                                                         Wishing You Good Health !

                                                                                                                                                          ....... ...
                              AMCARE                                             Patient Name: Treishla Jain Agn/Sax: 709/1
                                                                                             21
                                                                                MR NO                       OPD No.               Date: 24/4/93
                                   0    s
                              DI VIP Road, Zirakpur, Mohali (Punjab)            Consultant           De Viver

                                                                             OPD CARD

                         Height:                   Weight:               B.P:                     Temp .:                     Pulse :
                        Chief Complaints:



                       General & Physical Examination:                                   me /neuf tunics )



                  Systemic Examination:



                 Drug Allergy:

                          Investigation Advice :
                                                                                                         Treatment Advice :
                                                                         LAGERB
                      - HOALL- 8.2.                                              MAñO
                                                                                                           $140                 T. CILARISÉ

                - RFHILFT                                                                                                                         -MY
                                                                                     usher vitamin
                  - Lipids                                                                                          D.                        25/10

                                                                                   -1SALLE2 -B.12.
                 - TF1

                                                                                        3PM X 30day T. GUMPER - SANgar


                                                                                                                                                 YILOUD
                           USG whole                                                 T·FELOBIC-grom
                  -                                                                                                             before mealfact
                                                                                      and x 3 days
                                               Abdomen

                 - CBC                                                                        1judin 1 SHARITE                                               - shugar


                                                                                 FESQUEID                                                  50/1000
                                                                                                                                  After Dinner
                                                                                             × 30 days




    Nutritional Counseling is required by Dietician
                                                                                                               No

 Next Follow up after                                            300 04/20

NOTE: Please don't use abbreviations: (OD/BD/TID/TDS/QD/QID/U/U/X/HS/BF/O etc and mention clearly Route/ Dose/ Frequency/
Special Instructions if any. Medication in Generic Name in Capital Letters, Signature with stamp, Date / Time is mandatory.

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'AMCARE', 'clinic_pharmacy_address': 'DI VIP Road, Zirakpur, Mohali (Punjab)', 'clinic_pharmacy_city': 'Zirakpur', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. De Viver', 'doctor_qualifications': 'Consultant', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Treishla Jain'}, 'prescription_details': {'date_of_doctor_consultation': '24/4/93'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '30 days'}, {'medicine_name': 'T. CILARISÉ', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '30 days'}, {'medicine_name': 'T. GUMPER - SANgar', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '30 days'}, {'medicine_name': 'T·FELOBIC-grom', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '30 days'}, {'medicine_name': 'FESQUEID', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '30 days'}], 'lab_test_details': {'lab_test_names': 'USG whole Abdomen', 'procedure_request': 'x 3 days before meal'}}