                      I tanvi
                                                                                                                               MO OM (Gastro

           Gastro & Liver Clinic



                                                              OUT PATIENT ASSESSMENT RECORD

                 Puten               SARDHAN VALI                                                                                 730228523
                                     ADHONI                                      Mobbin No    7342700164            Rag Dans      28-Feb-20
                 Consultation No          OP230226540                                         Consultation Date :      28-Feb-2023 2:23:14 PM
           -     R
                 History & Clinical Features




                                                                                                             -

                                                             são mladiteria




               For Appointment Contact : PH : 08518-227667, MOBILE :9618555702

               UMRZ30228023                                                                                                                OP230228040


&22082050000 201000.00/000063060)26:08518-227667. 9618555702

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Gastro & Liver Clinic', 'clinic_pharmacy_address': 'NA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'NA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Puten SARDHAN VALI'}, 'prescription_details': {'date_of_doctor_consultation': '28-Feb-2023 2:23:14 PM'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}