                       SHREYA HOSPITAL                                                                 837, Shalimar Garden, Extn-I, Sahibabad, GZB.
                                                                                                          Helpline No .: 0120-4775450, 54 (50 Lines)
                                                                          we care your smile
                           (A Unit of Shreya Multispeciality Hospital Pvt. Ltd.)                                  paytm & C : 7838737363
                                   (Govt. Registration No .: RMEE1901175)                             E-mail:shreyahospital837@gmail.com, Web .: www.shreyahospital.com
       we care your smile
                                                                  OPD PRESCRIPTION
       UHID No .: 106773 Department: Gym
                                                                                                                                          6540                 Date : 19. 4 2043
      Receipt No.                                                                               .............
                                                   HMS Piker
      Name of Patient :                                                                                                                     Age: Boy Sex: 8
                                                                Dr usho surfi
      Name of Consultant :                                                                                                                 PANEL Codk

       1. PRESENT COMPLAINTS :-                                                                          10. PROVISIONAL/DIFFERENTIAL DIAGNOSIS:

                                       Lang 12.1.2023

                                                                                                                                                 teksty HRU.
                                           EDD 19.10.2023                                                11. INVESTIGATION:


                                                                  DOG-14.4                                LPT- 3001 -60 ambi MCU                                             LFT
                                             Aspen
                                                                 WTN0B                                                         SGP1.54
       2. PAST HISTORY :-
           DM          HTN          COPD           SEIZURE ARTHRITIS THYROID                             12. TREATMENT ADVISED: (CAPITAL LETTER ONLY):
                                                   DISORDER
                                                          CON EDI)                                                   GOR- whos. - 136
                                                                     21.10. 2013
       3. G. P. OLGA, LMP.                                                 .... EDD.

                                                                                                           Acle 2th Udeliv. 300
       4. FAMILY HISTORY
                                                                                                                                                               Bio x 15 day


      5. DRUG ALLERGY & HISTORY :-


                                                                                                                Cap Escient-OSR For
      6. GENERAL EXAMINATION :-
                                                                                                                                                                                   ×5dar
         BP:       /04/74 PULSE:                                      SPO2

         TEMP .:                             R/R                                                                                                                       BBP


     7. NUTRITIONAL SCREENING:

        HEIGHT                        WEIGHT 67-600 OVER WEIGHT                                                    cap. All-9 in email.

        Pallor/Edema/Icterus/Lymphdnode/Koilonychia/Dermatitis
                                                                        9/4/2013
                                                                                                                    Renew alla Imad
    8. SYSTEMIC/ LOCAL SITE EXAMINATION :
                             N+ NB Secor

                                              12 me 1day
                                                                                                                                                                         Cesupli
                                                      NAO

                                   ZAD 21- 10 2023




   9. PAIN:



                                                                             9-10                           13. NEXT FOLLOW UP VISIT:
                                       3-4            5-6
               0         1-2                                        SEVERE
                        MILD             MODERATE

  PATIENT EDUCATION (patient Is Briefed On The Following)                              ( ) No
                                     ) Yes ....                                                                                                                      Consultant Sign. & Stamp
  Proposed Care Plan                                                                   ( ) No                   SMHIGEN FR/17
                                      ) Yes ......                                                              Rev.No.05, Dated 02/02/2023
F Expected Outcome                                                                     ( ) No

   Possible Complication ( ) Yes .......

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SHREYA HOSPITAL', 'clinic_pharmacy_address': '837, Shalimar Garden, Extn-I, Sahibabad, GZB.', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr Usha Surfi', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'HMS Piker'}, 'prescription_details': {'date_of_doctor_consultation': '19.04.2043'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat'}, 'medicine_details': [{'medicine_name': 'Pan 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': '3 Days', 'course_duration': '7 Days'}, {'medicine_name': 'Paracetamol', 'medicine_dosage': '1-0-1', 'medicine_frequency': '3 Days', 'course_duration': '7 Days'}, {'medicine_name': 'Zincovit', 'medicine_dosage': '1-0-1', 'medicine_frequency': '3 Days', 'course_duration': '7 Days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}