                                                                  Regd. No. E. 13282 (Mumbai)
                                                                                                         Phone .:Sanchalit
                                                                                                                  2472 1600 / 2471 7272 / 2471 7474                           AN
                                                                           SHREE BIDADA SARVODAYA TRUST BOMBAY
··· ·· ···                                                                                                                                                                    ES
                                                                                                  MATUSHRI RATANBEN PALAN MANEK
                                                                                                                                                                                   =
                                                                                                  MARU CHARITABLE HOSPITAL

                                                                                                                                                                              31
                                                                                                 & RESEARCH CENTRE
                                                                  286 - B, Dr. Ambedkar Road, Parel, Mumbai - 400 012.                                                         E



                                                                                                                                                       Date: 6/5/2023
                                         Pane




                         Cab Peymox (C)




                                                                                                                         6251                      -




                    Tab Allencer Cold


                                                                                                                                                                        X10


                                                                                                                                         -




                        Tal 2060




                                                                                                           501



                     Cab Labena(1)




                                                                                                                                       Dr. SANJAY GALA

                                                                                                                                             É. N. ·. SURGEON




                Mediclaim holder please check your name & age un the case paper. .. . .............. ..- --
              ····· ········· ········ ········· ········· ···· ···· · ·· ····· ··· ·· ···· ···· ······ ···· ······, ···· ······· ··

              ········· ········· ········· ····· ··· ···· ····· ····. ·· ···· ······ ······ ····· ··· ············· ···· ···

             NO REFUND on consultation will be given unless / if CONSULTING DOCTOR IS ABSENT.
             Cheque in favour of " Shree Bidada Sarvodaya Trust Bombay"

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'MARU CHARITABLE HOSPITAL', 'clinic_pharmacy_address': '286 - B, Dr. Ambedkar Road, Parel, Mumbai - 400 012.', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400 012'}, 'doctor_details': {'doctor_name': 'Dr. SANJAY GALA', 'doctor_qualifications': 'É. N. Ť. SURGEON', 'doctor_registration_number': 'E. 13282 (Mumbai)'}, 'patient_details': {'patient_name': 'MATUSHRI RATANBEN PALAN MANEK'}, 'prescription_details': {'date_of_doctor_consultation': '6/5/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sore Throat'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning', 'course_duration': '10 days'}, {'medicine_name': 'Allencer Cold', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '10 days'}, {'medicine_name': 'Tab 2060', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Night', 'course_duration': '10 days'}, {'medicine_name': 'Labena(1)', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '10 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}