                                                                                                                          20




 Dr. K.B. Tiwari
                                                                                                                                                   Df: 08100 21 212
                                                                                                                                                           93109 21 212
M.B.B.S .: D. Ortho (L.N.M.U.)
D.N.B. (I) M.Ch. (Ortho)
                                                                                                                                  11-mail : kk-ortho@gmail.com
Consultant Ortho ., Surgeon
Reg. No. 21046/DMC

Life Member :                                                  NOT FOR MEDICOLEGAL USE
 Dethi Medical Association
  Indian Orthopaedic Association
- Ankle and Foot Society of India                                                                                               DM
    Indian Red Cross                                                                                                            Thyroid                            01-05-2
                         MR. TAHIR                                                                                              DATE                                         .......
 Name
                                                                                                                               ......... Age/sex ............ (=

                   Fra Hyperuricemia/ Hypothyroid / Pin (PP)


                      gluteal area/ and RP) G.T. area for smart



             - Bre shoulder pain f

                          Aty                                                                                                               weekly


               SUN 1. OD FOL ITRAX - 1.CUP
                                                                                                                                               woolly

                   MON b) FOLVITE - swg


                      TUE as Upsetsbok Weekly
                                                                                                                                      Hpand daily
                        2. assemitrol Nasal Spray


                                         by Fx0 80/or/ feburic 80 LOD


                                                           ELTROXIN -50Mg 2111st tz

                                          2) elvelcal
                                                                                         --   CT
                                                                                               DE
                                                                                                                                                                    Keep
                          Consultant :                                  no
           Swasthya Sewa Sadan                                                                      Sharma Nursing Home
                       (Opp. Prime Honda)
                   (Near Mother Dairy Plant)                                                               ( Near Metro Pillar No/40 )
                    Pandav Nagar, Delhi-92                                                            Besides ICICI BANK, Vikas Mary
                                                                                                                Shakarpur, Delhi- 92
                                                                                                        Timings: 22:00 Noon to 2:00 g.an

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Swasthya Sewa Sadan', 'clinic_pharmacy_address': 'Sharma Nursing Home, (Opp. Prime Honda), (Near Mother Dairy Plant), Pandav Nagar, Delhi-92, Besides ICICI BANK, Vikas Marg, Shakarpur, Delhi-92', 'clinic_pharmacy_city': 'Delhi', 'clinic_pharmacy_pincode': '92'}, 'doctor_details': {'doctor_name': 'Dr. K.B. Tiwari', 'doctor_qualifications': 'M.B.B.S .: D. Ortho (L.N.M.U.), D.N.B. (I) M.Ch. (Ortho)', 'doctor_registration_number': 'Reg. No. 21046/DMC'}, 'patient_details': {'patient_name': 'MR. TAHIR'}, 'prescription_details': {'date_of_doctor_consultation': 'DATE'}, 'procedure': {'chief_complaints_diagnosis': 'Shoulder pain'}, 'medicine_details': [{'medicine_name': 'FOL ITRAX', 'medicine_dosage': '1 cup', 'medicine_frequency': 'OD', 'course_duration': '1 week'}, {'medicine_name': 'FOLVITE', 'medicine_dosage': '1 swg', 'medicine_frequency': 'OD', 'course_duration': '1 week'}, {'medicine_name': 'Nasal Spray', 'medicine_dosage': '2 puffs', 'medicine_frequency': 'BD', 'course_duration': 'daily'}, {'medicine_name': 'ELTROXIN', 'medicine_dosage': '50Mg', 'medicine_frequency': 'OD', 'course_duration': '1st tz'}, {'medicine_name': 'feburic 80', 'medicine_dosage': '2 LOD', 'medicine_frequency': 'BD', 'course_duration': 'not specified'}, {'medicine_name': 'elvelcal', 'medicine_dosage': '2 CT', 'medicine_frequency': 'Daily', 'course_duration': 'not specified'}], 'lab_test_details': {'lab_test_names': 'Hyperuricemia/ Hypothyroid / Pin (PP)', 'procedure_request': 'gluteal area/ and RP) G.T. area for smart'}}