                                                                                                                                                                                                       QUALITY OF CAAL



                                                                                                                                                                                               IN

                                   ·· ········                                                                                                                                               PHE ACCREDITED


                                          Care . Satisfaction · Trust


                                                             ··. ····· ······ (··.··.) · ··. ···· ······ (··.·.··.··.) · ··. ···· ······ (··.·.)


                                                                                                                                                                                   30/8/21
                                                                                                                                                                                              Time :
                                                                                                                                                                                Date

                       Name :                       Uv.                   Shantanu                                                                                              CR No.

                       Age :_                             Sex : Male [] Female []

                      Pulse :_ /min BP :                                                                      mm of Hg



                       Brief History :


                                                                                                                       T.               cifan- CT


                                                                                                                                                              1


                                                                                                                        T.                   Nimica plus


                                                                                                                                                               1-1- - )

                       Symptoms :                                                                                                                                                             x5 day
                                                                                                                         ".               Esogren 40


                                                                                                                                                                       1-                0

                                                                                                             * c.                    EnnGt
                                                                                                                                                                  100                        x 2 day

Hospitalejamon                                                                                                                                                              1

                                                                                                                         53 c.
                                                                                                                                                    2 Flora                                         x 5 day
       Investigation :

                                                                                                                                                                          O


Stro IR
                                                                      c. Imudium                                                                        -



                                                                                                                                     1 2m - 1 cap


                                                                                                                                          max                 3/ day                           Sign / Stamp




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or Appointment 2 : 9112 809 809 Email : info@yashhospital.com Web Site : www.yashhospital.com



                                                                                                                                                                                                       YH/GSTR/PP/O

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'यश हॉस्पिटल', 'clinic_pharmacy_address': 'नं. १६८/१० व ११, साधना मुलींच्या शाळेमागे, डी. पी. रोड, माळवाडी, साडेसतरा नळी, हडपसर, पुणे - ४११ ०२८', 'clinic_pharmacy_city': 'Pune', 'clinic_pharmacy_pincode': '411028'}, 'doctor_details': {'doctor_name': 'डॉ. सुहास कुंभार (एम.डी.) • डॉ. शैला कुंभार (बी.ए.एम.एस.) • डॉ. विजय कुंभार (डी.ओ.)', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Uv. Shantanu'}, 'prescription_details': {'date_of_doctor_consultation': '30/8/21'}, 'procedure': {'chief_complaints_diagnosis': 'QUALITY OF CAAL'}, 'medicine_details': [{'medicine_name': 'T. cifan- CT', 'medicine_dosage': '1', 'medicine_frequency': '1-0-1', 'course_duration': '5 days'}, {'medicine_name': 'T. Nimica plus', 'medicine_dosage': '1', 'medicine_frequency': '1-1-1', 'course_duration': 'NA'}, {'medicine_name': 'Esogren 40', 'medicine_dosage': '1', 'medicine_frequency': '1-0-0', 'course_duration': '5 days'}, {'medicine_name': 'c. EnnGt 100', 'medicine_dosage': '1', 'medicine_frequency': '0-1-0', 'course_duration': '2 days'}, {'medicine_name': 'c. Imudium', 'medicine_dosage': '1 cap', 'medicine_frequency': '1-0-0', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'Investigation : 53 c. 2 Flora', 'procedure_request': '5 days'}}