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

                                                         Shree Aggarsain International Hospital

                                                         Managed by : Shree Aggarsain North &. Welfare Society (Regd.)

                                                                                        OPD PRESCRIPTION


                        UND NE                                     Room No/Queue No : 1134 / 14                        General & Physical Examination
                                                  230401668
                       Pial. Namne               IVISS. SOUMYA                                                         Weight :
                       Ana Sender                Iti YRS/Female
                      PRIDE NO                .. 1811360334
                                                 .. ..                                                                 P.R. :
                      Ist ) Date/Time            17-Apr-23 / 10:05 AM
                      Unt                       OPHTHALMOLOGY II                                                       B.P. :
                                             .. Dr.Neha Midha
                                                                                                                       Temp.
                  Day Time                     MON, FRI 9-11AM(Reg.8:30-10:30AM)
                  Pu. Typ:/Panel              SELF / SELF                                                              R.R. :
                  Raseipt NO/Amt           : FIAT/23-24/007248 / 150.00
                                                                                                                       Spo2 :


                  Allergies (if any) :                                         Chief Complaints with History :             Soustime - Podemos


                                                                                                                                                     - eyestain

              Past Medical / Surgical History :                              Systemic Examination :
                                                                                                                                                  -makem after
                                                                                                                                  11.00
                                                                                                                                                                       Studying
                                                                                                              72.5
             Nutritional Needs :                                            Diagnosis :
                                                                                                                                             +2.00


                                                               6 Treatment Advice DiLAR Ein                                1.0 ×100
        Investigation :

                  E curgs( G)
                                              00
                                                                                                     Pul Sat 9 .- AM




                                                                                                                                                         -> Indirect
Prescribe

                      PMT


       24/4/23
                                                   6.6
       -0.50 X180'

       -0. 5-X180 6/6
Pain Score                                                  -6
                  3     N                                                                                     1/day × 30days

                                      DS

              2



             1 3 - Severe Pain
                      2 - Moderate Pain
                      1 - Mild Pain
                                                                   Follow up ............                                                   Name, Signature & Stamp of the Consultar
            0 0 - No Pain

 9 P.S.P ., Sector-22, Rohini, Delhi-110086
                                                                                            · 011-66636600, 011-45911911
                                                                                                                                                @ info@saih.in                       www.saih.in

                                                                                                                                                                            SAJH036/OPD/Ver 1.1/Mar 2

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Shree Aggarsain International Hospital', 'clinic_pharmacy_address': '9 P.S.P ., Sector-22, Rohini, Delhi-110086', 'clinic_pharmacy_city': 'Delhi', 'clinic_pharmacy_pincode': '110086'}, 'doctor_details': {'doctor_name': 'Dr. Neha Midha', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Iviss Soumya'}, 'prescription_details': {'date_of_doctor_consultation': '17-Apr-23'}, 'procedure': {'chief_complaints_diagnosis': 'Sore Throat'}, 'medicine_details': [{'medicine_name': 'Paracetamol', 'medicine_dosage': 'One tablet', 'medicine_frequency': 'Daily', 'course_duration': '30 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}