                 ST. STEPHEN'S HOSPITAL, TIS HAZARI, DELHI - 54

                                       OUTPATIENT MEDICINE PRESCRIPTION


      Date 3/10/23.



       Name .............
                                                                                        ... Age
                                                       P283904 M/64 Y                                                     AAAAS0246
      Hospital No.


      Diagnosis/Clinical Presenti
                                                       RAKESH KUMAR BHATNA



                    Extra Sair 6-5 fuldy



                       Medicine and Direction                           No. of
                                                                                             Qty.   Service Charge
                                                                        Days

                1. Eptus 25mp                                                                                              539745

                                                                                                                            Time : 11:17
                1. Carca 3.12str


                 7. Daparavi 10kg                                                                                           IR TAWAKLEY
                                                                              -
                                                                                                                            EDIT CARD

                                                                                                                           000/-




                                                                             bym food

                   7. Digoxin 0.52 1/2 hab allt. das
                                                                                                                     30


                   1. Laulatowe 25 1-2-1/2
                                                                                                                             D 'VAT'


                   9. Tolvat 15mg


                  C. Nefaut Ihr7



                1. Verpavo Syp 1-for




                                                          × 7 days
     Doctor's
     Signature in full




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                                                                                                          Form No. 440

{'clinic_pharmacy_details': {'clinic_pharmacy_name': "ST. STEPHEN'S HOSPITAL", 'clinic_pharmacy_address': 'TIS HAZARI, DELHI - 54', 'clinic_pharmacy_city': 'Delhi', 'clinic_pharmacy_pincode': '54'}, 'doctor_details': {'doctor_name': 'IR TAWAKLEY', 'doctor_qualifications': 'MD', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'RAKESH KUMAR BHATNA', 'patient_age': '64', 'patient_gender': 'Male'}, 'prescription_details': {'date_of_doctor_consultation': '3/10/23'}, 'procedure': {'chief_complaints_diagnosis': 'Extra Sair 6-5 fuldy'}, 'medicine_details': [{'medicine_name': 'Eptus 25mg', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Daily', 'course_duration': '7 days'}, {'medicine_name': 'Carca 3.12mg', 'medicine_dosage': '0-1-0', 'medicine_frequency': 'Daily', 'course_duration': '7 days'}, {'medicine_name': 'Daparavi 10mg', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Daily', 'course_duration': '7 days'}, {'medicine_name': 'Digoxin 0.52mg', 'medicine_dosage': '0-1-0', 'medicine_frequency': 'Daily', 'course_duration': '30 days'}, {'medicine_name': 'Laulatowe 25mg', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Half tablet in the morning', 'course_duration': '7 days'}, {'medicine_name': 'Tolvat 15mg', 'medicine_dosage': '0-1-0', 'medicine_frequency': 'Daily', 'course_duration': '7 days'}, {'medicine_name': 'Verpavo Syp', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Daily', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}