                                                                                                                                                                AIT LTD

             M                      MATA ROOP RANI MAGGO HOSPITAL PVT. LTD.
                                                      (Register              th Delhi G                               PTOVed              ntr
              R                               C.B &B, Om Vihat, Phase-4, Ullam Nagar, Metro PIlla No, TO9, New Det .11901)
                            M                               Ph-011-12:30004. Meb 0565059055 Emml
                                BabyHIMANYA ARYA                                                  6 Years/F                 DR SOUROJIT. GUPT




                                Lassessme
                                                                                                              H/O: DM MNIEJCAD ICVA KOPD /CRFI                                    AllerET
          Pulse                       Temp         Resp      Holght
                                                                          20.4/           1g

     Symptoms / History                 Ex         ations                                                                         Provisional Diagnosis
         Fever x 2D.
                                                                                                                                  Investigations Advised J assessed
             Throat pain

             That Conjested


              Pre Point (




                                                                                                                                       Nutritional & growth screening:


catment Advised (use CAPS only)

                      MEDICINES WITH DOSE                                ROUTE                 8 AM             2 PM           10 PM            ADDITIONAL               DAYS       SPL INST
    O.                                                                                                                                              DOSE
           Syp Cocints 7ml



3           Syp. Augmentin Dus 7nl



                                                                                                                                                                550

          Nasivion
                                                                                                                               LX3D

         Syp. Marx
                                                                                           5 ml                                                         - XSD




al Instructions: (Diet/Physiotherapy/Restrictions)
              7/3/22 6 00us In emergency pis report in casualty or contact 941-01290000
                                                                                                                                                                                       Signat
up on,

HIREVIDDPD/01/22
                                                                                                                                                                                Signature o

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'AIT LTD', 'clinic_pharmacy_address': 'C.B &B, Om Vihat, Phase-4, Ullam Nagar, Metro PIlla No, TO9, New Det .11901)', 'clinic_pharmacy_city': 'Delhi', 'clinic_pharmacy_pincode': '11901'}, 'doctor_details': {'doctor_name': 'MATA ROOP RANI MAGGO HOSPITAL PVT. LTD.', 'doctor_qualifications': 'ENT', 'doctor_registration_number': 'Register', 'doctor_specialization': 'ENT'}, 'patient_details': {'patient_name': 'Baby HIMANYA ARYA', 'patient_age': '6', 'patient_gender': 'Female'}, 'prescription_details': {'date_of_doctor_consultation': '7/3/22'}, 'procedure': {'chief_complaints_diagnosis': 'Fever, Throat pain'}, 'medicine_details': [{'medicine_name': 'Syp Cocintus', 'medicine_dosage': '7ml', 'medicine_frequency': 'Three times a day', 'course_duration': '7 days'}, {'medicine_name': 'Syp Augmentin Duo', 'medicine_dosage': '7ml', 'medicine_frequency': 'Three times a day', 'course_duration': '7 days'}, {'medicine_name': 'Nasivion', 'medicine_dosage': '550', 'medicine_frequency': 'As needed', 'course_duration': 'NA'}, {'medicine_name': 'Syp Marx', 'medicine_dosage': '5ml', 'medicine_frequency': 'As needed', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'None', 'procedure_request': 'None'}}