··. ···· ······

M.B.B.S ., M.S. (ENT), D.N.B. (ENT)                                                                                               CBCC/0123/LH/220-V1
FHNS (Tata Memorial Hospital, Mumbai)                                                                                 Hosp. Reg. No. : NH/2443/FEB-2021
······· ···, ···, ··· ··· ··· ····· ··· ······                                                      SRJ-CBCC Cancer Hospital
(···· ········ ········, ······)
#1415 : 97024 49708, 95890 13927
4-HM : ameyabihani87@gmail.com
···. ···. : MP-21566


Patient's Name
                                                                                                                             Age / Sex :

                                                                                                                       4.3            N
                                                                                                              Date :                       Time




          BhagwanTi molde.




              laryngoscopy (90º)




                        minor OT




                                                                                                 1.Product


                                                                                                                 16 mg HM


                                                                                            -7. Avil 25
                                                              5dys



                                                                                                -7 PanDro




                                    .. Days
Follow Up After

                                                 A Unit of Amrish Oncology Services Pvt. Ltd.

                                       142, Phadnis Colony, A.B. Road, Near L.I.G. Square, Indore - 452 008

                      For OPD Appointments & Blood Sample Collection please contact - Q (0731) 4771700, 4771777 (10.00 AM - 6.00 PM)

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'A Unit of Amrish Oncology Services Pvt. Ltd.', 'clinic_pharmacy_address': '142, Phadnis Colony, A.B. Road, Near L.I.G. Square, Indore - 452 008', 'clinic_pharmacy_city': 'Indore', 'clinic_pharmacy_pincode': '452008'}, 'doctor_details': {'doctor_name': 'Dr. Ameya Bihani', 'doctor_qualifications': 'M.B.B.S., M.S.(ENT), D.N.B.(ENT), FHNS (Tata Memorial Hospital, Mumbai)', 'doctor_registration_number': 'CBCC/0123/LH/220-V1'}, 'patient_details': {'patient_name': 'Bhagwanti Molde', 'age': '43', 'sex': 'Female'}, 'prescription_details': {'date_of_doctor_consultation': '4th March 2023'}, 'procedure': {'chief_complaints_diagnosis': 'Laryngoscopy (90º) and minor OT'}, 'medicine_details': [{'medicine_name': 'Avil 25', 'medicine_dosage': '1 tablet', 'medicine_frequency': '1-0-1', 'course_duration': '5 days'}, {'medicine_name': 'PanDro', 'medicine_dosage': '1 tablet', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'Follow Up after .. Days', 'procedure_request': 'A Unit of Amrish Oncology Services Pvt. Ltd.'}}