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                       M                       MATA ROOP RANI MAGGO HOSPITAL PVT. LTD.
                                      R
                                                                      [Registere         I win Demhi Govt ) (M.T.P. Approved Centre)
                        R                                     Ca&9 0 Vihar, Phase-i, Utan Nagar, Metro Pilar No.705, New Delhi-110653
                                     M
                                          B/OMEENAKSHI ARYA
                                                                                                                         Months/M               DR SOUROJIT. GUPTA




                                          L.assessment:
                                               Temp                Resp        Helicht                                          H/O: DM /HT /CAD /CVA (COPO /CRF)                               Allerzx

                Symptoms / History                ¿Examination
                                                                                                                                                     Provisional Diagnosis
                     Gjocaught

                                                                                                                                                     Investigations Advised / assessed
           RS- AEBE CBSH




                                                                                                                                                       Nutritional & growth screening:

      Treatment Advised (use CAPS only)

           No.                  MEDICINES WITH DOSE                                        ROUTE             .8 AM              7 PM           10 PM            ADDITIONAL               DAYS   SPL INSTR
                                                                                                                                                                   DOSE
                    TER DOOD T. MINIC O Sie
          2                                                                                                                                                                      ×150
          3
                    Navoclean                                                                              2h
       4
       5
                    3%. Maclhes                                                                              3m) they.
      6
      7
      8
   9
   10
  11
pec           al Instructions: (Diet/Physiotherapy/Restrictions)

fow up on ............ af ............ amom in ORD No ..........                               In emergency pla report in cakliniky or contact 011-61290000                                     Signatur




                                                                      at ............ ampm in OPD: No ........

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'MATA ROOP RANI MAGGO HOSPITAL PVT. LTD.', 'clinic_pharmacy_address': 'C-9, Om Vihar, Phase-1, Uttam Nagar, Metro Pillar No. 705, New Delhi-110059', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110059'}, 'doctor_details': {'doctor_name': 'Dr. Sourojit Gupta', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Meenakshi Arya'}, 'prescription_details': {'date_of_doctor_consultation': 'NA'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat'}, 'medicine_details': [{'medicine_name': 'Pan 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '150 days'}, {'medicine_name': 'Azithromycin', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '5 days'}, {'medicine_name': 'Allegra', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '5 days'}, {'medicine_name': 'Navoclean', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '5 days'}, {'medicine_name': '3% Hydrogen Peroxide', 'medicine_dosage': '3-0-1', 'medicine_frequency': 'Morning, Afternoon, and Night', 'course_duration': '3 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}