                                                                                                                                                               28/4/12
     Child's Name :                                                                                                                Date of Birth


    Parent's Name & Address


                                                                              Dr. P. B. Pande

    Bir                                                                                                            M.B.B.S. M.D. (Ped.)
                                                                Consulting Pediatrician & Neonatologist
   Pe                                                                            Mob .: 9820308992

                                                                                                           KIDDIES HOSPITAL & N. I. C. U.
                                           Dr. Pande Hospital
                                           Vihnesh, 1st Floor, Opp. H.P. Petrol Pump,                      First Floor, Shivshankar Plaza - 1,
                                                                                                           Sector - 8, Bus Stop, Airoli-Mulund Road,
                                           Sector-4. Koparkhairane, Navi Mumbai,
                                           9.30 A.M. - 11.30 A.M ., 5.00 P.M. to 7.00 P.M.                 Alroli, Navi Mumbai.
                                                                                                            12.00 A.M. to 2.00 P.M. & 7.30 P.M. to 10.00 P.M.
                                           Tel. : 2754 5678 / 2754 2038
                                                                                                           Tel. : 2769 8368 / 69946484

                                                                     FOR 24 HRS. EMERGENCY CONTACT
                                                                             KIDDIES HOSPITAL & N. I. C. U.
                                                                                    DR. PANDE HOSPITAL                                    Date: 5/03/2020
                                                                                                                                                                         .....


                   Name: Akshya Rawool.                                                                                       Age : 5% (yrs) Sex : M / F

                                                                                                                                                   Wt :- 22.62kg


                                                                                                                                                    SPO2-97%


                  Symptoms :                                                                                                                                HR-132
                                   Temp
                                                                                                                                                   Temp- 100.0ºF
                                cold/com



                                                                       Kup T98M.

                                                                                                          6 ml.


          C
                                                                                      Backoder M



                                                                                      Pintor Cs

                                                                                                      5 M 3h. 51


                  Diagnosis :




                                                                                                                          ) Brue




After 18 Months
                                                                      Hepatitis A 2 Doses

                                                     1st Dose

                                                    2nd Dose (6 to 12 Months from

                                                     1 st Dose)
After 15 Months
                                                                     Chickenpox Vaccine
                                                     OTHERS 1) Pnumococcal

                                                                      2) Mennigococca

                                                                      3) Corvical Cancer

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'KIDDIES HOSPITAL & N. I. C. U.', 'clinic_pharmacy_address': 'Vihnesh, 1st Floor, Opp. H.P. Petrol Pump, Sector-4. Koparkhairane, Navi Mumbai', 'clinic_pharmacy_city': 'Navi Mumbai', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. P. B. Pande', 'doctor_qualifications': 'M.B.B.S. M.D. (Ped.)', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Akshya Rawool'}, 'prescription_details': {'date_of_doctor_consultation': '5/03/2020'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat, cold, fever, high heart rate'}, 'medicine_details': [{'medicine_name': 'Kup T98M', 'medicine_dosage': '6 ml', 'medicine_frequency': '3 times a day', 'course_duration': '5 days'}, {'medicine_name': 'Backoder M', 'medicine_dosage': 'NA', 'medicine_frequency': '3 times a day', 'course_duration': '5 days'}, {'medicine_name': 'Pintor C', 'medicine_dosage': 'NA', 'medicine_frequency': '3 times a day', 'course_duration': '5 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}