                                                                                                                                                                NOT FOR
                                                                                                                                                              ······ ·····
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                                                             -
                                                                                                                               15646                                · ····· ··
                                        Dünandelen Table

                                                                                                                                           the· PICU
                                                                                                                                                             ············· ·· ·
                                         ar 510010/20                                                                                                                0 30,

                         in thes
                                                                                                                                                                  > ····· · ··
                                      2 Seaceve 100:50mg
                                                                                                                                                                ······· ··· · ··




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                                                                              HOSPUsul leur the

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                                                                                                                                                                      · ····· ·




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                   co fondate                                                                                                                                   ····· ·· ······
                                                                                                                 DIAGNOSIS                                       ·····, ···· ··
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                                                                                                                                                                         O ···
                                                        w 2413125
                                                                                                                 MENSTRUAL HISTORY -

                                                                                                                                                                       ······ ·

                                                                                                                 OBSTETRICS HISTORY                                       · ···
                                             BP
         P.RATE LIC.                                                                                             WEIGHT ................                     ······ ········
            AGE 28/                                                                                              NAME ..
           DATE
195723
                                                                                                                                                                             Re


                                                                                                                                                                             Re
                                                                     ········ ····· ·· ·····, ······· ···, ······ (······)                                                   ···.
                                                                                                                                                                              M
                                                                         ··0··0··· (······) ········                                                                           ···

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'जी0आर0एम० (कल्पना) हॉस्पिटल', 'clinic_pharmacy_address': '६०बी०एस० शोरूम के सामने, कालागढ़ रोड, धामपुर (बिजनौर)', 'clinic_pharmacy_city': 'धामपुर (बिजनौर)', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'डोर रहटिम वर्मा', 'doctor_qualifications': 'M.B.B.3, D.G.O.', 'doctor_registration_number': 'Regn. No. 58973//L.P. Regn. No. 51471/Deini'}, 'patient_details': {'patient_name': 'NAME ..', 'patient_age': '28'}, 'prescription_details': {'date_of_doctor_consultation': '195723'}, 'procedure': {'chief_complaints_diagnosis': 'सही. प्रकृति के संक्रमण बोग विशेषता एवं वार्डन'}, 'medicine_details': [{'medicine_name': 'डि.टिल्डो-250', 'medicine_dosage': '2 times a day', 'medicine_frequency': 'before breakfast and before dinner', 'course_duration': 'NA'}, {'medicine_name': 'टेंडर-500', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'morning and night', 'course_duration': 'NA'}, {'medicine_name': 'रोक्सीकॉन्टिन-150', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'morning and night', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}