                                                                                               (A Unit of Shrous                        we can       smile
                                                                                                                                          mitsl Did I &4 |




                       SHREYA HOSPITAL
                                                                                                         837, Shalimar Garden, Extn-I, Sahibabad, GZB.
                                                                       weLtd.)
                                                                          care your smile                 Helpline No .: 0120-4775450, 54 (50 Lines)
                          (A Unit of Shreya Multispeciality Hospital Pvt.
                                                                                                                    Pautm & C : 7838737363
     we care your smile
                                 (Govt. Registration No .: RMEE1901175)                                 E-mail:shreyahospital837@gmail.com, Web .: www.shreyahospital.com
    UHID No .: 106773                                                      OPD PRESCRIPTION
                                                                                                                                21190
                                                     Department: 94                                                                                          Date: 19.8.2013
    Receipt No .:...

    Name of Patient : Mis Pinks
                                                                                                                                        .. Age:              ....... Sex:
    Name of Consultant : 18 uska Siph.
                                                                                                                                   PANEL Cash

      1. PRESENT COMPLAINTS :-                                                                            10. PROVISIONAL/DIFFERENTIAL DIAGNOSIS:
                                                                                                                                                                                               een
                                 Leur 12.1. 2023.
                                                                                                                                               Hb 10-694.
                                                                                                          11. INVESTIGATION:
                                END 19.10.2023 .



     2. PAST HISTORY :-
                                                                         ARTHRITIS THYROID
        DM             HTN      COPD          SEIZURE                                                     12. TREATMENT ADVISED: (CAPITAL LETTER ONLY):
                                              DISORDER

                                                                                                          Hell Jach Zios Pela
    3. G. I.P GL O, LMP.                                                             .. EDD.                                                                                                    ern
                                                                                                                                                                            4 15 day

    4. FAMILY HISTORY

                                                                                                                   Jeb . Anicol-D in 4150
   5. DRUG ALLERGY & HISTORY :-



    6. GENERAL EXAMINATION :-
      BP:                               PULSE;                               SPO2
                                                                                                                   Jaly Ruch. DA Parole.
       TEMP .:                          R/R

                                                                                                                     2BZ E nulli
   7. NUTRITIONAL SCREENING:

       HEIGHT                      WEIGHT                                    OVER WEIGHT
                                                                                                                                         00-
      Pallor/Edema/Icterus/Lymphdnode/Koilonychia/Dermatitis

  8. SYSTEMIC/ LOCAL SITE EXAMINATION 11/8/20                                                                             Dfve - 10 krebs/Day



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  9. PAIN:




          0             1-2         3-4     5-4     7-8      9-10
                       MILD          MODERATE          SEVERE                                             13. NEXT FOLLOW UP VISIT:
PATIENT EDUCATION (patient Is Briefed On The Following)
Proposed Care Plan                 ( ) Yes.                                                -) No
Expected Outcome                   ( ) Yes.      .................................        ( ) No        SMH/GEN/FR/17
Possible Complication ( ) Yes ..                                                                         Rev.No.05, Dated 02/02/2023                                Consultant Sign. & Stamp
                                                                                          ( ) No

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Shreya Multispeciality Hospital Pvt. Ltd.', 'clinic_pharmacy_address': '837, Shalimar Garden, Extn-I, Sahibabad, GZB.', 'clinic_pharmacy_city': 'Ghaziabad', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. uska Siph.', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mis Pinks'}, 'prescription_details': {'date_of_doctor_consultation': '19.8.2013'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}