                                   PRESCRIPTION TEMPLATE




           Prescription No.                                   Prescription Date

           # IN                                               21/07/2023



          Patient Information


           Name                                                 Age

                                                                58
          SWATI KHEDEKAR

          Phone Number                                          Date of Birth


                                                                 Gender
           Email
                                                                 Female
          Address

          CHIRABAZAR

                                                                 Notable Health Condition
          Allergies

           B.P



          List of Prescribed Medications

                                                                                                Route
                                                           Dosage
                              Medication Name
                                                           1 tablets                          Day night
                              TELMASET BETA 5



                                                                     Physician Phone Number
          Physician Name
                                                                       8082432407
          DR

          PRATHMESH

          MULE


          Physician Signature




          21/07/2023




realme   Shot on realme 8 5G                                                                      2023 10 06 12:21

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'NA', 'clinic_pharmacy_address': 'NA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'DR PRATHMESH MULE', 'doctor_qualifications': 'NA', 'doctor_registration_number': '8082432407'}, 'patient_details': {'patient_name': 'SWATI KHEDEKAR'}, 'prescription_details': {'date_of_doctor_consultation': '21/07/2023'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'TELMASET BETA 5', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'Day night', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}