                                                                                                                                       Format No. : MHRC/OPD/F2
                            FIRST PRIVATE RENAL TRANSPLANT CENTRE OF RAJASTHAN (SINCE 1986)                                            Rev. No. : 03
                     Monilek Hospital



                     & RESEARCH CENTRE
                     (A Wing Of Smt, Mohinideyi Lekhra] Ochrani Charitable Trust)
                                                                                PRESCRIPTION SHEET
Allergy                                                                                      4ySuKT58477 Date 6/3/22
No Unknown
                                    Patient Name Roby Banakshare Sex: MHRC No.
       Yes If Yes
                                                                           4 Rece. RTZ
Details :                           CHIEF COMPLAINT
                                                                                                                                                  12:45PM

                                                                                Voral wi take.
VITALS :

Pulse                        /Min   BRIEF HISTORY :

 B.P                      mm/hg
                                                                                                                                                   13kg.
 RR                          /min
                                    DIAGNOSIS :
 Ht:                                                                               Vitale Stable
 Wt:                           Kg

 Temp
                                     TREATMENT ADVISED :                           Nasal curtis +.
  SpO                          %

                                                                      Imp. conducted throat
 EXAMINATION




                                           1. Syr 2 ys cold
                                                                                                                             4- 4 ml



                                                                                                                                                           xlode




                                         2. Tab Lanzol Dr 10D

                                                                                                                       (monty)


                                                                               xirde .
   Pain Assessment :


          .

                                         3. Tab Dem DT 5mg 1+ +
                                                                                                                                                             × 3ds



                                       FOLLOW UP :
                                               levende                                                                                                       Dr. Signature


                                                    Muna Khilzani                                              Reg. No.                               Time
          1                                                                                                               12011

        Pain Score
                                            OD (··· ··· ·· ···) -10am, BD (··· ··· ·· ···) - 10am-10pm, TDS (··· ··· ··· ···)24
                                                                                                                              - 10am-3pm-10pm
                                                                                                                                 Hours Services : Blood Bank and Lab, X-Ray. Drug Store
       Location
                                            QID (··· ··· ··· ···) - 12am-6am-12pm-6pm, SOS (········ ······)
       Duration
                                     SECTOR-4, JAWAHAR NAGAR, JAIPUR - 302 004 · Mob. : 09001994820-22
                                                      Ph. : (0141) 2651393/2653019/2653023
                                       Website : www.monilekhospital.com . E-mail : monilek.jpr@gmail.com

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Monilek Hospital', 'clinic_pharmacy_address': 'SECTOR-4, JAWAHAR NAGAR, JAIPUR - 302 004', 'clinic_pharmacy_city': 'Jaipur', 'clinic_pharmacy_pincode': '302004'}, 'doctor_details': {'doctor_name': "Dr. [Doctor's Name]", 'doctor_qualifications': "[Doctor's Qualifications]", 'doctor_registration_number': "[Doctor's Registration Number]"}, 'patient_details': {'patient_name': 'Muna Khilzani'}, 'prescription_details': {'date_of_doctor_consultation': '6/3/22'}, 'procedure': {'chief_complaints_diagnosis': 'CHIEF COMPLAINT: Allergy'}, 'medicine_details': [{'medicine_name': 'Syrup for cold', 'medicine_dosage': '4-4 ml', 'medicine_frequency': 'TDS (three times a day)', 'course_duration': '10 days'}, {'medicine_name': 'Tab Lanzol Dr 10D', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'BD (twice a day)', 'course_duration': '10 days'}, {'medicine_name': 'Tab Dem DT 5mg', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'TDS (three times a day)', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}