           KASTURBA HOSPITAL
            MANIPAL
            (Teaching hospital of KMC Manipol, a writ of MAHE)
                                              OP DRUGS PRESCRIPTION
R                                                        PH:0820 - 2571201 - 2571210 (10 lines)                                          KH/PRESC/535229

                                                                                                   Date : 24-04-2023 01:41 PM
                    Name : SOUMYA V J
                                                                                            Speciality : NEPHROLOGY
                Hosp No : 02390154
                                                                                            Unitname : NPH001
                         Age : 30
                                                                                      Doctor Name : DR RAVINDRA PRABHU
                  Gender : F

                Address : SIDHESHWARA NAGARACHIKKAL POSTSHIMOGA TQ & DIST

                                                                              -             Dosage              Duration         Qty          Instruction
SI                          Name of the Medicine
No.
                                                                              1-0-1 (BID)                    4 months                   BEFORE FOOD
1       CELLCEPT 500MG TABLET
        Generic Name : MYCOPHENOLATE MOFETIL 500MG
                                                                               1MG -0-1MG                    4 months
2       TAB TACSANT
        Generic Name :
                                                                               1-0-0 A/F                     4 months             30
3       T WYSOLONE
        Generic Name :

                                                                                  0-0-1/2                     4 months             15
4       T BACTRIM DS
        Generic Name :
                                                                               1-0-0 (OD)                     4 months            120
5       CARCA 3.125MG
        Generic Name : CARVEDILOL 3.125MG
                                                                                  0 - 0 - 1 (HS)             1 month               30
    6   ACILOC 150 MG TABLET
         Generic Name : RANITIDINE 150 MG


                    Provisional diagnosis : LDRT2014

                          Special Instruction : TAC LEVELS NEXT VISIT

                                                Diet : FRESH HOME COOKED FOOD



                                                Date :
                                                                                                                            Doctor Signature & Stamp
                         Pharmacist Signature

                                                                                                                                DR.RAVINDRA PRABHU
                             Pharmacist Name .:




MR - 070            * Continue Medicine as instructed. Please do not continue medicine after prescribed duration.
                    * In case of Emergency consult your family doctor / report to emergency department of Kasturba Hospital,
                       Manipal ( 0820 2922246)
                    * Avail 10% discount at Kasturba Hospital pharmacy.
                     * Please bring this slip during next visit.

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'KASTURBA HOSPITAL', 'clinic_pharmacy_address': 'MANIPAL', 'clinic_pharmacy_city': '(Teaching hospital of KMC Manipol, a writ of MAHE)', 'clinic_pharmacy_pincode': 'Manipal'}, 'doctor_details': {'doctor_name': 'DR RAVINDRA PRABHU', 'doctor_qualifications': 'NEPHROLOGY', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'SOUMYA V J'}, 'prescription_details': {'date_of_doctor_consultation': '24-04-2023 01:41 PM'}, 'procedure': {'chief_complaints_diagnosis': 'LDRT2014'}, 'medicine_details': [{'medicine_name': 'CELLCEPT 500MG TABLET', 'medicine_dosage': '1-0-1 (BID)', 'medicine_frequency': 'NA', 'course_duration': '4 months'}, {'medicine_name': 'TAB TACSANT', 'medicine_dosage': '1MG -0-1MG', 'medicine_frequency': 'NA', 'course_duration': '4 months'}, {'medicine_name': 'T WYSOLONE', 'medicine_dosage': '1-0-0 A/F', 'medicine_frequency': 'NA', 'course_duration': '4 months'}, {'medicine_name': 'T BACTRIM DS', 'medicine_dosage': '0-0-1/2', 'medicine_frequency': 'NA', 'course_duration': '4 months'}, {'medicine_name': 'CARCA 3.125MG', 'medicine_dosage': '1-0-0 (OD)', 'medicine_frequency': 'NA', 'course_duration': '4 months'}, {'medicine_name': 'ACILOC 150 MG TABLET', 'medicine_dosage': '0 - 0 - 1 (HS)', 'medicine_frequency': 'NA', 'course_duration': '1 month'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}