                                                                                                                                                            Dr. SOURABH MALIK
                              Dr. Malik's
                                                                                                                                                           B.D.S. (SIMS), M.I.D.A.
                                                                                                                              M.D.D.C ., M.S.C.A.D.A. (U.S.A.) Implantologist
   Denlal World                                                                                                                           Merit Holder in Oral Pathology, (S.D.C.)
                                                                                                                                                          Dr. PRIYANKA MALIK
                                                                                                                                                               B.D.S ., M.I.D.A. S.D.C.
                                                                           Where Dentistry is Artistry                                                          Certified Endodontist,
                                                                                                                                                  Ex house Resident G.T.B. Hospital
        Dental Implants
                                                               Ref. No.                                                                                            Dated 3/3/23
        Smile Designing in 1 Hour                                                             .....
                                                                                             Mrs Rashmi Jain
       Cosmetic &                                                                                                                                             51                      F
                                                               Name                                                                                                     .Sex.
                                                                                                                                                      Age
       Surgical Dental Procedures
                                                               Medical History ..
       Teeth replacement
       (Fixed & Removable)                                     C/c Pain in upper left back region
      Porcelain Veneers

      Orthodontic wire correction



   · Porcelain-Metal Crowns                                    O/E
                                                                                                            Carious 7/7
   + All Ceramic Crowns & Zirconia


                                                                                                               TOPA done                    7/7
     Root canal Therapy (R.C.T.)


      Teeth Cleaning


   + Teeth Whitening



 · Tooth coloured fillings
                                                                     AXX

                                                                                                                                                                                 BD
 + Laser filling
                                                                                          Jab. Fifi ( 20)                 200mg)
                                                                            0
 + Gaps Closure                                                                                                                                                                 0              3 day

                                                                                                                                                                            BD
  · Artificial Gum

                                                                                       Jab. Daze AP
                                                                                 100
 + Fixed & Removable Denture
                                                                                                                                                                        0


 * Dental Bondings                                                                          0


                                                                                                                                                                                          -0
+ Dental Jewellery



* Smile Design and restorations



 Dental Rehabilation


Child Dentistry-Cavity prevention

                                                                                                                                   2. Match's Deatal Voltage be
  Gum Surgery

                                                                                                                                          2017, St. No .- 5, Rajgarli
Minor and Major Surgical Procedures

                                                                                                                                      Exin. Gandhi Nagar, Deihi-110031
Dental X-Rays (Digital)
                                                                                       Take Appointment First :- 9211227556

                                                                                     This Prescription Is Not Meant For Medico Legal Purpose

 X/2017, Street No.5, Rajgharh Extn. Gandhi Nagar, Delhi-110031, 9910078306, 9910078063 For appointment Ph # 9211227556

                                    Timing : 10 A.M. to 8.00 P.M. With Prior Appointment Only. Sunday :- 10:00 A.M. to 2 P.M.

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Denlal World', 'clinic_pharmacy_address': 'X/2017, Street No.5, Rajgharh Extn. Gandhi Nagar, Delhi-110031', 'clinic_pharmacy_city': 'Delhi', 'clinic_pharmacy_pincode': '110031'}, 'doctor_details': {'doctor_name': 'Dr. SOURABH MALIK', 'doctor_qualifications': 'B.D.S. (SIMS), M.I.D.A., M.D.D.C., M.S.C.A.D.A. (U.S.A.), Implantologist', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mrs Rashmi Jain'}, 'prescription_details': {'date_of_doctor_consultation': 'Dated 3/3/23'}, 'procedure': {'chief_complaints_diagnosis': 'C/c Pain in upper left back region'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'After Lunch, After Dinner', 'course_duration': '7 days'}, {'medicine_name': 'Fifi (20)', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'After Breakfast, After Dinner', 'course_duration': '3 days'}, {'medicine_name': 'Jab. Daze AP', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'After Dinner', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}