                                            National Hospital



                                             MEDICINE INDOOR PATIENT




                                                                                            Date
                                                                            Marmer

  Regn No                                          Name ...


  Ward                                            Bed No.                                          Floor


  Consultant I/C                                              Duty Doctor



         No.                                  Particulars                                                   Qty


             1.           vi Parteidly(1)



                 2.


                 3

                          or Droth 1-0
              4


             5


         6.

                                                                                     SCC
         7



     8



 9



10.




                                                                                           Sign. of Nurse
             Sign of Duty Doctor

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'National Hospital', 'clinic_pharmacy_address': 'NA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'NA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Marmer'}, 'prescription_details': {'date_of_doctor_consultation': 'NA'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'vi Parteidly', 'medicine_dosage': '1 tablet', 'medicine_frequency': '1-0-1', 'course_duration': 'NA'}, {'medicine_name': 'or Droth', 'medicine_dosage': '1 tablet', 'medicine_frequency': '0-0-1', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}