                    SHREYA HOSPITAL
                                                                                                837, Shalimar Garden, Extn-I, Sahibabad, GZB.
                                                                                                                                                                                         YA
                        (A Unit of Shreya Multispeciality Hospital Pvt.we care your smile
                                                                        Ltd.)                      Helpline No .: 0120-4775450, 54 (50 Lines)
  we care your smile                                                                                        Paytm & C : 7838737363                                                       Ab
                                 (Govt. Registration No .: RMEE1901175)
                                                                                                 E-mail:sheyahospital837@gmail.com, Web :www.shreyahospital.com
 UHID No .:              106773                                      OPD PRESCRIPTION
                                                                                                                          18507
 Receipt No .:.                                      Department: Gym
                                                                                                 .........                                                Date : 2-8 2013
Name of Patient: Mrs                                      Pinter
                                                                                                                                         Age: ....       ....... Sex: P
 Name of Consultant :                                         or asua sup
                                                                                                                                                           cash
                                                                                                                                   .. PANEL ....
   1. PRESENT COMPLAINTS :-
                                                                                                    10. PROVISIONAL/DIFFERENTIAL DIAGNOSIS:                                               erva
                  Lub 12. 1. 2020
                                                                                                                                        HB.



                   END 19. 10 2048.                                                                 11. INVESTIGATION:
                                                                                                                                  Daty F 83 mm


                                                                                                                                              Dathand - 136 mg
   2. PAST HISTORY :-
      DM            HTN         COPD             SEIZURE CARTERATIS THYROID
                                                                                                    12. TREATMENT ADVISED: (CAPITAL LETTER ONLY):
                                                 DISORDER
                                                                                                       Tab expodoen me 200 ml

   3. G.POLO LMP.                                                                                                                                                 o Box3de
                                                                                EDD


   4. FAMILY HISTORY                                    6,p. FM 28 mle
                                                                                                              Jab 2C 2 WMS × 3day


   5. DRUG ALLERGY & HISTORY :-
                                                                                                               Syp Grilinetes. 718 SOS.

                                                                                                                                        Steam Infiatal
   6. GENERAL EXAMINATION :-
       BP: 108/72 PULSE:                                                 SPO2
                                                                                                      Digerafl X 7- 1SHOWS.
       TEMP .:                            R/R:

                                                                                                                   Is before jemals.
   7. NUTRITIONAL SCREENING:
                                      WEIGHT 69.9 1OVER WEIGHT
        HEIGHT
                                                                                                              Jab Eros te 100 el mail
       Pallor/Edema/Icterus/Lymphdnode/Koilonychia/Dermatitis

   8. SYSTEMIC/ LOCAL SITE EXAMINATION : PCB
                                                                                                             Jah Accol-Dineins
                         USQq Abd


                     graph seam-

                                                                                                        Paly Rech Pander.
                                124 week of Amp
                                                                                                                                        DA



                                                                         Usup

   9. PAIN:



                                                                    7-8    9-10                      13. NEXT FOLLOW UP VISIT:
                          1-2           3-4
                                          MODERATE                    SEVERE
                         MILD
   PATIENT EDUCATION (patient is Briefed On The Following)
                                                                                      ( ) No
                             ( ) Yes .....................................
   Proposed Care Plan                                                                                                                                         Consultant Sign. & Stamp
                                                                                      ( ) No         SMH/GEN/FR/17
                             ( ) Yes
   Expected Outcome                                                                     -) No        Rev.No.05, Dated 02/02/2023
   Possible Complication ( ) Yes

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Shreya Hospital', 'clinic_pharmacy_address': '837, Shalimar Garden, Extn-I, Sahibabad, GZB.', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'NA', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mrs Pinter'}, 'prescription_details': {'date_of_doctor_consultation': '2-8 2013'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'NA', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}