                                                                       ······ ······· +


                                                                                                                                                                                      Date 7/3/23
                                                      ····· ···· ····· ······, ······ ·· ·······, ······ ······ ····· ·· ···, ····· (·.···.)

                                                                                                             .... ····· ·· ··· ..
                 ··. ···· ···
                                                                                                                                                                           9 9424802223
                                                                                                        ···· 10 ··· ·· 12 ··· ··
               MBBS MD Pulmonary Medicine                                                                                                                                      7898273333
                                                                                                       ··· 5 ··· ·· 8.30 ··· ··
               MP - 13898
                                                                                                                                                               ronakjain208@gmail.com

                                        ········                                          Pt. Name: Sogar Banthis Age


                      ---- Specialized in ----                                                                                                                                                      M/F

                                                                                                                                                                           Pulse 122/-
                                 Bronchial asthma                                         Klc/o- HTN
                                              (···)
                                                                                                                                                                            B.P
                                                                                                                              on Reg. fr
                                                                                                                                                                            SPO2 99%
                                       Copo
              (······· ·········· ········ ·····)
                                                                                                                          COPD                                              Wt.

                                  Tuborculosis                                                                                                                             RS B/1150
                                        (··.··.)
                                                                                     c/o- SOB
                                                                                                                                                                       consultation
                           Pleural effusion                                                                         cough /x
                           (···· ··· ···· ····)
                                                                                                                                                                              Rs -300/-
              Lung infection (Pneumonia)
                                  (········)                                                                  Increase Jeg.                                                 Recemind

          Sleep medicine / sleep study                                                                                   of micturin.
                                                                                                                                                                                           0
                       (······ ··· / ····)


                                 Allergy                                            No Past 1/0 Dm/CAD
                                                                                                                                                                        Dr.Rongk Jain
                                 (······)

                                   ..                                                                                                                                    (Pulmonary Mrdkeintu
                       Sarcoidosis                                                                                                                                          Reg.No. MP-13513
                                                                                                                                                                              RATLAM (34.V.)
                      (···········)                                                 Rx


                      Hemoptysis
                      (····· ··· ···)                                             1. 2 edoces - 0 200 mg /BD



                    Lung cancer
                  (······· ·· ····)                                             7. Capol 650 mg BD


                   Critical Care

                                                                              7. Telekost- c Ins

           Facilities Available

Bronchoscopy / Thoracoscopy                                                  cap. Pantodar DS R 1OD
                                                                                                                                                                                                                   5
   (······ ·· ······· ·· ····)

                                                                                                T. ABELO - N (B)
Poulmenary Funtion Test                                                                                                                                                                                     X
                                                                             Note :
 (····· ·· ···· ·· ····)                                                      1. ········ ·· ··· ··· ········ ····· ··· ··
                                                                                                                                               2. ··· ····· ······ ···· 9424802223, 8109035676
                                                                               ··· ······· ········ 80 ··· ··· ·· ······ ···· ·

                                                                                                                                                                                                          P.TIO.
                                                                                ······ ······ ······· #

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'गुप्ता क्लिनिक', 'clinic_pharmacy_address': 'विशाल मेगा मार्ट केम्पस, सैलाना बस स्टेण्ड, गुप्ता मेडिकल स्टोर के पास, रतलाम (म.प्र.)', 'clinic_pharmacy_city': 'रतलाम', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'डॉ. रौनक जैन', 'doctor_qualifications': 'MBBS MD Pulmonary Medicine', 'doctor_registration_number': 'MP - 13898'}, 'patient_details': {'patient_name': 'Sogar Banthis'}, 'prescription_details': {'date_of_doctor_consultation': '7/3/23'}, 'procedure': {'chief_complaints_diagnosis': 'Bronchial asthma, Klc/o- HTN, SOB, cough /x, Increase Jeg., of micturin., No Past 1/0 Dm/CAD'}, 'medicine_details': [{'medicine_name': 'Copo', 'medicine_dosage': '2 edoces - 0 200 mg /BD', 'medicine_frequency': 'BD', 'course_duration': 'NA'}, {'medicine_name': 'Recemind', 'medicine_dosage': 'NA', 'medicine_frequency': 'AL', 'course_duration': 'NA'}, {'medicine_name': 'Capol 650 mg', 'medicine_dosage': 'BD', 'medicine_frequency': 'BD', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'Bronchoscopy / Thoracoscopy, Poulmenary Funtion Test', 'procedure_request': 'T. ABELO - N (B), X'}}