Survey No. 403.
d 500034




                                           W                  BirthRight
                                          en's
                              Hospital                       BY RAINBOW HOSPITALS                                                                  F/WWW/POAFTAGE


                                                                              OUT PATIENT CARD CUM RECEIPT
mount(RS)
                              UNTO                    JNB-00087618
    250.00
                             Patient Name             Master AYZIN A                                   BIR No
    250.00
                             DOB Agelender         : 16-Jul-2020/2 Y 7 M 7 D /MALE                     Bill Date               511-00534371 SO Amount :800.00 *;
 250.00                        Igor Reg            : KMC#33619                                         Doctor Name         23-02-2023 03:47:59 PM
                                                   : First Visit / Physical                                                Dr. PRAKASH VEMGAL
D                                                                                                      Department
                                ointment Type                                                                               PEDIATRICS
                                                                                                       Specialisation
                                                   : SELFPAY                                                              1 CONSULTANT NEONATOLOGIST &
                                                                                                                          PEDIATRICIAN




                                       .ONE FREE FOLLOW UP IS VA
                                                                                                 AYS WIT                  DOC OR ON PRIOR
                                       APPOINTMENT-



                                                                                                                                      Weight:      10 Kg

                                   Priority Patient (Emergency):              ( ) Yes ( ) No                                                          83cm
                                                                                                                                      HULE
                                   If Yes, Action Taken;

                                  Present Complaints & Examination:                            do & food
                                                                                                                                      Temp         99.27
                                                                                                              critales.
                                                                                                                                     RR:
                                  Development: ( ) Normal ( ) Abnormal
                                                                                                                                      HR
                                 Immunization Status: ( ) Complete ( ) Incomplete

                                 Diet: ( ) Breastfeeding ( ) Formula ( ) Weaning Food ( ) Normal Diet
                                                                                                                                      SPOL
                                 CVS: ( ) Normal ( ) Abnormal
                                                                                                           1 liquids                               TCB
                                 Congenital Anomalies: ( ) Present ( ) Not Present

                                If Yes, Specify:
                                                                                                       - Sp Zmínit / Bevon.
                                RS:CNS:

                                P/A:                                                                               2.mil -0-0
                                                                                                                                                    1 1 weeks
                               Pain: ( ) Yes ( ) No, If Y es, Score

                               Action Taken:

                               Provisional Diagnosis:
                                                               Rainbow Children's Medicare Limited

                                                              For Appointments call: 1800 2122 or SMS "RWCH" to 57575
                               Marathahalli:                                         Bannerghatta Road:                                       Hebbal:
                              Survey No. 8/5.                                       No 178/1 & 178/2                                    No.247/248/288/100
             Marathahalli-KR Puram, Outer Ring Road,                       Opposite Janardhan Towers, Bilekahalli                     Byatarayanapura Village,
                  Doddanekundi, Bengaluru - 560 037.                                 Bengaluru - 560 076                        Yelahanka Hobli, Bengaluru - 560 092.

                      Registered Office: 8-2-120/103/1, Survey No. 403, Road No. 2. Banjara Hills, Hyderabad - 500034, Telangana

                                                                                  @ 1800 2122                                                   www.rainbowhospitals.in
             CIN : U85110TG1998PLC029914

{'clinic_pharmacy_details': {'clinic_pharmacy_name': "Rainbow Children's Medicare Limited", 'clinic_pharmacy_address': 'Marathahalli-KR Puram, Outer Ring Road, Opposite Janardhan Towers, Bilekahalli, Doddanekundi, Bengaluru - 560 037', 'clinic_pharmacy_city': 'Bengaluru', 'clinic_pharmacy_pincode': '560037'}, 'doctor_details': {'doctor_name': 'Dr. PRAKASH VEMGAL', 'doctor_qualifications': 'MD (Pediatrics)', 'doctor_registration_number': 'KMC#33619'}, 'patient_details': {'patient_name': 'Master AYZIN A'}, 'prescription_details': {'date_of_doctor_consultation': '23-02-2023'}, 'procedure': {'chief_complaints_diagnosis': 'First Visit / Physical'}, 'medicine_details': [{'medicine_name': 'Ban 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '7 days'}, {'medicine_name': 'Paracetamol', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '7 days'}, {'medicine_name': 'Zincovit', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Night', 'course_duration': '30 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}