                                                                                                                                  Diagnostics

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                                                                    Dr L H Hiranandani Hospital
                                                                              Your Family Superspeciality Hospital
             ISO 9001 : 2015 CERTIFIED
                                                                            A NABH           Accredited Hospital
                                         (National Accreditation Board for Hospitals & Healthcare Providers. An Initiative of Quality Council of India)
                                                   R "Winner of IMC Ramakrishna Bajaj National Quality Award, 2008 & 2015"
                                                      Inilia's first and only Hospital fir get the International Asia Pacific Quality Award, 2009
                                                                     APQO Global Performance Excellence Best In Class Award 2016

                                                                  OPD - INITIAL ASSESSMENT FORM

                                                                                                                                                  Sat 28.Jan.2023 18:13
                       Patient's Name :               SANDHYA BHATT

                      Address :             CHANDAVALI MUMBAI MAHARASHTRA

                      MR.No. :            UHID : MR220004443                                          Evolko ID :           2994275
                     Age / Sex :             30Y /F                                                    Mobile :           +918879003354

                    Clinical Notes :
                    Chief Complaint: ANC Consultation

                    HPI:

                    Additional Notes:

                    General Exam: Wt- 58.7 kg
                    BP- 110/70mmhg

                    Rx



                       DOSAGE                   (GENERIC DRUG) BRAND NAME                                     DOSAGE                  ROUTE          FREQUENCY             DURATION
                        FORM
                    TAB                 URSODESOXYCHOLIC ACID                                         1 Tab                        Orally           twice a day
                                        UDILIV 300MG                                                                                                                       for-Lifetime


               Advised Investigation: Bile Acids-Total, Serum
               Liver Function Test (LFT) - After 15 days

              Consultant's Name : Dr. Vanita Raut, MD, DGO
             Obstetrician & Gynaecologist
             Reg No.43505
                                                                                                                                            Dr. Varuts Ra
                                                                                                                                            MD, DGO-
                                                                                                                                            Obatctricien & Gyneecologist
                                                                                                                                            Reg No - 43505



            Date : Sat 28.Jan.2023 Time : 18:13
                                                                                         Consultant's Signature :
                  In case the current symptoms worsen or new symptoms (esp. breathlessness, chest pain, rashes, diarrhoea, vomiting, Stamp  fever)
             develop, please feel free to contact me/clinic immediately. If I am unavailable, kindly contact your nearest doctor/hospital immediately.
           In case you require a print out please reach out to the Hospital's Retail Pharmacy in ground floor
           Dr L H Hiranandani Hospital Medical Stores, Mumbai



          Stamp :




lote: This is a Suggested Drug name and is NOT BINDING on the patient to use the particular brand above.

            Hillside Avenue, Hiranandani Gardens, Powai, Mumbai - 400 076. India. Tel .: 2576 3300 / 2576 3333 . Fax : 2576 3311

                                        Online Appointment No .: 2576 3500 · Web : www.hiranandanihospital.org

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Dr L H Hiranandani Hospital', 'clinic_pharmacy_address': 'Hillside Avenue, Hiranandani Gardens, Powai, Mumbai - 400 076. India', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400076'}, 'doctor_details': {'doctor_name': 'Dr. Vanita Raut', 'doctor_qualifications': 'MD, DGO', 'doctor_registration_number': 'Reg No.43505'}, 'patient_details': {'patient_name': 'SANDHYA BHATT'}, 'prescription_details': {'date_of_doctor_consultation': 'Sat 28.Jan.2023'}, 'procedure': {'chief_complaints_diagnosis': 'ANC Consultation'}, 'medicine_details': [{'medicine_name': 'UDILIV 300MG', 'medicine_dosage': '1 Tab', 'medicine_frequency': 'twice a day', 'course_duration': 'Lifetime'}], 'lab_test_details': {'lab_test_names': 'Bile Acids-Total, Serum', 'procedure_request': 'Liver Function Test (LFT) - After 15 days'}}