                 Fortic

                                                                                                                          UPI Scan & Pay                        Fortis Fit. Lt. Rajan Dhall Hospital
                                                                                                                                                                Sector S. Pocket 1.
              12 Fortis                                                                                                                                         Aruna Asat Alt Marg, Visant Kunj
                                                                                                                                                                ......

                                                                                       OPD CONSULTATION                                                          Fortis FIL LE. Rajan Dhall Hospital
          FLT. LT. RAJAN DHALL
                                                                                                                                                                 Sector B, Podest 1, Aruna Asaf AS M
              HOSPITAL                                                                                                                                           Vasant Kun), New Delhi - 110 070
                                                                                                                                                                 Tel: 91-11-4277-6222
                                                                                                                                                                 Fax: 91-11-4277-6221
                                                                                                                                                                 E-mail: contactus @ fortishealthcare.co
                                                                                                                                                                 Website: www.fortishealthcare.com
                              $10 sharon
         Patient Name .......           .................................................................... UHID .....
         Age 3 6 wks sex Fenle.                                              lev2 .....
                                                                   ..... Height     57.5                                                                                     5    05/2023
                                                                                                                                                                Date 05
                                                                                                                     .... Weight ..........   4.5
         Consulting Doctor: D DRAIMANSUI 2014 Clinical Diagnosis S worth A                                                                                       ..... BP.


              Clinical Presentation
                                                                                                                                                Advice
                                                                        Baby Stable

                                                                                                                                                         -       Hexaxing


                                                                              No frah dem                                                                    - Synflor


     > well                                                                                                                                                    - Rotal

                 Stage
                                                                                                                                                                                     Ist dans
                    Acting




                                                                      1 crocin drops= 0.7 me Start

                                                                                                                                                                             80

                                                                       2 colicaid droper 8º (05)




                                                                                 SEeffects explained




                                                                                                                                     sesy
                                                                           -> No other




                                                                  Follow Up :- After days

For Appointment Call
                                                                  Diet Advice :- Diabetic/Renal/Cardiac/Weight Management/Lactose or
Mobile No .:
OPD Time: 9:00am - 8:00pm                                                                    Gluten free/Iron Rich/High Protein/Low Purine/Weaning/RT Feed

                                                                 Signature of Doctor                                                                                 Climav &Denim




                                                                            12 Fortis SPECIALITY Hospital




                Dasinnt notail

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Fortis Fit. Lt. Rajan Dhall Hospital', 'clinic_pharmacy_address': 'Sector S. Pocket 1., Aruna Asat Alt Marg, Visant Kunj', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110070'}, 'doctor_details': {'doctor_name': 'Dr. DRAIMANSUI', 'doctor_qualifications': 'MBBS', 'doctor_registration_number': '2014'}, 'patient_details': {'patient_name': '........', 'patient_age': '3 years 6 weeks', 'patient_gender': 'Female'}, 'prescription_details': {'date_of_doctor_consultation': '05/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sore Throat'}, 'medicine_details': [{'medicine_name': 'Hexaxing', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'twice daily', 'course_duration': '7 days'}, {'medicine_name': 'Synflor', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'once daily', 'course_duration': '7 days'}, {'medicine_name': 'Rotal', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'once daily', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'None', 'procedure_request': 'None'}}