                                                                                     DON'T SUBSTITUTE MEDICINES                                                         C01681-246410


            MARTH                            JAIN DHARMARTH NETAR CHIKITSALYA (Regd.)




                                                                            Opp. Bus Stand, Gohana Road, Jind-126102 (Hry.)

                                28095                                                                                                               Dated 10-8-2023
                 No

              53                                                                                                                                                             0-42
                                                                                                          ddress ...
                Name                               ......
                                  2.1.10-1211
                Age & Sex 28km/H Diagnosis                                                                                               ... Weight                                            kg.


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                                                             Advice
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    + Digital X-Ray all four a qm
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                                                                                                                                  to Valcarcel MM
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                                                                                                                                    de Nuncales
       I.C.U
        A.C. Private Rooms


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       Computerised Laboratory
       Physiotherapy Centre
       24 que Ambulance Jou
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                                                                                                                                                                                    fee

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5. ······ · ···· ·· ····· ····· ···                                   Morning OPD Valid For 5 Days
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  Sunday : Emergency Only
                                                              NOT FOR MEDICO-LEGAL PURPOSE
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{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'MARTH JAIN DHARMARTH NETAR CHIKITSALYA (Regd.)', 'clinic_pharmacy_address': 'Opp. Bus Stand, Gohana Road, Jind-126102 (Hry.)', 'clinic_pharmacy_city': 'Jind', 'clinic_pharmacy_pincode': '126102'}, 'doctor_details': {'doctor_name': 'Dr. [First Name] [Last Name]', 'doctor_qualifications': 'Specialization: [Specialization]', 'doctor_registration_number': 'Registration Number: [Registration Number]'}, 'patient_details': {'patient_name': '[Patient Name]'}, 'prescription_details': {'date_of_doctor_consultation': '10-8-2023'}, 'procedure': {'chief_complaints_diagnosis': 'Diagnosis: [Diagnosis]'}, 'medicine_details': [{'medicine_name': 'Medicine 1', 'medicine_dosage': '[Dosage]', 'medicine_frequency': '[Frequency]', 'course_duration': '[Course Duration]'}, {'medicine_name': 'Medicine 2', 'medicine_dosage': '[Dosage]', 'medicine_frequency': '[Frequency]', 'course_duration': '[Course Duration]'}, {'medicine_name': 'Medicine 3', 'medicine_dosage': '[Dosage]', 'medicine_frequency': '[Frequency]', 'course_duration': '[Course Duration]'}], 'lab_test_details': {'lab_test_names': '[Lab Test Names]', 'procedure_request': '[Procedure Request]'}}