   Fortis                                                                                                                 Fortis Hospitals Limited
                                                                                                                          Mulund Goregaon Link Road
                                                                                                                          Bhandup (West), Mumbai 400 078, India
                                                                                                                          Tel : 91-22-4365 4365
                                                                                                                          Emergency No. : 91-22-4111 4111
                                                                                                                          Website : www.fortis shealthcare.com
Dr. Subhaprakash Sanyal                                                                                         Dr. Hamza Dalal
   MD, DM (CLINICAL HEMATOLOGY)                                                                                 MBBS, MD (MEDICINE)
   EX - FELLOW IN LEUKEMIA AND BONE MARROW TRANSPLANT                                                           PGDGM (GERIATRIC MEDICINE)
  IN VANCOUVER GENERAL HOSPITAL (CANADA)
                                                                                                                DNB (CLINICAL HEMATOLOGY)
  CONSULTANT HEMATOLOGIST
  HEMATO - ONCOLOGIST AND BONE MARROW TRANSPLANT PHYSICIAN                                                      ASSISTANT CONSULTANT HEMATOLOGY & BMT
  MMC REGN NO. 2012/11/3171

   Dr. Nishigandha Pol
                                                                                                          2/3/2023
  HEMATOLOGY & BMT CO-ORDINATOR,
  PHONE : 99202 24543 * EMAIL : fortismulundhemat@gmail.com
                                                                                                   Dr Budget

                  utter Kaplele                                                                                                                7RX/M
  Name:
                                                                               UHID:                                           Age/Sex:
  Presenting Complaints:

        - H/O DM ~ 6 ym v/C/O DA Budigel



       - DeLier H/O gen cken/ Fatigne



       - No H/O bleeding / Recent Seven/ Recent


                Javelin / PRBC                                                                                                            82.7 kg

         Physical Assessment & Impression:
                                                                                 Investigations:
         - Mixed diet



           - On Antihypertenne medicate for 19eu/



                        No H/O IHD



           No pellon co50 0º cºº CNO



              P/A. soft/ rented No Oyuny



       5/2/2023 CBC. 1201/5.20/158 @ DIA




 20/9/2023- CBC-1+e-13.3




                                                                        Jule
Plan
                                        Fry on May 1st ck, 2023




                                                                  CBC

                                                                                                                     S.P.S.


        Signature of Consultant:

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Fortis Hospitals Limited', 'clinic_pharmacy_address': 'Mulund Goregaon Link Road, Bhandup (West), Mumbai 400 078, India', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400 078'}, 'doctor_details': {'doctor_name': 'Dr. Subhaprakash Sanyal', 'doctor_qualifications': 'MD, DM (CLINICAL HEMATOLOGY), EX - FELLOW IN LEUKEMIA AND BONE MARROW TRANSPLANT', 'doctor_registration_number': 'MMC REGN NO. 2012/11/3171'}, 'patient_details': {'patient_name': 'Uttam Kaplele'}, 'prescription_details': {'date_of_doctor_consultation': '2/3/2023'}, 'procedure': {'chief_complaints_diagnosis': '- H/O DM ~ 6 years, presenting with fatigue, no bleeding'}, 'medicine_details': [{'medicine_name': 'Ban 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Before Breakfast, Before Dinner', 'course_duration': '10 days'}, {'medicine_name': 'Paracetamol', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Before Breakfast, Before Dinner', 'course_duration': '5 days'}, {'medicine_name': 'CBC', 'medicine_dosage': '1', 'medicine_frequency': 'Single dose', 'course_duration': 'N/A'}], 'lab_test_details': {'lab_test_names': 'CBC', 'procedure_request': 'S.P.S. (Sample Prior to Surgery)'}}