                   Motherland


                                  HOSPITAL-




                                                                   Consultation Paper(OPD)

UHID                             MLH23731                                                                  Receipt No.            :     MOR/22-23/000008709

 Name                      :     Mr.SANDEEP BANSAL                                                         Date                       03-Mar-2023 10:30 AM

 Age/Sex                   : 53 YRS / Male                                                                 Panel                  : CASH

 Guardian                  : Self                                                                          Doctor Dept            : MEDICINE
  Contact No                   : 9811612953                                                                Room No            :
  Address                      0-802 Amrapali Zodiac Sec-119 Noida -NOIDA, INDIA App No

                                                           Dr. MUKESH CHANDRA JHA

   Height:                             (cm) Weight:                                 (kg) Temp:                           Pulse:
   Pain Score(0-10):                                  Allergies If Any:                             BMI:                   BP:                         (mmHG)


                                                                          two conge.                                        1 month
ACO HTN OM T.


Telha AM
                                                                                -


No He DM/Thyroid



   No His Alledank                                                                      DIE BR 120/80 MMH


                                                                                                    8-14216


                                                                                                       SIL - 92%


                                                                                          asIce MAN
       ·LICI 7 MND
                                                                                         Crs


                                                                                - Clus Bu Reocchi



                                                                 Art. 1 Chus Physiotherapy



                                                                                           ¿ Respirometel.



                                                                          10-                        10 -10 == 10


                                                                                                                                                    - 30 das



    Note : Bill Is valid for 3 days Including date of Billing.
                                                                                                                                                        PTO
                                                                       Motherland Hospital
                                                            (A unit of Sarta Medical Centre Pvt. Ltd.)

Q Hospital :. Sector 119, Noida - 201305, U.P. India                   L +91 99537 77444
                                                                                                                           3 info@motherlandhospital.com
9 Reg. Office :- House No. - 227. Main Road                               SYST 120 4154949
                     Village Khichripur, Deihi - 110091                                                                       www.mothertandhospital.com
                     CIN: USS110OL 1999PTC098269

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Motherland Hospital', 'clinic_pharmacy_address': 'Sector 119, Noida - 201305, U.P. India', 'clinic_pharmacy_city': 'Noida', 'clinic_pharmacy_pincode': '201305'}, 'doctor_details': {'doctor_name': 'Dr. MUKESH CHANDRA JHA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mr.SANDEEP BANSAL'}, 'prescription_details': {'date_of_doctor_consultation': '03-Mar-2023 10:30 AM'}, 'procedure': {'chief_complaints_diagnosis': 'ACO HTN OM T.\nTelha AM'}, 'medicine_details': [{'medicine_name': 'ACO HTN OM T.', 'medicine_dosage': '001', 'medicine_frequency': 'BD', 'course_duration': '1 month'}, {'medicine_name': 'Telha AM', 'medicine_dosage': '001', 'medicine_frequency': 'BD', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}