                                                                                ENT OPD Case Paper

             No .: BHR230000027141                                               Category: Regular
                                                                                                                       Date: 19/07/2023 01:46 PM
             Name : MR SANJAY RASIKLAL SHAH
                                                                                                                       Age/Sex: 62 Years/Male
          ss : FLAT NO 208 MORAYA HEITS DHANKAWADI PUNE
                                                                                                                       Religion:
                                                                        Bharati Hospital & Research Centre
                                                                                                                       Occupation:
                                                                        DR. PRASUN MISHRA
         b .: 9284279204                                               MS ENT, AFMC
                                                                       Pror & HOD
         alty : ENT                                                                                                    Token No .: 77
                                                                      Reg.No. 2015/01/0139
        ultant : Dr. PRASUNCHANDRA MISHRA


       ef Complaints With Duration :

                                                              S/B Dr sai (Arst Prof)

      Rt History :

                                                             40 giddiness ~ 2 days                                             Pain Score (1-10) : __

                                                                                                                               Allergy History (Yes/No) :-

                                                                             not not atory type
                                                                                not are would
                                                   : 0/E
     ck Examination                                                                                               episode




      Examination                              :             Ea -                                 R

                                                                                                                                                        No spontaneous
                                                                 TM                                                                                  nystagus
  pse Examination                                 :
                                                                   Finnes 512
                                                                    Uebers                         7
                                                             Oral cany -                                                             7
  aroat Examination                               :
                                                                                                  NAD


 rovisional Diagnosis                         :

                                                       Nose - NAD

reatment Plan: Conservative / Surgery / Follow up / Any Other :




ign of Consultant :
                                                                      Done + negative
                      DH -
                                                                      Rhomberg: megittore

                       PTA (sos)
                                                                                                                                              -Ach
                       Old PTA noted



                                                                                                                 - 32. Tab PILOVAS
                                   ··.··. ··. ·· ······ ······

                                                                                                                                                          1 -*- 1
                                       ····· · ····· ····.
                                                                                                                                                                          x5
                                                                                                                 - Tab VERTIGEN                                          day

                                                                                                                                                        1 - x-1


             REDMI NOTE 8
                                                                                                                            F/U on coming Saturday
                                                                                                             -
             AI QUAD CAMERA

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Bharati Hospital & Research Centre', 'clinic_pharmacy_address': 'Pune', 'clinic_pharmacy_city': 'Pune', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. PRASUN MISHRA', 'doctor_qualifications': 'MS ENT, AFMC', 'doctor_registration_number': '2015/01/0139'}, 'patient_details': {'patient_name': 'MR SANJAY RASIKLAL SHAH'}, 'prescription_details': {'date_of_doctor_consultation': '19/07/2023 01:46 PM'}, 'procedure': {'chief_complaints_diagnosis': 'ENT OPD Case Paper'}, 'medicine_details': [{'medicine_name': 'PILOVAS', 'medicine_dosage': '1 - 0 - 1 (Morning and Night)', 'medicine_frequency': '5 days', 'course_duration': 'NA'}, {'medicine_name': 'VERTIGEN', 'medicine_dosage': '1 - 0 - 1 (Morning and Night)', 'medicine_frequency': 'day', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}