       aayushya                                                                                                                                                 BHRC/F&F/101/00
                                                                Dr. Shweta Bhandari
                                                                                                                                           Patient Label Here
       DR. SHWETA BHANDARI'S
                                                                MBBS, MS (Obstetrics & Gynecology)
       CENTER FOR FETAL MEDICINE                                FELLOWSHIP FETAL MEDICINE (UK)
        A Unit of Bhandari Hospital &                           International Master in Maternal Fetal Medicine
        Research Center (BHRC)                                  (University of Barcelona)                                                  If label hot avadatte weite PL name. IP No
                                                                 MATERNAL & FETAL MEDICINE SPECIALIST                                      Age/5ex. Date. Name of Treating Physician

                                                                  OPD Initial Assessment Form                                                        18196
                                                                                    Obs. & Gynae.
                                                                  (TO BE FILLED BY OPD DOCTOR AND NURSE)

                                       Bharti vilma                                                                                           Rad No.
    Patient Name                                                                                                             Piyush day
                                                                                                   D/o W/o
    Age               33 Sex Camale Date 05/9/23 OPD No.                                                                                   UHID No
    Address                        Dipalone

     leight                    152hm Weight                                      58.1kg Time in
                                                                                                                                               BMI

      tais : Temp.                                          ºF. Pulse 94                                    /m. BP 100/72 mm/Hg. , RR                                              I min
                                              GrP, 4 A = 20.3 well T brevcs
       »visional Diagnosis :
           Pain Score
                               1                 2                 3              4                5                   6              7        8                9             10
                0
              No pain Just noticeable         Mild pain     Uncomfortable Annoying pain Moderate pain Just bearable Strong pain Severe pain Horrible pain Worst pain
                                                                pain
                                                                 30                                          GO                         35


 · LMP 15/4/23                                        EDD 20/1/24                                  · Care Plan : conservative



. PMC                                                 CORRECTED
                                                                                                   · POG : ~ 20.3nel
                                                          EDD


                8ye                                                                                · Presenting Complaint : 40 cough: 3 days
    - ML
                                                                                                       40 Pairs in Crib :- 2-3 days
· Obsth CP, LA) -IF/ CS /31/2yr
                                                                                                           nelle (1 mont.
                                                                                                       to generalized recalimess.
                                                                                                        Adv : Sought scan
    · Past H/O
                                                  Chest Blu der
 · Family H/O


 · hown Allergies :                                                                                    · Treatment Orders :
                                                                                                       Rx - T- Dominate Plus 2) ns (SOS)

.         itritional Screening :                                                                                 T-Ferconomic Plus@co)
                                                                                                       -
       hysiotherapy: 2nd thimister screaming                                                                                                                                               Im
                                                                                                       - T. geneal from 1 OD


     Clinical Findings :                                                                               - PIW Mancida 2157 BDE.
                                                                                                                                                                      mille                     0
 1) P/A v 20 well                        = FHS + Kg (140- 150/m)
                                                                                                       (Jnj. Influvac I/m stat) tan
      ut. silaced                        2) P/S
                                          3) PN UE clust char
                                                                                                            1. Dolo 650 mg @ SOS (s)
                                         4) Other

                                                                                                                     Paracetamol), Doctor Sign & Name

Vaccination Status :                                  Taget Sin

                                                                                                                                                        Reg. No
Patient Shifted to
                                                                                                                               05/9/23
                                                                                                                      Date                                          Time
Next Follow-up Date :                     08/09/2019


                         ISO
                                                                                      GROUP HOSPITALS
                                                      Hospital
                      Bhandari Hospital & Research Centre      Reg. No. 360
                                                          (BHRC)                                                                               Bhandari Hospital (BH)
                      21-23 G.J. Scheme No. 54, Opp: Meghdoot Gart                                                                              36/2, Pardeshipura, INDORE-452010
                      Contact No - 19731) 4            n, Indore-452010
                                                                                                                                                Contact No. - (0731) 2551850, 2551092 Fax : 0733-473355

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Bhandari Hospital & Research Centre (BHRC)', 'clinic_pharmacy_address': '21-23 G.J. Scheme No. 54, Opp: Meghdoot Garden, Indore-452010', 'clinic_pharmacy_city': 'Indore', 'clinic_pharmacy_pincode': '452010'}, 'doctor_details': {'doctor_name': 'Dr. Shweta Bhandari', 'doctor_qualifications': 'MBBS, MS (Obstetrics & Gynecology), FELLOWSHIP FETAL MEDICINE (UK), International Master in Maternal Fetal Medicine (University of Barcelona), MATERNAL & FETAL MEDICINE SPECIALIST', 'doctor_registration_number': 'BHRC/F&F/101/00'}, 'patient_details': {'patient_name': 'Bharti Vilma'}, 'prescription_details': {'date_of_doctor_consultation': '05/09/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Pain'}, 'medicine_details': [{'medicine_name': 'T-Dominate Plus', 'medicine_dosage': '2 tablets', 'medicine_frequency': 'as needed', 'course_duration': 'NA'}, {'medicine_name': 'T-Ferconomic Plus', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'once daily', 'course_duration': '2nd trimester screaming'}, {'medicine_name': 'Dolo 650 mg', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'as needed', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}