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                                                 ······-···· (······ / ········ ········)                                                                                ONLINE

                                          OPD SLIP (MODERN / AYURVEDA MEDICINE)




                      MRD Number : 5514698                                                                 Name : AMLA DEVI

                                                                                                           Age : 67 Y                                  Gender : Female
                                                                                                           Date : 06/03/2023 07:26:33 Hrs
                            *5 ········· ········ ·····
  ······
                                        (Clinical Examination                                                                      ····· (Treatment)
   (Date)
                                                & Investigations)


06/03/23
                                                                                                                cb Breathless


           45




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                     2 PECHOS
                                                                                                           5. Tab. TRICH Exor0060000




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                ···· ··· ····· ·· ······· ··· ··· ········ ··· 6 ····· ·· ····T Valid for 6 months.

                   ·· ····· ·· ·······/······ ·· ··· ········ ········ ·· ········· ·· ····· ····

            You are entitled for copy of Medical records at the time of discharge / end of treatment.                                                                             3
                                                                                                           - Tab AcocoopBD

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'सर सुन्दरलाल चिकित्सालय, काशी हिन्दू विश्वविद्यालय', 'clinic_pharmacy_address': 'NA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'डा० अरुण कुमार सिंह', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'AMLA DEVI'}, 'prescription_details': {'date_of_doctor_consultation': '06/03/2023'}, 'procedure': {'chief_complaints_diagnosis': 'cb Breathless, Aduc'}, 'medicine_details': [{'medicine_name': 'Tab. TRICH Exor0060000', 'medicine_dosage': '2 PECHOS', 'medicine_frequency': 'BD', 'course_duration': 'NA'}, {'medicine_name': 'Tab. PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'BD', 'course_duration': 'NA'}, {'medicine_name': 'Tab. LIV 52 DS', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'BD', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}