Raja Rammohan Roy Road,
Prarthana Samaj, Girgaon,
                                                                                                                                   Sir H. N.
Mumbai - 400004
Call Centre : 1800221166                                                                                                  eliReliance
Website : www.rfhospital.org
                                                                                                                               Foundation Hospital

                                                                                                                            And Research Centre
                       Name
                                                   Kantilal Hariya
                       Date of Birth                                                          Patient Id.           10022342
                                                  : Oct 25, 1956
                       Case Type                                                              Age                   66 years          Sex Malg
                                                 : Outpatient Case
                      Attending Physician : Rajesh Ramesh Sharma                              Case Number          : 1002693741
                      Allergies                                                               Visit Date           : Sep 7, 2023
                                                  : No Known Allergies


                                                                          OPD Case Sheet

                     Chief Complaints
                     COPD
                     Nasal Blockage
                     Occasional Cough

                    Examination
                    chest clear


                   Plan
                   steam Inhaltion 1-0-1
                   Tab Allegra 120 0-0-1
                   Combinase AQ nasal spray 1puff in each nostril at night
                   Formoflo 250 2 puffs BD (Use with Zerostat VT spacer & always gargle after use)

               - D-Rise sachet 1 every we x bule than once a month


             - Supradyn 0-1-0.




                - GRD powder à mille .




               This is an electronically generated document and does not require any physical signature.
                                                                                                                           dha.
                                                                                           Consulted By

                                                                                           Dr. Rajesh Sharma
                                                                                           Coordinator Pulmonary Medicine
                                                                                           MBBS, MD(Chest and TB) DNB (Respiratory
                                                                                           Medicine)
                                                                                           Med. Council No.57706


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              Print Date/Time : 07/09/2023 / 11:35 AM

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Foundation Hospital And Research Centre', 'clinic_pharmacy_address': 'Raja Rammohan Roy Road, Prarthana Samaj, Girgaon', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400004'}, 'doctor_details': {'doctor_name': 'Dr. Rajesh Sharma', 'doctor_qualifications': 'MBBS, MD(Chest and TB) DNB (Respiratory Medicine)', 'doctor_registration_number': 'Med. Council No.57706'}, 'patient_details': {'patient_name': 'Kantilal Hariya'}, 'prescription_details': {'date_of_doctor_consultation': 'Sep 7, 2023'}, 'procedure': {'chief_complaints_diagnosis': 'Chief Complaints: COPD, Nasal Blockage, Occasional Cough'}, 'medicine_details': [{'medicine_name': 'steam Inhaltion', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'Tab Allegra 120', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'Combinase AQ nasal spray', 'medicine_dosage': '1puff in each nostril at night', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'Formoflo 250', 'medicine_dosage': '2 puffs BD (Use with Zerostat VT spacer & always gargle after use)', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'D-Rise sachet', 'medicine_dosage': '1 every we x bule than once a month', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'Supradyn', 'medicine_dosage': '0-1-0', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'GRD powder', 'medicine_dosage': 'à mille', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}