                            SHREYA HOSPITAL                                                        837, Shalimar Garden, Extn-I, Sahibabad, GZB
                                                                                                     Helpline No .: 0120-4775450, 54 (50 Lines)
                                                                           we care your smile
                              (A Unit of Shreya Multispeciality Hospital Pvt. Ltd.)                           Paytm & C : 7838737363
                                    (Govt. Registration No .: RMEE1901175)                        E-mail:shreyahospital837@gmail.com, Web .: www.shreyahospital.com
         we care your smile
                                                                        OPD PRESCRIPTION                                                                             29.6 2016
         UHID No: 140665                            -
                                                          Department: gan.                                                   21431                       Date :
         Receipt No .:...                                                                            ......
                                            MVs                                                                                                   30qu Sex: 1
        Name of Patient :.                                                                                                              .Age:

        Name of Consultant :                                                                                                                               cash
                                                                                                                              ...... PANEL.

          1. PRESENT COMPLAINTS :-                                                                 10, PROVISIONAL/DIFFERENTIAL DIAGNOSIS:
                               Loup 12.1. 2023


                                                                                                   11. INVESTIGATION: Crue - NAVO.
                               EDI 19.10. 2023


                                                                                                     ABTUO.


         2. PAST HISTORY :-                                                  10G.
             DM       HTN            COPD               SEIZURE      ARTHRITIS THYROID             12. TREATMENT ADVISED: (CAPITAL LETTER ONLY):
                                                        DISORDER            37ml .


         3. G POLO LMP.                                                                           Acu usar Abd caler
                                                                              ........EEDD ...
                                                                                                                                                Dapple C
                                                  Lack of PM -
         4. FAMILY HISTORY                                                                                                                                        RPS.



        5. DRUG ALLERGY & HISTORY :-                                                                          Jab EiO's Pe 1 w.x lock



        6. GENERAL EXAMINATION :-
            BP: 110/76 PULSE:                                            SPO2                           Jab Ancal-Dlanx 100

           TEMP .:                          "R/R:
                                                                                                                                                           0

        7. NUTRITIONAL SCREENING:
                                      WEIGHT 69-7 1OVER WEIGHT                                     Doliva D3. 1 ones only .
           HEIGHT

           Pallor/Edema/lcterus/Lymphdnode/Koilonychia/Dermatitis


        8. SYSTEMIC/ LOCAL SITE EXAMINATION :                                                        Margerie all parkin
                                     PIA FM- 37 ale

DEI
                                                                                                                                        Emergency



                                        ve found


                                                                                                                                                                                 13
                                                                                                  Show. LOT.

       9. PAIN:                                            Sacral OS.




                     1-2          3-4          5-6        7-8      9-10                            13. NEXT FOLLOW UP VISIT:
                     MILD           MODERATE                  SEVERE
      PATIENT EDUCATION (patient Is Briefed On The Following)                                         Renew apar

      Proposed Care Plan              ( ) Yes.                                           ( ) No
      Expected Outcome                ( ) Yes.                                           ( ) No    SMH/GEN/FR/17
      Possible Complication ( ) Yes .....                                                ( ) No    Rev.No.05, Dated 02/02/2023                1 calant Sign. & Stamp

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Shreya Hospital', 'clinic_pharmacy_address': '837, Shalimar Garden, Extn-I, Sahibabad, GZB', 'clinic_pharmacy_city': 'Ghaziabad', 'clinic_pharmacy_pincode': '201005'}, 'doctor_details': {'doctor_name': 'NA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'MVs'}, 'prescription_details': {'date_of_doctor_consultation': '29.6.2016'}, 'procedure': {'chief_complaints_diagnosis': 'PRESENT COMPLAINTS: sore throat, PROVISIONAL/DIFFERENTIAL DIAGNOSIS: throat infection; PAST HISTORY: DM, HTN, COPD, SEIZURE, ARTHRITIS, THYROID; INVESTIGATION: Crue - NAVO, ABTUO; TREATMENT ADVISED: throat lozenges'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '001', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}, {'medicine_name': 'Paracetamol', 'medicine_dosage': '1-0-1', 'medicine_frequency': '3 times a day', 'course_duration': '3 days'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}