   M                          MATA ROOP RANI MAGGO HOSPITAL PVT. LTD.                                                                                                                                 QUALITY
                  R
                                                          (Registered with Delhi Govt.) (M.T.P. Approved Centre)
                                                                                                                                                                                              PATIENT
   R                                         C-8 & 9, Om Vihar, Phase-I, Uttam Nagar, Metro Pillar No. 709,New Delhi-110059                                                                       NABH
                 M                                               Ph .: 011-61290000, Mob.9555059059 Email : mrrmhospital@yahoo.in



                                                                                                      25 Years/F                         HOSPITAL.
                     Mrs.ANSHUL SHARMA                                                                                                      Gynecology & Obstetrics

  Name:                                                                                        Age2:26.6
                                                                                                                                                                                      12:25PM
                 UHID02797046
  UHID NO                                             Date/Time of Registration:

                                                                                                                                                 consultation at.                                 .. am/pm

Required initial assessment:                                                                                                              Allergic to                                   Blood Group


                                                             SP02
    Pulse                               Temp                 Resp            Pain score    Wt. / Kg           Nutritional Status           H/O: DM / HT / CAD / CVA/COPD / CRF
                         BP

                                                          991.                            58 kg
114/nt            120 70                N                                        0
                                                                                                                                           Hyper / Hypo thyroidism


 Symptoms / History / Examination                                                           Provisional Diagnosis
    MF× 3 years



                                                                  3                         Investigations Advised / assessed
                 LMP- 24/01/23
                                                                    24-26,                         USG Wek Kes W/A Specially KUB

  c/o severve pain
                                                                                                    S.AMH
                                                                                                                                                                    S. TSH - 1.58
                 abdomen                                                                             S. Prolactin
                                                                                                                                                                          U1- 11.1
                                                                                                    S. TSH                                                          FSA - 3.65
                                                                                                                                                               S.P.)-19.1
                                                                                                                                                                      62 87 pg/ml

                                                                                                                                                                  S. AMY - 1.85 mg/ML
 H/O Appendetory
                                                                                            Treatment Advised                      USG - B/C reboral calcus| Mild PID
                           in 2022 Dec.                                                                                                                                                              whitts
                      laproscopic                                                           S.N.                    Drug with strength                            route          frequency         duration


                                                                                                      T. Meltal Spas                                         (SOS )
                                                                                              1.
O/H- A1 - self induced

                                 MTP pills 3 years
                                                                                             2.     T. folic Acid                                            Oral              -0-               3 month
                              ago - 2020.


                                                                                             3. Vit D2 naw shot                                              oral             weekly             12 wars


  4|O Anxiety on Antidepressant

                                                                                             4.         fertile window (DIO -D18)
                                                                         pills



                                                                                             5.
          Urologist Reference


                                            fluidintake                                            T. Fluconazole 150                                     Toral                                  3 day
                                                                                             6.
 Special Instructions:
                                                                                                                                                                                 -a-6nights
1. Diet High Protien Diet/ Pomerate Babroot Candid CL vaginal persone

                                                                                                                           Reviewon D2& period
2. Restrictions Oily/spiccy citrus | Review 2reports
                                                                                                                                                                    Plan :- FMEDI
3. In case of excessive pain, bleeding, leaking & decreased fetat movements, report urgently.




 Follow up on.                  ..... at ........ am/pm in OPD                        In emergency report to casualty or contact 011-61290000                                                         Signature

                                                                                                                                                                                     MRRMH/REV/65G&O/01/22

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'MATA ROOP RANI MAGGO HOSPITAL PVT. LTD.', 'clinic_pharmacy_address': 'C-8 & 9, Om Vihar, Phase-I, Uttam Nagar, Metro Pillar No. 709,New Delhi-110059', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110059'}, 'doctor_details': {'doctor_name': 'R M', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mrs. ANSHUL SHARMA'}, 'prescription_details': {'date_of_doctor_consultation': '12:25PM'}, 'procedure': {'chief_complaints_diagnosis': 'Gynecology & Obstetrics'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning', 'course_duration': '10 days'}, {'medicine_name': 'Augmentin', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '7 days'}, {'medicine_name': 'Folic Acid', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning', 'course_duration': '3 months'}], 'lab_test_details': {'lab_test_names': 'USG Wek Kes W/A Specially KUB, S. Prolactin, S. TSH, S. AMH, USG - B/C reboral calcus| Mild PID', 'procedure_request': '24-26'}}