                                                                                                                                            Pediatric Neurology Center
     Dr Umesh Kalane

                                                                                                                                           Ghorapde Peth-OppVega Center-ShankarShe
     DNB Gold Medal,DCH,MNAMS
                                                                                                                                             Road-near Swargate-pune 01

     2001/02/1064
                                                                                                                                            From 12-8PM (exc Wed and Sunday)by Appointr
      Consultant Pediatric Neurologist
      Fellow in Clinical Neurophysiology
                                                                                                                                            02026456759/9324319957

      Electroencephalographer(ASEPA)
                                                                                                                                                   umeshkalane@yahoo.com
      Fellow Pediatric Neurology(UCLA-USA)



           Doctor Annotation:




                                    ····                05-09-2023                                                                                  ·····
                                                                                                                                                                              05-12-2023 05:43 PM
                                                                                                                                                    ·······


                                                                                                                                                                                                    PI : PI9532
           R                     Name: jiyan asif sayyad


                                                                                                                                                                                               Weight : 25.40 Kg
                                Referred By:                                                                                                        Age: 7 Yr. 0 month


          Sr. No.             Medicine Name                                                                                                                       Frequency                              Dose            Durarti

                    1      Zenoxa tab 150 mg tab (Intas)9372438799                                                                                               ·········                           1.1/2 tab 4 mont
                                                                                                                                                                  ·····

                    2      Frisium tab 5 mg                                                                                                                      ········                            1 tab              4 month
                                                                                                                                                                 ·····

                3          brevipil tab 50 mg ( Sun)8830083537/Brivazen tab 50 ········
                                                                                                                                                                                                     1                  4 month
                           mg- intas( 9637250987)
                                                                                                                                                                 ·····

                4         Risnia liquid 1mg/ml(cipla-9673527772)
                                                                                                                                                                ········
                                                                                                                                                                                                    2 drop              4 month
                                                                                                                                                                 ·····
            5           IQNorm DHA syr ( kepler)9822912681
                                                                                                                                                                ···· ·····
                                                                                                                                                                                                    5ml                 4 month
            6           Medistat/Midacip/insed (0.5mg) nasal spray

                                                             ···· ··· ···· seizure ······ ········· 3-4 sprays ····· ··· ·······

                                                                                                                               ·········· ······
   Special Note: ·) ···· ····· ···, ·) ···· ··· ···· seizure ······,

                                       ····· ···, ······ ···· ···· ···, ··· ······ ···,

                                      emergency sprays ·· ···· ··· ··· ········ ·······
                                      ·········· ······ , ·) ····· ···· ········ rash

                                      ···· ···· ······ ········· ···· ·······
                                     ······· ·········· ······ ···· , ·) ····· ·····

                                     ····· ··· ,


ped opthal Dr Renu Agarkhedkar
8806062200




                                                                                                                                                                                                    Doctor's Signat

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Pediatric Neurology Center', 'clinic_pharmacy_address': 'Ghorapde Peth-OppVega Center-ShankarShe', 'clinic_pharmacy_city': 'Pune', 'clinic_pharmacy_pincode': '411001'}, 'doctor_details': {'doctor_name': 'Dr Umesh Kalane', 'doctor_qualifications': 'DNB Gold Medal, DCH, MNAMS', 'doctor_registration_number': '2001/02/1064'}, 'patient_details': {'patient_name': 'Jiyan Asif Sayyad', 'age': '7', 'age_unit': 'years', 'weight': '25.40', 'weight_unit': 'kg'}, 'prescription_details': {'date_of_doctor_consultation': '12-12-2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat'}, 'medicine_details': [{'medicine_name': 'Zenoxa 150mg Tablet', 'medicine_dosage': '1 and a half tablet', 'medicine_frequency': 'Twice a day', 'course_duration': '4 months'}, {'medicine_name': 'Frisium 5mg Tablet', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'Once a day', 'course_duration': '4 months'}, {'medicine_name': 'Brevipil 50mg Tablet', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'Twice a day', 'course_duration': '4 months'}, {'medicine_name': 'Risnia Liquid 1mg/ml', 'medicine_dosage': '2 drops', 'medicine_frequency': 'Twice a day', 'course_duration': '4 months'}, {'medicine_name': 'IQNorm DHA Syrup', 'medicine_dosage': 'As prescribed', 'medicine_frequency': 'In the morning', 'course_duration': '4 months'}, {'medicine_name': 'Medistat/Midacip/Insed Nasal Spray 0.5mg', 'medicine_dosage': '5ml', 'medicine_frequency': 'As needed', 'course_duration': '4 months'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}