                                    FIRST PRIVATE RENAL TRANSPLANT CENTRE OF RAJASTHAN (SINCE 1986)                                                                Format No. : MHRC/OPO/F3
                                    Monilek Hospital                                                                                                               Rev. No :01



                                    & RESEARCH CENTRE

                                    A Wing of Smt. Moninidevi Lekhraj Odhrant Charitable Trust)

                                                                                                               PRESCRIPTION SHEET . (
      Allergy
                                                                                                                                                  207197 30/7/23
     No]Unknown
                                               Patient Name Mrs. Palak                                   Age/Sex 99 MHRC No Date
           Yes If Yes
                                                                                        Bhalt
      Details
                                                                                                                           UPT
                                               CHIEF COMPLAINT

      VITALS:
                    108
     Pulse.                  /Min

      B.P /35/82 mm/hg                                                                    MT Scan

                                    /min                                                                                                                             NS
     RR
                                                                                          double
      Ht                                       BRIEF HISTORY:
                        62                                                                  marker
      Wt :...                          Kg

      Temp
                        98
      SpO :.                           .. %

      EXAMINATION                                                                       audity
                                                                                       headache



                                                                                                caya



                                                                                        -GO POLOAI



                                                                                        Jnc - 3yr




                                                                                    1 Ab96why




      Pain Assessment :                                                                                              2ml




            -3



                 LOCKRATE                     FOLLOW UP:




                                                                    Dr. Suman Pess                                            Reg. No. 5974/11171 Time
                                                Dr. Name

                                               OD (··· ··· ·· ···) 10 AM, BD (··· ··· ·· ···) - 10 AM - 10 PM, TDS (··· ··· ··· ···) - 10 AM - 3 PM - 10 PM



                                                SECTOR-4, JAWAHAR NAGAR, JAIPUR - 302 004 · Mob: 09001994820-22
                                                               PH :(0141) 2651393/2653019/2653023
                                                 Website www.monilekhospital.com · E-mail:monilek.jpr@gmail.com


CS Scanned with CamScanner

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Monilek Hospital', 'clinic_pharmacy_address': 'SECTOR-4, JAWAHAR NAGAR, JAIPUR - 302 004', 'clinic_pharmacy_city': 'Jaipur', 'clinic_pharmacy_pincode': '302004'}, 'doctor_details': {'doctor_name': 'Dr. Suman Pess', 'doctor_qualifications': 'NA', 'doctor_registration_number': '5974/11171'}, 'patient_details': {'patient_name': 'Mrs. Palak'}, 'prescription_details': {'date_of_doctor_consultation': '30/7/23'}, 'procedure': {'chief_complaints_diagnosis': 'Allergy'}, 'medicine_details': [{'medicine_name': 'Unknown', 'medicine_dosage': 'BD', 'medicine_frequency': '10 AM - 10 PM', 'course_duration': 'NA'}, {'medicine_name': 'UPT', 'medicine_dosage': 'OD', 'medicine_frequency': '10 AM', 'course_duration': 'NA'}, {'medicine_name': 'NS', 'medicine_dosage': 'TDS', 'medicine_frequency': '10 AM - 3 PM - 10 PM', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}