                                                                                                           13/09/2025


                                                                                                   A

             TIP) KASTURBA HOSPITAL                               --                                                                                 Pa
                                                                                                       Clinical details
                             REQUEST FOR X-RAY, FLUROSCOPY & MAMMOGRAPHY EXAMINATION
                                                    Signatur
                                                               Doctor


12664                                                                                                                     Side/Views/Comments
 N A                                                                                Orthopaedics
                                                                         Vivek Pandey
                                                                       Body Parts
              Service Code
                                                                              16 AUG 2023
             X RAY Chest                       Ochest
             (XRL001-71)
                                                                   MS ortho; Head of Unit IV
    X RAY Abdomen                              Abdon's            KMC Rey-55139: KMC, Manipal
       (XRL001-72}
                                                  Pelvis
      X RAY Pelvis                                Pelvis & Both Hips
      (XRL001-73)
                                                  Pelvis & Upper 1/3rd of Femur

                                                 Skull
                                               J PNS
                                               | Mastoids
                                                 Orbit
                                                Nasal Bones
WY Head and Neck
                                                Pituitary Fossa
(XRL001-74)
                                                Mandible
                                                TMJ
                                               Neck
                                              Larynx
                                              Sternum
                                             Sterno Clavicular Joints

                                         Acromio Clavicular Joints

                                             Shoulder

                                         Scapula

                                         Clavicle

                                        Humerus

RAY                                    Forearm
xtremities
                                     Elbow
01-75)                                                                                                                                          Le
                                      Hand

                                     Wrist

                                     Scaphoid

                                    Thumb

                                   Fingers

                                   Bone Age

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'KASTURBA HOSPITAL', 'clinic_pharmacy_address': 'N/A', 'clinic_pharmacy_city': 'N/A', 'clinic_pharmacy_pincode': 'N/A'}, 'doctor_details': {'doctor_name': 'Vivek Pandey', 'doctor_qualifications': 'MS ortho; Head of Unit IV', 'doctor_registration_number': 'N/A'}, 'patient_details': {'patient_name': 'N/A'}, 'prescription_details': {'date_of_doctor_consultation': '13/09/2025'}, 'procedure': {'chief_complaints_diagnosis': 'REQUEST FOR X-RAY, FLUOROSCOPY, & MAMMOGRAPHY EXAMINATION'}, 'medicine_details': [], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}