                                                                        DURGA
                                            MATERNITY & SURGICAL NURSING HOME



          C. S. T. Road, Next to Sundar Nagar, Kalina, Santacruz (E), Mumbai-400 098. Tel. : 26670898 / 26672930
                                                                          Reg. No. 761414451

                           3119

          No.
                                                                         O.P.D. CASE PAPER

         Name: mr. Harsha vachkal

        Date : 04/09/2013 .
                                                                                                                                         Age : 30yr/Female
        C. Complaint
                                                                             Time :
                                                                                                 11:05 AM                         S/ B Dr .:                 pamer.

                                                                                        Abd, pin

                                                                                      waiting Zepinch                                         . many




     Pulse                                                                                    G. E.                                                         l.m.p.20/8/25.
                                        :                       7851.
                                                                                                  BP: 110/70
    R. R
                                        :
                                                                                                      Temp : efetil

    RS.
                                    :
                                                                                                                           Treatment Advised
   CVS
                                  :                                                               1) B. Rebelich- DSR


  P/A                                                                                                                                                 1-0
                                :                                                                 2)


                                                                                                            B. Cyclopen                                                        ×3ds
  CNS                                 ..                                                          3)                                                  1-11



 Clinical                   :                                                                     4)


                                                                                                  5) B. ander- moto X Sos S/C.
 Treatment Given :

             inj- Event (1) 8ml                                                                  6)


                                                                                                 7)
Investigation Advised :

                                                                                                 8)




CONSENT : My current disease problem has been explained to me and I hereby give consent

o receive whatever necessary treatment given to me by the attending doctor, including


ninor procedure like suturing, abscess drainage etc. that may be required.
                                                                                                                                                                       300/-
                                                                                      Time:                                 Dr. Charges :


                                                                                                                      Procedure / ECG:
ollow up to the Dr .:                                                                                                                                                 30/-

                                                                                                                                            Total :

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'NA', 'clinic_pharmacy_address': 'NA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'NA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'NA'}, 'prescription_details': {'date_of_doctor_consultation': 'NA'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}