                                                                                                   Phone : 0831-2473777 (16 Lines) Fax: 0831-2470732
                                                                                                   Web : www.klehospital.org
                                                                                                                                                                        QUALITY OF CARE
         KAKLES
                                                                  PRESCRIPTION
        DR. PRAENAKAR KORE HOSPITAL

        MEDICAL RESEARCH CENTRE
        NEHRUNAGAR BELAGAVI-590010                                                                      Date: 6-5-23                                             PRE ACCREDITED
                                                                                                                                                               PEH-2018-0667
            KARNATAKA-INDIA

                                                                 Aravind                                                 Age : 52 y yrs. Weight :                           kgs
     Name of Patient

                                                                                                                I.P./O.P. No.                                 Sex : M       F
    Address :
                                         Castro
                                                                                                            Phone Ext. No.                                     Unit:
    OPD/Clinic Name

                                                                                        D.O.A. :                                Phone Ext. No. :
 Ward Name

                                                                                                                                                        Dosage &          Dosage &
                                                  Name of Medicine                                        Strength                Route
 R                                                                                                                                                     Frequency           Duration

           7. Ursocon 300mg                                                                                                                                                     60
1                                                                                                        10-1



2


 3


    4


    5


 6


                                       Dr 1. gokal-
Prescribed by : Dr.

Designation :


Clinic / Doctor's seal                                       Dr. Jagattara, P Gokat

                                                         Consulado rotoglet
                                                       KLE's Dr. Prablinker Koro Hospital
Substitution : Allowed / Not allowed                                                                                              Refill 1 / 2 / 3 / 4 / 5/
                                                                     MRC, DAgain




                            REDMI NOTE 6 PRO

                            MI DUAL CAMERA

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'DR. PRAENAKAR KORE HOSPITAL MEDICAL RESEARCH CENTRE', 'clinic_pharmacy_address': 'NEHRUNAGAR BELAGAVI-590010, KARNATAKA-INDIA', 'clinic_pharmacy_city': 'NA', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Jagattara, P Gokat', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Aravind'}, 'prescription_details': {'date_of_doctor_consultation': '6-5-23'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'Ursocon 300mg', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}