahanka Hobli, Bengaluru - 560 092.
   Marathahalli-KR Puram, Outer Ring Road,                                     Bengaluru - 560 076.
     Doddanekundi, Bengaluru - 560 037.

           Registered Office: 8-2-120/103/1, Survey No. 403, Road No. 2, Banjara Hills, Hyderabad - 500034, Telangana.                           www.rainbowhospitals.in
                                                                   @ 1800 2122
                       DABPLC029914

{'clinic_pharmacy_details': {'clinic_pharmacy_name': "Rainbow Children's Medicare Limited", 'clinic_pharmacy_address': 'Marathahalli-KR Puram, Outer Ring Road, Opposite Janardhan Towers, Bilekahalli, Doddanekundi, Bengaluru - 560 037', 'clinic_pharmacy_city': 'Bengaluru', 'clinic_pharmacy_pincode': '560 037'}, 'doctor_details': {'doctor_name': 'Dr. PRAKASH VEMGAL', 'doctor_qualifications': 'CONSULTANT NEONATOLOGIST & PEDIATRICIAN', 'doctor_registration_number': 'KMC#33619'}, 'patient_details': {'patient_name': 'Master AYZIN A'}, 'prescription_details': {'date_of_doctor_consultation': '23-02-2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sore Throat'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '7 days'}, {'medicine_name': 'Zincovit Syrup', 'medicine_dosage': '5 mL', 'medicine_frequency': 'Once daily', 'course_duration': '30 days'}, {'medicine_name': 'Syp Zinconia', 'medicine_dosage': '10 mL', 'medicine_frequency': 'Twice daily', 'course_duration': '14 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}