                                                                                                                                                 OPD Ticket
                  5/11/23, 10:38 AM

                                                                                                                                                                                                  UHID: 20230356144
                                                                                                                        ···· ·····
                                                                                                                   GOVT. OF INDIA
                                                                         ··.··.··.··. ··· ······· ·······, ·· ······ -110029
                                 BOOM NO : 2
                      chin Prahl Clinic TOKIW.M.M.C. & SAFDARJUNG HOSPITAL, NEW DELHI-110029
                                                       ( *** 19 Telephone : 011-26730000, 26165060)
                                                                                   OUT FRIENT  RECORD                                                                                          EUR ID :23000222031976239



                  Name : MRS. SIMA KUMARI
                  Departnews ( (oral Suryvey                                                                                                                     Sex Female
                                                                                                                                                                 HO HARIDWAR KUMAR
                                                                                                                                                                 Age :34Y IM 160
             Family Income/ Year: &
             Billing Type : GENERAL                                                                                                                              Religion
             Mobde No .:.......- 44                                                                                                                              Occupaziam
                                                                                                                                                                 Educacion
            Address: VILLAGE -NOKHA DISTRICT -ROHTAS SASARAM PIN-402215, BIHAR, INDIA_G                                                                          Patiens Type z NON MLC Prepared By : Mr.SACHIN
                                                                                                                                                                 DENTAL ORS

          Date and Time of init                       essment:                                                                                                     win and swelling
                                                      C/C Pt. complais of
          Clinical History
                                                                                                                                                                                  JUNG HOSP
                                                                                                                                                                       left Back Bord

        Examination Findings :                                                                             un hur longer

                                                                                                                 eregion
      Investigation :



    Diagnosis :
                                             of Root stumps                                                                                  7

  Treatment :

                                                                                                       Adv. Extraction 14 /7
low-up advice :


                                                                                                        SODIM 80 MG                                                        Doctor's Name:
                    DICLOFENAC
AB                                                                                                                                                                          Signature / Date
                                                                                                                 80s)
                                                                                                                                     OF HI                    Qualin



                                                        IN THE S


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{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'TOKIW.M.M.C. & SAFDARJUNG HOSPITAL', 'clinic_pharmacy_address': 'NEW DELHI-110029', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110029'}, 'doctor_details': {'doctor_name': 'Dr. Prahl', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mrs. Sima Kumari'}, 'prescription_details': {'date_of_doctor_consultation': '5/11/23'}, 'procedure': {'chief_complaints_diagnosis': 'Pt. complains of left back pain and swelling'}, 'medicine_details': [{'medicine_name': 'AB DICLOFENAC SODIM 80 MG', 'medicine_dosage': 'BD', 'medicine_frequency': 'After Meal', 'course_duration': '7'}], 'lab_test_details': {'lab_test_names': 'Root stumps', 'procedure_request': 'Extraction'}}