                                                                                                                                                Dr. Gautam Banga
                                                                                                                                            MBBS, MS. M.Ch (Urology)
          UPS                                TM                 SCI                                                             Urologist, Andrologist & Genito Urinary
                                                                                                                                                     Reconstructive Surgeon
                                                                International                                                                            M- +91-9999062316
                                                                Hospital
                                                                                                                                             E- gautambanga(@ gmail.com
                                                    Exceptionel Care with Compassion          SHCO-2019-4226
           Urethra & Penile Surgery                                                                                                 W- www.urethraandpenilesurgery.com
                                                                                                                                                              DMC: 32971



                                                                                  Erectile Dysfunction                  Male Infertility              Penile Enhancement
                                                   Stricture Urethra
                                                                                   Penile Prosthesis                  Peyronie's Disease            Cosmetic Circumcision
          Centre of excellence :-                      Hypospadias


          Patient Name: Sachin
                                                                                                  05/08/2023                                                       31/M
                                                                                Date/Time:                                                      Age/Sex
          UHID



                                                                       OPD PRESCRIPTION



       VITALS

                                                                                                                       BMI                 HEIGHT                    WEIGHT
                 TEMP                         BP                       HR                         R




        ALLERGIES :                                                                          ED Issues




       CHIEF COMPLAINTS                                                                                          Rx



                                                                                                         1 Tab TADAFLO 5mg / 01



                                                                                                                                                          x lant


       PAST HISTORY :

              Adv
                                                                                                      EDIPHYTE - PRO Sacked 1Sachet
                                                                                        2

im-5. Testosterone (Total)                                                                                                                                   ODX 1 mak


              lipid profile

                 - Blood sugar
        EXAMINATION                                                                    3 ADARGIN -X Sachet 1 Sachet

                                                                                                                                                                    ODx / mk.



                                                               Bo Or. Gautam Banga

                                                                        Reconstructive Urologist & Andrologist
         PROVISIONAL DIAGNOSIS:                                               M.Ch (Urology)
                                                                            DMC Reg. No. 32971

                              Review other         One month


       SCI Healthcare Pvt. Ltd ., M-4, Greater Kailash, Part-1, Near M-Block Market, New Delhi - 110048, India, (T) (+91) 011 4104-1131 (5 Lines)
         24 Hrs. Helpline Number : (L): (+91)-011 2924-2429, Fax No. : (+91)-011 4167-5555, 24 Hrs. Emergency Number: (M): (+91)-70655-58894
                                      Website : www.scihospital.com, Mail ID : info@scibospital.com, CIN:U85100DL2013PTC257743

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'SCI Healthcare Pvt. Ltd.', 'clinic_pharmacy_address': 'M-4, Greater Kailash, Part-1, Near M-Block Market, New Delhi - 110048, India', 'clinic_pharmacy_city': 'New Delhi', 'clinic_pharmacy_pincode': '110048'}, 'doctor_details': {'doctor_name': 'Dr. Gautam Banga', 'doctor_qualifications': 'MBBS, MS. M.Ch (Urology)', 'doctor_registration_number': 'DMC: 32971'}, 'patient_details': {'patient_name': 'Sachin'}, 'prescription_details': {'date_of_doctor_consultation': '05/08/2023'}, 'procedure': {'chief_complaints_diagnosis': 'ED Issues'}, 'medicine_details': [{'medicine_name': 'TADAFLO', 'medicine_dosage': '5mg', 'medicine_frequency': '1', 'course_duration': 'NA'}, {'medicine_name': 'EDIPHYTE-PRO Sacked', 'medicine_dosage': '1 Sachet', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'ADARGIN-X Sachet', 'medicine_dosage': '1 Sachet', 'medicine_frequency': 'NA', 'course_duration': 'One month'}], 'lab_test_details': {'lab_test_names': 'Testosterone (Total), lipid profile, Blood sugar', 'procedure_request': 'NA'}}