                                                                                                                        Card
       YASHODA
      Super Speciality Hospitals
                                                                 OPD CONSULTATION

                               gran                                                  37yr/m                         .Regn. No.
Patient Name"                                                      Age /Sex
                                                                                                      le 3/10/23.
Doctor's Name ......... D.t. ANKIT.KLIMAR. SINHA                                                 Date .....                         Time
                                                                              ..............
                              M.B.B.S. OTDE. ONE
 1. Nutritional Screening                   5leap Nodichos                                       Investigations Advised :
                                           0915                                          6.
 Height                  Weight         Super Spec Bra Hopital
                                                                                                   Chest xvat
 2. History : (Present/ Past/ family)
 CIO          Cough/ put well




                                                                                         7. Provisional/ Differential Diagnosis :

   Any Drug Allergy :

 3. General Examination :

    BP                       Temp :               Puisse :          R/R:
    Pallor / Oedema / Koilonychia
  4. Systemic Examination :
                                                                                          8. Treatment Advised
       CVS :                                                                                                    xyzal 5mg pm
                For-991.03
       CNS
                                                                                               Jos huysolocre 20 g ch
                                LA

       RS:                                                                                Cap Renal - D /3 AF

       PIA
                                                                                         Steam inhalation Am

       Others :                                                                      · Betade gay pos

                                                                                          /leads of fame



   5. Pain                                                                             Syp Pintores aty ...
        Score
                                        Mid Pain Moderate Pair Severe Fain              Follow up Due On .                                               00

   Patient Education (Patient is briefed on the following ]
                                                                                                                       Dr. ANKIT KUMAR SINHA
   Proposed Care Plan : Yes / No                      Expected Outcome : Yes / No              Possible ComplicationM.E.R.S.    DTDC. BH
                                                                                                                       osgres ( Noopbry & fietpiratory
                                                                                                                       Critical e & Sleep Medicine
  Name and Sign. of Doctor                                                                                             DAJC FIVE - 52115
                                                                                  Name and Sign. of Patient / Attendent:

                  H-1, 24, 26, 27, Kaushamb, Near Dabur Chowk, Ghaziabad-201010. Ph .: 0120-4181900. 4189500. 8506069461
                           For Enquiry : admin.yhk@yashodahospital.org . For Feedback : feedback@@yashodahospital.ceg
                                                          Website : www.yashodahospital.org

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'YASHODA', 'clinic_pharmacy_address': 'H-1, 24, 26, 27, Kaushamb, Near Dabur Chowk, Ghaziabad-201010.', 'clinic_pharmacy_city': 'Ghaziabad', 'clinic_pharmacy_pincode': '201010'}, 'doctor_details': {'doctor_name': 'Dr. ANKIT KUMAR SINHA', 'doctor_qualifications': 'M.B.B.S. OTDE. ONE', 'doctor_registration_number': 'DAJC FIVE - 52115'}, 'patient_details': {'patient_name': 'gran'}, 'prescription_details': {'date_of_doctor_consultation': '3/10/23'}, 'procedure': {'chief_complaints_diagnosis': 'Cough/ sore throat. Pain score: Moderate'}, 'medicine_details': [{'medicine_name': '5leap Nodichos', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'per day', 'course_duration': '10 days'}, {'medicine_name': 'xyzal 5mg', 'medicine_dosage': '1 tablet', 'medicine_frequency': 'at bedtime', 'course_duration': '10 days'}, {'medicine_name': 'Cap Renal - D', 'medicine_dosage': '1 capsule', 'medicine_frequency': '3 times a day', 'course_duration': '10 days'}, {'medicine_name': 'Syp Pintores', 'medicine_dosage': '10 ml', 'medicine_frequency': '3 times a day', 'course_duration': '10 days'}], 'lab_test_details': {'lab_test_names': 'Chest x-ray', 'procedure_request': 'Super Speciality Hospitals'}}