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                                                           ALEXIS MULTI-SPECIALITY HOSPITAL PRIVATE LIMITED                                                              Print Dt:24/02/23 18:59


                                                                                                 Prescription                                                                                Page No .: 1
              ALEXIS



            Patient Name
                                       HARSH . PALIWAL                                                                                    Sex                  M
            PIN
                                        ALX0174971                                                                                                             24Y5M
                                                                                                                                          Age
            Doctor Name
                                       PRATIK PARMA - [Reg. No. : 1234]
                                                                                                                                         Nationality INDIAN
            Visit Record No. 1043708
                                                                                                                                         Visit Date       24/02/2023
        Entitlement
                                       SELF PAY
                                                                                                                                         Mobile No. 7692092468
        Diagnosis
                                       [330.1] ALLERGIC RHINITIS DUE TO POLLEN (),
        Addresss                       H3-20 JUNWANI CHOUHAN TOWN MOTILAL NEHRU NAGAR BHILAI DURG CHHATTISGARH
                                       CHATTISGARH 490020
                                                            Prescription No .: 2101345 Date :24/02/2023 18:58:10

       Generic Name
                                                         Drug Name
                                                                                                     Form                Dose    Freq.     Period
      MONTELUKAST, FEXOFENADINE ALLEGRA M TABLET                                                                                                                Route              Remarks

       AZELASTINE + FLUTICASONE                                                                   TABLET 1 TABLET
                                                         AZEFLO FT 7MI                                                             1       30 Days              ORAL 1- 30
      METHYLPREDNISOLONE                                 NASAL SPARY                               SPRAY                  1
                                                                                                                    MILLILITRE     2      30 Days             INHALER 2puff-zuf1 3
                                                         MEDROL 8MG TABLET
                                                                                                  TABLET            1 TABLET               30 Days
                                                                                                                                   1                            ORAL       01-0 (30)
      Normalsaline 100 ml
                                                                                       30                            -             21 × 15d

            50cc Dispovan syringe
                                                                                  01

        Budesonide respules
                                                                                  30
                                            (1mg)


                                                                                                            DR. PRACIK PARMA

                                                                                                            MBBS, MS (ENT & HNS)
                                                                                                            Reg. No-MCI/12-45596


                                           Please Proceed to Pharmacy before Settlement.


   Patient
                              HARSH . PALIWAL
   Name:                                                                          PIN:                      ALX0174971 Age:                           24Y5M             Sex:
   Doctor                                                                                                                                                                               M
                             PRATIK PARMA                                         Prescription
   Name:                                                                                                    2101345
                                                                                  No .:

                  I have been clearly instructed about the directions of use and storage of the above

                                                                                       medications.




  Entry By :- PRATIKP
                                     Note : This is is a computer generated document and does not require a signature.


                                                        ALEXIS PHARMACY WT LTD ., NAGPUR




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                                                                               241423

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'ALEXIS PHARMACY WT LTD.', 'clinic_pharmacy_address': 'NAGPUR', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': '241423'}, 'doctor_details': {'doctor_name': 'PRATIK PARMA', 'doctor_qualifications': 'MBBS, MS (ENT & HNS)', 'doctor_registration_number': 'Reg. No-MCI/12-45596'}, 'patient_details': {'patient_name': 'HARSH . PALIWAL'}, 'prescription_details': {'date_of_doctor_consultation': '24/02/2023'}, 'procedure': {'chief_complaints_diagnosis': 'ALLERGIC RHINITIS DUE TO POLLEN'}, 'medicine_details': [{'medicine_name': 'MONTELUKAST', 'medicine_dosage': '1 TABLET', 'medicine_frequency': '1-0-0', 'course_duration': '30 Days'}, {'medicine_name': 'FEXOFENADINE', 'medicine_dosage': '1 TABLET', 'medicine_frequency': '1-0-0', 'course_duration': '30 Days'}, {'medicine_name': 'AZELASTINE', 'medicine_dosage': '1 NASAL SPRAY', 'medicine_frequency': '1-0-0', 'course_duration': '30 Days'}, {'medicine_name': 'FLUTICASONE', 'medicine_dosage': '1 NASAL SPRAY', 'medicine_frequency': '1-0-0', 'course_duration': '30 Days'}, {'medicine_name': 'METHYLPREDNISOLONE', 'medicine_dosage': '2 PUFF', 'medicine_frequency': '1-0-1', 'course_duration': '30 Days'}, {'medicine_name': 'MEDROL 8MG', 'medicine_dosage': '1 TABLET', 'medicine_frequency': '1-0-1', 'course_duration': '30 Days'}, {'medicine_name': 'Normalsaline 100 ml', 'medicine_dosage': '30 ml', 'medicine_frequency': '21 × 15d', 'course_duration': '30 Days'}, {'medicine_name': '50cc Dispovan syringe', 'medicine_dosage': '01', 'medicine_frequency': '-', 'course_duration': '30 Days'}, {'medicine_name': 'Budesonide respules', 'medicine_dosage': '30', 'medicine_frequency': '-', 'course_duration': '30 Days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}