                                                                     JASLOK HOSPITAL
                                                                                                                                                 NABH
                                                                           A lifetime of care




                                                                     INVESTIGATIONS




                                           Rachna                                                                         Date: 9/5/2-3
  Patient's Name:


                                   CaBreast
                                                                                                                          UHID:
  Diagnosis:



  Age:                           Sex:                                                                                     Special Instructions




 · I have evaluated my




. Rachne in OPP on 9/5/23




. I here admed here




PORT insertiant




                4 cycles chemo Merry




                                                                                                       Next Follow Ups:
 Name of the advising Dr.
                                          Jaslok Hospital and Research Centre


 Signature:                                         15, Dr. G. Destanokh Marg,

                                                              Mumbai -400 026.

  Registration No .:



              Jaslok Hospital and Research Centre, 15, Dr. G. Deshmukh Marg, Mumbai - 400 026
                    Tel .: (22)-6657 3333 · Fax : (22) - 2352 0508 . E-Mail: info@jaslokhospital.net
                                                        Website: http://www.jaslokhospital.net


                                                  SERVICE · COMPASSION · EXCELLENCE

                       "Non-Profit Institution and a member of the Association of Hospital"

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'JASLOK HOSPITAL', 'clinic_pharmacy_address': '15, Dr. G. Deshmukh Marg, Mumbai - 400 026', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400 026'}, 'doctor_details': {'doctor_name': 'Jaslok Hospital and Research Centre', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Rachna'}, 'prescription_details': {'date_of_doctor_consultation': '9/5/2-3'}, 'procedure': {'chief_complaints_diagnosis': 'CaBreast'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Before Breakfast and Before Dinner', 'course_duration': '4 cycles'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}