                                                                                      & de addiction Specialist                                                DR. SURESH PATIL
                                                                                                                                                                                     MBBS DPM FIPS
                                         ·····, ·········, ·········· · ··········· ····                                                                                Regd. No. 2008/04/0777
                                                                                                                                                                             Contact: 9987230222

        co of Mind                                                                                                                                                                      8450982044

                                                                                              SHANTI CLINIC

                                                                                  NALLASOPARA
                VIRAR
                                                                                                                                                                      VASAI
                                                                                E-104, First Floor, Golden Trade Center,
002, Ground Floor, Goradia Apartment,                                                                                                           Ground Floor, Ruchin Apartment,
                                                                                Near Ashirwad Hospital, East End of
hind Sai Leela Hotel, In front of Vijaya Bank,                                                                                                  Behind Sainagar Ground, In Front of
                                                                                 The Flyover, Tulinj Road, Nallasopara (E).
car Virar Petrol Pump, CS Road, Virar (W),                                                                                                      Chop Stick Hotel, Sai Nagar, Vasai (W).
                                                                                  Time : Mon to Sat
me : Mon. To Sat.                                                                                                                               Time : Mon. To Sat. Evening 7.30 to 9.30 pm
                                                                                  Afternoon : 4.30 pm to 7.00 pm
fternoon 12.00 to 2.30 pm                                                                                                                       Appointment : 7045005850
                                                                                Appointment : 7045006448
ppointment : 7045006488


                                                                                                                  Weight :                                        Date : 20/6/23
         Sushila Guita

                                                                                                                                                                      BP :



          e Data :                                                                                                                                      Rx




                                                                         INO
                                                                                                                              (1 Tb Erane Ply




                                                                                                                                    (2) IT Relidy (4)



                                                                Jundbich



                                                                                                                                       11 IT eitan beta




                                                                                                                                                     IT 20lisan ai)




                                                               For Admission
            VIBHAS PSYCHIATRY HOSPITAL AND REHABILITATION CENTRE

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SHANTI CLINIC', 'clinic_pharmacy_address': '002, Ground Floor, Goradia Apartment, Near Ashirwad Hospital, East End ofVIRAR', 'clinic_pharmacy_city': 'VASAI', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'DR. SURESH PATIL', 'doctor_qualifications': 'MBBS DPM FIPS', 'doctor_registration_number': 'Regd. No. 2008/04/0777'}, 'patient_details': {'patient_name': 'Sushila Guita'}, 'prescription_details': {'date_of_doctor_consultation': 'Date : 20/6/23'}, 'procedure': {'chief_complaints_diagnosis': 'मेंदु, मानसोपचार, सेक्सविकार व व्यसनमुक्ती तज्ञ'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1 Tb Erane Ply', 'medicine_frequency': 'Morning and Night', 'course_duration': 'NA'}, {'medicine_name': 'IT Relidy', 'medicine_dosage': '4', 'medicine_frequency': 'Morning and Night', 'course_duration': 'NA'}, {'medicine_name': 'Jundbich 11 IT eitan beta', 'medicine_dosage': '1', 'medicine_frequency': 'Morning', 'course_duration': 'NA'}, {'medicine_name': 'IT 20lisan ai)', 'medicine_dosage': '1', 'medicine_frequency': 'Morning', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'For Admission'}}