                                                                                                                                          Trust Regn, No. F 2228 (Bies

   Regn. Under the Societies Act XXI of 1860 - Regd.
                                         Shree       No.Hitwardhak
                                                Kandivli 2910/1953 Mandal

                                                                               'KHM' Hospital


                          Shri Mangubhai Dattani Bbavan, S. V. Road / S. M. Road Corner, Kandivi (West), Mumbai - 40055
                                                                                                                      057. Tel. : 86570 23202 / B6570 23203
                                                                                                   NO :                                                    1514554
                                                                                                                                           OPD No
                         Dept : GASTROSCOPY                                                                                                Date           09/03/2023

    Doctor : DR. DARSHIL ATUL SHAH                                                                          (-)
    Patient   : MR. AMISH R SHAH                                                                                                                                               H.P./20X1000 - CC
               : Male          Age : 36 Y 9 M, 11 d
    Sex
    Address :
                                                                                                                                                    Charges
      Date                                                              Clinical Notes & Treatment



MAR 2023


                                                                                                                  Stools

                                   Blood in



                                                                                                          1 month
                                                                                    .:




                                                                                                    Colonoscopy - 9752126119


                                          Ado -




                                  - CBC| Triple H (ESR/Cnat)




                        - T. Pause (500) 1+1 + 3 days




                     - C. Pan D 100 x 1 month.


                                                                                     (before rueals)




egn. Under the Societies Act XXI of 1860 - Regd, No. 2910/1953                                                                                Trust Regn, No. F 2228 (Bom)
                                         Shree Kandivli Hitwardhak Mandal

                                                                                  KHM' Hospital

                       Shri Mangubhai Dattani Bhavan, S. V. Road / S. M. Road Corner, Kandivi (West), Mumbai - 400 067. Tel. : 86570 23202 / 86570 20PD No :               1514554
      Voucher No :               3906374                                                                                                                                 09/03/2023
                                                                                                                                                   Date        :
      Patient         : MR. AMISH R SHAH                                                                                                                                 Amt
       Charges                                                                            Services
                                                                                                                                                                                 400.00
                                                                                          FIRST VISIT - SUPER SPECIALITY
      CONSULTATION FEES                                                                                                                                                          400.00
                                                                                                                                                   Total
                                                                                                                                            Valid till date 23/03/2023
    DR. DARSHIL ATUL SHAH Monday & Thursday 4:00 p.m. to 5:00 p.m.                                                                    05:03PM / 05:03PM
                                                                   09/03/2023 / 09/03/2023
    AVR / AVR


                                     ····· ·· ··· ··· ···· ···· ·· ····, ·· ····· ···· ······ ···

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'KHM Hospital', 'clinic_pharmacy_address': 'Shri Mangubhai Dattani Bhavan, S. V. Road / S. M. Road Corner, Kandivi (West), Mumbai - 400 067', 'clinic_pharmacy_city': 'Mumbai', 'clinic_pharmacy_pincode': '400067'}, 'doctor_details': {'doctor_name': 'Dr. Darshil Atul Shah', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mr. Amish R Shah'}, 'prescription_details': {'date_of_doctor_consultation': '09/03/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Blood in Stools'}, 'medicine_details': [{'medicine_name': 'T. Pause (500)', 'medicine_dosage': '1+1', 'medicine_frequency': '+ 3 days', 'course_duration': '1 month'}, {'medicine_name': 'C. Pan D 100', 'medicine_dosage': '100', 'medicine_frequency': 'Before meals', 'course_duration': '1 month'}], 'lab_test_details': {'lab_test_names': 'Colonoscopy, CBC, Triple H (ESR/Cnat)', 'procedure_request': '9752126119'}}