   ··. ···· ······                                                                                                              CBCC/0123/LH/220-V1
                                                                                                                     Hosp. Reg. No. : NH/2443/FEB-2021
  M.B.B.S ., M.S. (ENT), D.N.B. (ENT)
  FHNS (Tata Memorial Hospital, Mumbai)                                                          SRJ-CBCC Cancer Hospital
  ······· ···, ···, ··· ··· ··· ····· ··· ······
  (···· ········ ········, ······)
  FINISCI : 97024 49708, 95890 13927
  $-4cl : amayabihani87@gmail.com
  RfGI. 35. : MP-21566


  Patient's Name                                                                                                          .... Age / Sex : ...

                                                                                                          Date : 4/3/23                   Time : ...... . ......




  ·Bhaquanti molde.




            laryngoscopy (900)




                        minor OT



                                                                                            Rx


                                                                                           - Product



                                                                                                              16 mg HMM


                                                                                       -7. Avil 25
                                                          5 dias
                                                                                                                                For

                                                                                           -7 PanDro



                                                                                                                               100


Follow Up After                    . Days

                                            A Unit of Amrish Oncology Services Pvt. Ltd.
                                    142, Phadnis Colony, A.B. Road, Near L.I.G. Square, Indore - 452 008

                     For OPD Appointments & Blood Sample Collection please contact - + (0731) 4771700, 4771777 (10.00 AM - 6.00 PM)

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SRJ-CBCC Cancer Hospital', 'clinic_pharmacy_address': '142, Phadnis Colony, A.B. Road, Near L.I.G. Square, Indore - 452 008', 'clinic_pharmacy_city': 'Indore', 'clinic_pharmacy_pincode': '452008'}, 'doctor_details': {'doctor_name': 'Dr. Amey Bihani', 'doctor_qualifications': 'M.B.B.S., M.S. (ENT), D.N.B. (ENT), FHNS (Tata Memorial Hospital, Mumbai)', 'doctor_registration_number': 'NH/2443/FEB-2021'}, 'patient_details': {'patient_name': "Patient's Name"}, 'prescription_details': {'date_of_doctor_consultation': '4/3/23'}, 'procedure': {'chief_complaints_diagnosis': 'Bhaquanti molde, sore throat, laryngoscopy (900), minor OT'}, 'medicine_details': [{'medicine_name': 'Avil 25', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'BD', 'course_duration': '5 days'}, {'medicine_name': 'PanDro 100', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'BD', 'course_duration': '7 days'}, {'medicine_name': 'Pan 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'BD', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'CBCC', 'procedure_request': '0123/LH/220-V1'}}