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                                                  PRESCRIPTION TEMPLATE




                        Prescription No.
                                                                                   Prescription Date
                        # IN
                                                                                   21/08/2023


                       Patient Information


                       Name
                                                                                   Age
                       SWATI KHEDEKAR
                                                                                   58

                    Phone Number
                                                                                   Date of Birth

                   Email
                                                                                   Gender

                   Address                                                        Female

                  CHIRABAZAR


                  Allergies
                                                                                 Notable Health Condition
                 B.P



                 List of Prescribed Medications



                                   Medication Name                        Dosage                              Route
                                  TELMASET BETA 5                         1 tablets
                                                                                                            Day night



            Physician Name
                                                                                 Physician Phone Number

            DR
                                                                                 8082432407

           PRATHMESH

          MULE


          Physician Signature




         21/08/2023




                 Shot on realme 8 5G
realme                                                                                                          2023 10 06 12:10

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'NA', 'clinic_pharmacy_address': 'NA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'DR PRATHMESH MULE', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA', 'doctor_phone_number': '8082432407'}, 'patient_details': {'patient_name': 'SWATI KHEDEKAR', 'age': '58', 'gender': 'Female'}, 'prescription_details': {'date_of_doctor_consultation': '21/08/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Notable Health Condition: B.P'}, 'medicine_details': [{'medicine_name': 'TELMASET BETA 5', 'medicine_dosage': '1 tablet Day night', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}