                                                                          ······ ········ · ···· ·····


                                    ······ ········, ········ ········ ···, ········, ······, ··· : 7517724111, 9067724111

                                     ··. ···· ······
                                                                                                                                                                                                       ··. ···· ·. ······
                                                  ··.··. (···.) ······
                                                                                                                                                                                                      M.B.B.S. (G.M.C. Ytl.)
                                   ········ · ····· ····
                                                                                                                                                                                                       Reg. No. - 2021/03/1464
                              Reg. No. 1 - 26291-A-1
         Email : dr.alokmgupta70@gmail.com                                                                                                                                                             Email : amolgupta1121@gmail.com

                                                                                                                                                                                                                            (······ ···)
                       ··· : ·. 9 ·· ··. 1, ····. 6 ·· 8



           ······ ········                                               R
                                                                                                                                                                                                                               ······ :.... 2675.123
    ········, ····· ····

·········· ···· ········                                             ·········

····· ·········· ········
                                                                     31512317
                                                                                                                                                                      Vepon 5000                                                                          (18
      ·· ···· ········                                                                                                            1)              Tab.


         ······ ········                                          Adv.
                                                                                                                                                                                                            1        -1 2 ··· ·········
        ·········· ········                                   - Hb%                                                                                                 Romutas
                                                             - P. S.                                                               2)             Tab.                                                                                                    (28)
        ··· ······
                                                              - TLC/DLC
       ········ ·····                                          · Widal                                                                                 1                1 2 ··· ············ (····· ···) ············

                                                              - ESR
    ·············
                                                                                            E                                      3)             Tab.
                                                                 Sickling <,
          ······ ········

                                                                                                                                                                                                            1_1 2 ··· ····· ····
           ······                                             - B. gp.

                                                               - BT
··· ····· ·········                                                                                                                               ····· 1 ···· ···· ······· ····· 2 ··· ·········· ·····
                                                                                                                           ×4)
                                                              I- CT
  · ······· ········
                                                                                       R                                          5) Oint Aas
                                                                -BSL -F
           ····
                                                                                         PM
            ····· ···                                                                                                                                                                                                                      2 ··· ······
                                                                   Urine Routine
             ···
                                                                  B. Urea                                                                                  Mom
             ······                                                                                                              6)             Liq.
                                                                  Sr. Creatinine
              ·····
                                                                - Sr. Bilirubin                                                                                                                     2 ···· ······ ···· ·········· ······
              ····
                                                                 - S.G.P.T.
              ··········                                          S.G.O.T.
             ········
                                                                 - Aus. Antigen
              ··········                                          Tridot test

             ···· · ····· ·····                                  - Stool exam
                                                                - Lipid Profile
    · ······ ·····
                                                                - T3, T4, TSH

                                                                - R.A.
                                                              - A.S.O.

                                                                 X-Ray

                                                               - U.S.G.

                                                                Sigmoidoscopy
                                                               Fistulography

                                                           * ······ ·········· ········· ······ ·········· ······. * ··· ······· ·· ···· ···· ·····.

                                                           · ··· ···, ········ · ············· ·········· ····· ········

                               Ap                                X

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'गुप्ता हॉस्पीटल व लेझर सेंटर', 'clinic_pharmacy_address': 'गुप्ता बिल्डींग, कुळकर्णी हॉस्पिटल जवळ, टिळकवाडी, यवतमाळ, फोन : 7517724111, 9067724111', 'clinic_pharmacy_city': 'यवतमाळ', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'डॉ. आलोक गुप्ता', 'doctor_qualifications': 'एम.डी. (आयु.) जामनगर, मुळव्याध व भगंदर तज्ञ', 'doctor_registration_number': 'Reg. No. 1 - 26291-A-1'}, 'patient_details': {'patient_name': 'NA'}, 'prescription_details': {'date_of_doctor_consultation': 'दिनांक :.... 2675.123'}, 'procedure': {'chief_complaints_diagnosis': 'मुळव्याध, भगंदर साठी'}, 'medicine_details': [{'medicine_name': 'Tab. Vepon 5000', 'medicine_dosage': '1', 'medicine_frequency': '2 वेळ जेवनानंतर', 'course_duration': '(18'}, {'medicine_name': 'Romutas', 'medicine_dosage': '1-1', 'medicine_frequency': '2 वेळ उपाशी पोटी', 'course_duration': '(28)'}, {'medicine_name': 'Liq. Mom', 'medicine_dosage': '2 चमचे रात्री कोमट पाण्यासोबत', 'medicine_frequency': 'घ्यावे', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'Widal, TLC/DLC, ESR, Sickling, BT, I-CT, पंचकर्म चिकित्सा, R, BSL-F, PM, Urine Routine, B. Urea, Sr. Creatinine, Sr. Bilirubin, S.G.P.T., S.G.O.T., Aus. Antigen, Tridot test, Stool exam, Lipid Profile, T3, T4, TSH, R.A., A.S.O., X-Ray, U.S.G., Sigmoidoscopy, Fistulography', 'procedure_request': '* औषधाचे दुष्परिणाम जाणवल्यास त्वरीत डॉक्टरांना भेटावे. * परत येतांना हा कागद सोबत आणावा.'}}