                                      one Thousand                                    Mous
                                                                                                                             Miss, Shanpd
                                                           Bank                        9246                                       IP BIRIng
Amount in words ;                 Receipt No
Receipt Details                                             HDFC BANK LTD
 Mode of Payment                   ORC12323654

  Card


                                                                                                                                          Abhayahasta

                                                                                                                                          MULTISPECIALITY
                                                                                       10/09/2023                                         HOSPITAL
                                                                                                                                                                                       -
                                                                                                                                          Healing Touch With Campione Heancare




                Martin Sohan


                                                                                                Informant : parents

                  12 yr /M




                       Drug Allergy                                             Nil


                       Medical illnen



 . Ho fall in the apartment around 9 PM



    Sustained ining to D foreau & shoulder.




    adurable Since the c/o pain in I forcar




 No otter pai

                                                                                                                                                                   7 are

                                                                                                                 Defority.

    OLE: 2 writ & force.


                                                                                                                       Tender P                                                   5
                                                                                                                                                                                 229




                                                                                                                      Reibration of war



                                                                                                                                                          moment




                                                     NO DINUD




                                              Shoulder - Mild tenderness over



                                                                                                                  Human



                      # 347/247, 2nd Cross, Kaggadasapura Main Road, C.V. Raman Nagar, Bengaluru - 93.

                                          Ph .: 080 4656 5200, 4656 5221, 4656 5222, Mob .: 7975206208

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'MULTISPECIALITY HOSPITAL', 'clinic_pharmacy_address': 'Healing Touch With Campione Heancare', 'clinic_pharmacy_city': 'Bengaluru', 'clinic_pharmacy_pincode': '93'}, 'doctor_details': {'doctor_name': 'Dr. Abhayahasta', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Martin Sohan'}, 'prescription_details': {'date_of_doctor_consultation': '10/09/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sustained injury to D forearm & shoulder. C/o pain in I forearm'}, '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'}}