                                                                                                                                     SIYAG HOSPITAL

                                                                                                                                    155 Transport Nagar Opp. New Bus Stand
                          Dexterity, Compassion, Affordability                                                                      SURATGARH-335804, Rajasthan (India)
                                                                                                                                    Phone : 9983249502,01509-222174,220174
                                                                                                                                    E-mail : siyaghospitalsuratgarh@gmail.com
                        Pt. Name .                Hartal To Parterp Ram Age ...                     509
                                                                                                                                                                         2 9 JAN 2020
                                                                                                                           654 Gender M Date

                                                                           90 Fever

                    Dr. ·.K. Siyag
                                                                                           Longe                                                                   on Rotahaler
                  -M.D. (Senior Consultant)                                               dysmere                /3 MnTe
                   Reg. NO. 7587
                                                                                                    H/O Recurrent
                   ··. ··. ··. ·····                                                   old n/o ATT - 10 year Ball.
                                                                                                                                                      on Rota haler
                   ··. ··. (······ ········)                                                                                                                                          40000


                  Dr. Sumit Chaudhary

              Consultant Pediatrician &
                                                                                                                     Rx                 1) Tale Poly pod                                   14)
             Neonatologist                                                                                                                                                     200
            (M.B.B.S ., D.C.H.)                                                                                                                           14
            Reg. NO. 26329/18479
                                                                                                                                         & Cap ABfir (14)
            ··. ····· ·····                                                                                                                                 1-1
                                                                                                                                                                                        19
            ··· ··· ··· ····· ···· ··· ········                                                                                            3) Tab. Aleskin
                                                                                  1 CBC
             (··.··.··.·· ., ··.··.··.
                                                                                  1 ESR
                                                                                                                                                4/ Ta Robizles
                                                                                                                                                                                     14
          Dr. Amit Chaudhary

          Orthopaedic Surgeon                                                           HRCT Chech

         (D Ortho, DNB)                                                                                                                             J) ha Tekog

        Reg. NO. 12667


        ··. ···· ·····
                                                                                                                                                      51 Ta Denphylen Retard                          15' ( 14)
       (····· ···· ··· ····· ··· ········)
                                                                                   2 2 FEB 2023                                                          Foratet 00mg
                                                                                                                                                                        (30)
     Dr. Rohini Godara

                                                                                                                                                 CcRevolzes
    M.B.B.S ., DOMS

    Reg. No. 13537


    ··. ······ ······
                                                                                                                                                                                                              40
                                                                                                                                               Tal Mac Pod ( 14) Tale Esofine
    (····· ··· ········
                                                                                   22/2/2023

                                                                                                                                                 Tall ABeria 14)                              La Priusm
 Dr. Khushboo Chaudhary
                                                                                                                                                            14 100
                                                                                                                                                                                     (4)
M.B.B.S ., D.D.V.L.                                                                                                                                  To Alsham
Dermatologist & Cosmetic Surgeon
Reg. No. 21724 (RMC)

                                                                                                                                                      Tal Berephylum Retard                14,150
··. ····· ·····
                                                                                                                                                                  1-1

···· ··· ········ ··· ········· ·····                                                                                                                             Not Valid for Medico Legal Cases.
                                                                                  Patient's I. D. Not Verified

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SIYAG HOSPITAL', 'clinic_pharmacy_address': '155 Transport Nagar Opp. New Bus Stand', 'clinic_pharmacy_city': 'SURATGARH', 'clinic_pharmacy_pincode': '335804'}, 'doctor_details': {'doctor_name': 'Dr. Ş.K. Siyag', 'doctor_qualifications': 'M.D. (Senior Consultant)', 'doctor_registration_number': '7587'}, 'patient_details': {'patient_name': 'Hartal To Parterp Ram'}, 'prescription_details': {'date_of_doctor_consultation': '9 JAN 2020'}, 'procedure': {'chief_complaints_diagnosis': 'Fever'}, 'medicine_details': [{'medicine_name': 'Paracetamol', 'medicine_dosage': '90 mg', 'medicine_frequency': '3 times a day', 'course_duration': '14 days'}], 'lab_test_details': {'lab_test_names': 'CBC, ESR', 'procedure_request': 'None'}}