            Department of Orthopaedics
            Dr. Kattamuri Gopinath                          Out-Patient Assessment Form
           MBBS, MS (Ortho). M.Ch. (Ortho) (USAIM)
           Fellowship in Arthroscopy & Sports Medicine (Key Hole Surgery)
           Fellowship in Arthroplasty (Joint Replacement Surgery)                                                          9
           Senior Consultant Orthopaedic, Arthroscopic & Joint Replacement Surgeon
           Regd. No. 52484                                                                                                                  Apollo
           Cell : 94407 86007
           E-mail : gopikattamuri@yahoo.com                                                                                                     HOSPITALS
                                                                                                                        17/8/23             DRDO KANCHANBAGH




                                                 MR madler Av dron                                                                   Date : __       29/7/23.
              Patient Name :                                                               Jha
                                                                                                                                      62+
                                                                                                                               Age                   Sex        male
                 Chief Complaints :
                                                                                                           Height :                  WL :                   BP :


                                                    No 2 sciatica .


                History :                                   LBP. x 1month



                                                        No Pain 1 xundder


               Physical Examination :                                                - restriction q movementi +




                                                                      08


              Diagnosis :                                                  1) T. DOLONEX-OT 1 10AM - 10 AF



                                                                            2) T RAZOLmg 1 7AM - 14 BF




             Investigations Advised :                                        3) T. Garanti NT 100 1 - 20


         1) mRl lomboracial V

                                                                                                                                     10pm
                                                                                                                                                            Admin.
                                                                       9 4) oxalgin mano gel for local
            2/ MRl          2 Almulder
            Treatment

          3) Suito| Smic|RA Fader|sullatinine                                                    application + Hot fermentation
                                     And

                                                                                                                                              4 times daily.


           Diet Advice :
           (Nutritional Screening)




  Consultant's signature Date/Time :



DMRL 'X' Roads, Kanchanbagh, Hyderabad - 500 058. Tel : 24342222, 24342211 Fax : 24342255 Casuality (Direct) : 24343333 Emergency : 1066
Regd. Office : Apollo Hospitals Enterprise Limited, No. 19,Corporate
                                                            Bishop Garden,
                                                                     IdentityRaja Annamalaipuram,
                                                                              Number              Chennai - 600 026. Tel : + 91 44 28293333 Fax : + 91 44 28290956
                                                                                     (CIN) : L85110TN1979PLC008035

                                                For appointments or online consultation, visit www.askapollo.com

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Apollo Hospitals', 'clinic_pharmacy_address': 'DRDO KANCHANBAGH', 'clinic_pharmacy_city': 'Hyderabad', 'clinic_pharmacy_pincode': '500 058'}, 'doctor_details': {'doctor_name': 'Dr. Kattamuri Gopinath', 'doctor_qualifications': 'MBBS, MS (Ortho). M.Ch. (Ortho) (USAIM)', 'doctor_registration_number': 'Regd. No. 52484'}, 'patient_details': {'patient_name': 'Jha', 'age': '62+', 'sex': 'male'}, 'prescription_details': {'date_of_doctor_consultation': '29/7/23'}, 'procedure': {'chief_complaints_diagnosis': 'No 2 sciatica'}, 'medicine_details': [{'medicine_name': 'T. DOLONEX-OT', 'medicine_dosage': '1', 'medicine_frequency': '10AM - 10PM', 'course_duration': '1'}, {'medicine_name': 'T RAZOLmg', 'medicine_dosage': '1', 'medicine_frequency': '7AM - 10PM', 'course_duration': '14'}, {'medicine_name': 'T. Garanti NT 100', 'medicine_dosage': '1', 'medicine_frequency': '10PM', 'course_duration': '20'}], 'lab_test_details': {'lab_test_names': 'mRl lomboracial V, Almulder', 'procedure_request': '4 times daily.'}}