                                              EMERGENCY/CASUALTY REGISTRATION CARD


                                              Pandit Madan Mohan Malaviya Hospital
                                             Govt. Of NOT of Delhi, Malviya Nagar, New Delhi 110017
                                                        EMERGENCY REGISTRATION CARD
                  Emergency Regn No.
                                              35142
                 Department : EMERGENCY
                                                                                  Date / Time: March 2, 2023 10:38:13 AM IST
                                PANKAJ
                 Fathers Husbands Name :
                                                                                (Age : 44 Y/OMOD
                 Address:       D89 KRISHNA PARK                                                                         Sex: Make               MLO/NON MLC
                KHANPUR .. 9213729604
                                                                                 CMegory : General/ BPL/ EWS/ DGEHS/ Sr Citizen/Other-



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           KBS- 156
                                                                                                                         today

                                                                                                                                                        4 Ankle
                                                                                                Trauma                              over

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XKy Lt Ankle Tlateral
                                                                                                                                           on

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                                                                                      Je back


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                                                                                                                                                                   02-Mar-




       R              AI CAMERA
                  Shot on realme C20                                                                                                            2023/03/04 11:52

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Pandit Madan Mohan Malaviya Hospital', 'clinic_pharmacy_address': 'Govt. Of NOT of Delhi, Malviya Nagar, New Delhi 110017', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110017'}, 'doctor_details': {'doctor_name': 'NA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'PANKAJ'}, 'prescription_details': {'date_of_doctor_consultation': 'March 2, 2023 10:38:13 AM IST'}, 'procedure': {'chief_complaints_diagnosis': 'Trauma over 4 Ankle'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '5 days'}, {'medicine_name': 'Nimesulide', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '5 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}