                                                                                                 R.e

                                    INSTITUTE OF MEDICAL SCIENCES & SUM HOSPITAL
                                                                                                                                                               of 1
                                                                            (Faculty of Medical Sciences)
                                                                       SIKSHA 'O' ANUSANDHAN
                                                                           (DEEMED TO BE UNIVERSITY)
                                         Kalinga Nagar, Ghatikia, Bhubaneswar-751003, Ph : 0674 - 2386281, 2386292. 6606200




        OPD APPOINTMENT SLIP
                                                                          PMRN: SUM.202308140919


        Patient Name                                                                                                                                      202308140919
                                   Mr. ANIL KUMAR KHILAR
        Age/Sex                    30 Yrs 0 Mon 0 Day / Male                                                 Reg Date                14-Aug-2023 11:35 AM
       Department                  UROLOGY                                                                   Visit Date             14-Aug-2023 11:36 AM
       Patient Type                                                                                          Visit No.
                                   GENERAL / SELF                                                                                   1
                                                                                                             Contact No.            7595919976
      Doctor Name
                                                                                                             Address               Kendrapara ,Odisha ,India
      Print Date/Time:                 14-08-202: 11:36:04

      Diagnosis




                                                                                                   PrJ                                                       -

    Complaints
                                                                                                                                            obstre HON




  Findings




                                    NeCT KUB

Investigation
                                            CBC


                                                   RRS

                                                       - QFT                    screening


                                                                                                       Pin                 MiniPCNe tizA
Treatment/Advice                                                                                                                                      Tos-SP-
                                                         - viry
                                                                                                                                      DR. DEBABRATA KUMAR SABAT
                                                                                                                                                   Professor
                                                                                                                                           Department of Urology
                                                                                                                                             Regd. No-14906
                                                                                                                                      IMS & SUM Hospital, BBSR
                                                                   - FACILITIES AVAILABLE
      . 24 Hrs service in Casualty & Emergency . All departmental Service including General Surgery . Neurosurgery «taperoscopic Burger w Peedininie Bumpery
        .Plastic Surgery «Nephrology .Obstetrics & Gynaecology .Cosmetic Surgery .Laser Therapy(Skin).Orthopaedic & Ta Signature of Doctor
         · Eye & ENT . Comea replacement . ICU . NICU . Infertility Clinic . Haematology . TB & Chest . General Medicine . Endocrinology & Diabetes . Pediatrics
      . Skin & VD . Cardiology .M.TB Culture . DOTS Therapy for TB (Free) . Endoscopy . Bronchoscopy . ECHO . USG . X ray . Digital Xray . CT Scan
       · MRI Scan . Eye Bank . Blood Bank . Pathology . Microbiology & Biochemistry Lab . Pharmacy Physiotherapy . Modular OT #24 hr. Ambulance Service
      · Psychiatry . Pain Clinic · Dialysis .CTVS .Gastro Surgery

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'INSTITUTE OF MEDICAL SCIENCES & SUM HOSPITAL', 'clinic_pharmacy_address': 'Kalinga Nagar, Ghatikia, Bhubaneswar-751003, Ph : 0674 - 2386281, 2386292. 6606200', 'clinic_pharmacy_city': 'Bhubaneswar', 'clinic_pharmacy_pincode': '751003'}, 'doctor_details': {'doctor_name': 'DR. DEBABRATA KUMAR SABAT', 'doctor_qualifications': 'Professor', 'doctor_registration_number': 'Regd. No-14906'}, 'patient_details': {'patient_name': 'Mr. ANIL KUMAR KHILAR'}, 'prescription_details': {'date_of_doctor_consultation': '14-Aug-2023 11:36 AM'}, 'procedure': {'chief_complaints_diagnosis': 'obstre HON'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning, Afternoon, Night', 'course_duration': 'NA'}, {'medicine_name': 'Alcohol swab', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning, Afternoon, Night', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'NeCT KUB, CBC, RRS, QFT screening, Pin MiniPCNe tizA, Tos-SP-', 'procedure_request': 'NA'}}