                                                 SAKET HOSPITAL                                                                                                          Document Nio SH/D/01
                                                                                                                                                                         Issue Date    Of Sept 2020
                                                                                                                                                                          Revision No  01
                                                (A Unit of Saket Medicare & Research Centre Pvt. Ltd.)

                                                Sector 10, Meera Marg, Agarwal Farm, Mansarovar, JAIPUR - 302 020                                                                               04/10/23
                                                 Tel. : 2785075 · Fax : 2786140 · Email : sakethospitaljaipur@gmail.com
                                                                                                                                                                                                Date                   -
                                                 CIN No. U85110RJ2000PTC016168
                                                                                                                                                                               Examination :
                                                                           Patient Name : Jinek Jan
  Dr. Priyanka Singh
                                                                                                                                              439556
                                                                                                                                                                                 BP :
   MS ENT (GOLD MEDALIST                                                   Age/Sex: MOM MR NO
                   SMS JAIPUR)                                                                                                                                                   Pulse
             ··. ········ ····
                                                                            Chief Complaint / History :                                                                           Temp. :
                           ···· (········ )

                     (··.··.··, ·····)
                                                                                                                                                                                 Height : .
                                                                             Kla10 /2DM. C/v Rt eau pair weight :
                                   DNB - MNAMS                                                                            I dischange.
                  ······- ··.··.·.··.··                                                                                                                                         Nutritional Screening :

                                          Consultant -                                                                                                                                                        ......
                                                                     ENT                                                    Rtean cson.
                                  Reg. No. - 14297

                                               ··········-
                                                             ·····
                                              ···. - 14297
                                                                                                   Keep can day

 · EAR ( ··· )

      · Tympanoplasty
                                                                                               T. MOX-CV. 6287.
          (··············· )

         Mastoid Surgery
                                                                                                                                              x.Ad Ream
          ( ········· ······ )
                                                                                                                                                                 TM multiple
      · Tympanotomy

          (··········· )


· NOSE ( ··· )
                                                                                                      Cap Dawlac IBD Renforations
                                                                                 2)
      · Septoplasty Endoscopic
           Sinus Surgery
            (············ ···········
                                                                                                              Neosporin H eld 2-2-2)
             ····· ······ )
              Endoscopic DCR
                                                                                   3
                 (··········· ······ )

           · Adenotonsillectomy
                (··················· )                                                                                  Montain Fx Has ns.
                                                                                                              T                                                                                         7d.

      · NECK ( ····· )


             · Thyroid surgery
                      (······· ······ )

             · Sinus & Fistula Neck
                      (····· ···· ········ ··· )
                                                                                       Follow up

             · Salivary Glands Surgery
                     (······ ········ ······ )

             · Head & Neck                                                                                                                    PAIN SCALE
                                                                                                                                                             6
                 Cancer Surgery
                                                             10:04 12:09
  By rahul prof$ 2023.10.04                                                                                                                                               Intense        Excruciating
                                                                                                                                       Discomforting      Distressing
                                                                                                           No Pain    Mild Pain

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SAKET HOSPITAL', 'clinic_pharmacy_address': 'Sector 10, Meera Marg, Agarwal Farm, Mansarovar, JAIPUR - 302 020', 'clinic_pharmacy_city': 'JAIPUR', 'clinic_pharmacy_pincode': '302020'}, 'doctor_details': {'doctor_name': 'Dr. Priyanka Singh', 'doctor_qualifications': 'MS ENT (GOLD MEDALIST) | DNB - MNAMS', 'doctor_registration_number': 'Reg. No. - 14297'}, 'patient_details': {'patient_name': 'Jinek Jan'}, 'prescription_details': {'date_of_doctor_consultation': '04/10/23'}, 'procedure': {'chief_complaints_diagnosis': 'EAR (कान) - Tympanoplasty, Mastoid Surgery, Tympanotomy | NOSE (नाक) - Septoplasty Endoscopic Sinus Surgery, Endoscopic DCR | NECK (गर्दन) - Thyroid surgery, Sinus & Fistula Neck, Salivary Glands Surgery, Head & Neck Cancer Surgery'}, 'medicine_details': [{'medicine_name': 'T. MOX-CV. 6287', 'medicine_dosage': '1-0-1 (Morning and Night)', 'medicine_frequency': '3 times a day', 'course_duration': '5 days'}, {'medicine_name': 'Cap Dawlac IBD Renforations', 'medicine_dosage': '2-2-2 (Before Breakfast, Before Lunch, Before Dinner)', 'medicine_frequency': '3 times a day', 'course_duration': '7 days'}, {'medicine_name': 'Neosporin H', 'medicine_dosage': '2-2-2 (Before Breakfast, Before Lunch, Before Dinner)', 'medicine_frequency': '3 times a day', 'course_duration': '3 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}