                                                                                                                                        -----------
                                              Institution Run By Brahm Shaldi Trust                                                   OPD PRESCRIPTION SLIP
                           B SH
                                       BRAHM SHAKTI                                                                            U-1/71, Bush Vher, Mein Konihmvole Bond, Debi-46
                                                                                                                           Halpline :1800-118-120 Ph. : 27531663. 27517967, 27537814
                        85H/PS086               HOSPITAL                                            ISO 9001 : 2015
                                                                                        P14.3019.0837 CERTIFIED
                                                WE TREAT HE CURES
                              Date             13/Sep/2023 09:43                                  Patient No       PU029834
                              Reg No           OP2326182                                          Age/ Sex         29 Yrs / v.
                              Patient Name    ME SWATI BANSAL                                     Mobile           9555961862
                              Consultant      Dr Jyotsna Gupta                                    speciality       Gynaecology
                             Med. Reg. No     DMC 19870                                           Receipt No        RCN2437375
                             Qualification    MBBS, DNB(Obs & Gynae)                              Token No          0025                               25
                        Fill Room  No
                             whichever
                                              B-4
                                            duglicable
                             Timings          Wed & Sat (Gen) 09:00AM to 12:00 Noo
                        TemReceived with Thanks from Mr. SWATI BANSAL Rupees 100.00 ( One Hundred only ) vide CASH

                    Pulse/min
                                                                      to Burnip
                   RR/min                                                                                                                   LOUP=15-20
                                                                                      Sensalero .
                                                                                                                                                                 desyg bana
                   B.R.
                                                                            While discheipp
                  Po2

                 Allergy


                Height                                       C/E fungal
                                                                                                                                        Ado

               Weight

                                                                                                                                   9). Cep Pau D1m
               Length


           Head


          MUAC                                                                                                                     2. Comp Candiforce Divo
                                                                                                                                                      o.
         DLMP

                                                                                                                                  3 Candid Bach e
         E DOD

                                                                                                                       0
        Gravida
                                                                                                                                  4 Conduct-Vs way
                                                                               2weeksny
       Para
                                                                                                                                                Bercy hs x 6 days

                                                                                                                                        8                   10
  Abortion                                                                                                         6
                                                            0                  2
                                                                                                                                                                       PAIN SCALE

      Vision
                                                                                                                                                     Excruciating Sip
                                                                                                                                      Intense
                                                        No Pain           Mild Pain Discomforting Distressing                                        LCZ                                       -
                                                                                                                              5       Tab
  FR/E

LLE                                                                                                                                                                                                 /B
                                    LAXQween                                                               Next follow up :                                                                          4Z
                                                    4



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       24 HOUR SERVICES - BLOOD BANK - PHARMACY - E Dr Lat PathLabs                                                                             India's leading and most reputed elagnestic chain

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'B SH', 'clinic_pharmacy_address': 'U-1/71, Bush Vher, Mein Konihmvole Bond, Debi-46', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr Jyotsna Gupta', 'doctor_qualifications': 'MBBS, DNB(Obs & Gynae)', 'doctor_registration_number': 'DMC 19870'}, 'patient_details': {'patient_name': 'ME SWATI BANSAL'}, 'prescription_details': {'date_of_doctor_consultation': '13/Sep/2023 09:43'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}