                                                                                                                                 Dr. APARNA BANSORE
                                                                                                                                               M.S ., D.N.B ., M.B.A.
                                                                 Total Eye Care
                                                                                                                                          Registration No .: 73052
                     SHREE EYE HOSPITAL                                                                                        CONSULTANT EYE SURGEON
                                                                                                                                     Cataract, Lasik Specialist
                                   SUPER SPECIALITY EYE HOSPITAL

                                                                                                                                      Date: 23/08/2023
                                                         Jain
                              Paras
           Name:                                                                                                         9819815706
                                                           UHID No .: 2023/08/1504 Ref. by:
           Age: 36 y» Sex: MF

                 R

            - T Ioflame- p -10)


                      9 -09 + 5 days

            - optimoist Ds Eyc Dions


                                                        0 × 4days


           - Lotevail Eye Avons

                                                   50 × 4 days

           ORT Flum 28/8/2023


           LJ 0-50 1800




                                                                                          An


                                                                                  Total Eye Care




                                                                        SPECTACLE PRESCRIPTION
                LAB TESTS ADVISED                                                                                                                     LEFT EYE
                                                                                                       RIGHT EYE
                CBC
                                                                                                                                                      CYL         AXIS   V/A
                    Blood Sugar: F [ PP                                                                           AXIS       V/A         SPH
                                                                                               SPH     CYL
                 ] Hb1Ac
                 HIV 1 & #1
                                                                            Distance
                D HCV D HBsAg
                      ECG
                Physician's Fitness Certificate                                Add

                OPHTHALMIC TESTS ADVISED
                Contact Biometry                                           Intermediate

                     -3862-
                                             M/F                          For Constant Use / For Distance Use / For Near Use
NAME                                                                      Bifocal Kryptok or Executive / D Bifocal / Photochromatic / Separate Pair
                               23:30
  SEP/23/2023
VD=12. 00mm                                                                                                                                                 Next Visit
            S                  C        A
KR>                                     3)            graphy
   <+ 0. 25 - 1. 25                                   metry)                                                                                     DD / MM / YYYY
 PS 5. 0                                A
           S                   C                                           DR. APARNA BANSORE
<L>
     <- 0. 75         - 1.00 167>
  PS 4.7                                               4, National C.H.S. Sector-3, Behind Alroli Bus Depot, Airoli, Navi Mumbai-400708.
PD 63                                                        Tel. : 2779 6345 Time : 10.00 a.m. to 1 p.m. & 5.00 p.m to 9.00 p.m.
 SHREE EYE HOSPITAL                                   re@yahoo.com | Web : www.shreeeyehospital.com | Mob. : 9820304845 / 9820304847
      AIROLI

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SHREE EYE HOSPITAL', 'clinic_pharmacy_address': '4, National C.H.S. Sector-3, Behind Alroli Bus Depot, Airoli, Navi Mumbai-400708.', 'clinic_pharmacy_city': 'AIROLI', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. APARNA BANSORE', 'doctor_qualifications': 'M.S., D.N.B., M.B.A.', 'doctor_registration_number': 'Registration No .: 73052'}, 'patient_details': {'patient_name': 'Paras Jain'}, 'prescription_details': {'date_of_doctor_consultation': '23/08/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Cataract, Lasik Specialist'}, 'medicine_details': [{'medicine_name': 'T Ioflame-p-10', 'medicine_dosage': '2 tablets', 'medicine_frequency': 'daily', 'course_duration': '5 days'}, {'medicine_name': 'Optimoist DS Eye Drops', 'medicine_dosage': '1 drop', 'medicine_frequency': '4 times a day', 'course_duration': '4 days'}, {'medicine_name': 'Lotevail Eye Drops', 'medicine_dosage': '1 drop', 'medicine_frequency': '4 times a day', 'course_duration': '4 days'}], 'lab_test_details': {'lab_test_names': "CBC, Blood Sugar: F [PP, Hb1Ac, HIV 1&2, HCV, HBsAg, ECG, Physician's Fitness Certificate, Contact Biometry", 'procedure_request': 'NA'}}