                                                                                          http://server-pc:9090/OPDTransaction/RegPrintBlank?id=1266282

                                                                               LRM HOSPITAL

                                                                    RAMHLUN VENGLAI AIZAWL MIZORAM-796012
                                                                    PIL : 08413028542 (RECEPTION) / 06009077671 (CASUALTY)



                                                               OPD ASSESSMENT FORM
            Name:
                               JOHN LALTLANZAUVA
            Age:
                               31Yr Male                                                       Reg Dt:                 14/09/2023
            Doctor:            NAGARJUN RAO M                                                  OPD Reg No:             OPD/23/22113
            Address:           RAMHLUN VENGTHAR                                                Card Validity : 29/9/28
            Contact No:        8259975508                                                      UHID:                   LRM/23/18244
                                                                                               Department:           MEDICINE           BD=120/80 mm Hg

                                                                                                                                        10t> 91.5 kgs!

                                                                                                                                        DPD=>97%


                                                                                                                                                     82/m
                                                               c/e- epipain+




                                                                          - NOV7


                       Smide
                                                                       - No de-fermeNe Headache




                   docy/ par




                                     4 ECy-Sines Rythme




ECG)

                                                                                        Cap. Rabran - dsR BD


       Ad
                                                                                                                                      1 00/cm
                                                                                                  1
                                                                                                                                                                4     30
       VaTE


                                                                      2) Syp. Belfate-0 100g



                                                                                                                                                            4       50
                                                                                                                     NAGARJUN RAO M
                                                                                                                     MEDICINE
                                                                                                                      Reg No. :
                                                                                                                      Ph No. : 0000000000
                                            8) Vise Smoking.




                                                                                                                                                                    14-09-2023, 13

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'LRM Hospital', 'clinic_pharmacy_address': 'Ramhlun Venglai, Aizawl, Mizoram-796012', 'clinic_pharmacy_city': 'Aizawl', 'clinic_pharmacy_pincode': '796012'}, 'doctor_details': {'doctor_name': 'Nagarjun Rao M', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'John Laltlanzauva'}, 'prescription_details': {'date_of_doctor_consultation': '14/09/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat, epigastric pain, headache'}, 'medicine_details': [{'medicine_name': 'Pan 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '14 days'}, {'medicine_name': 'Cap. Rabran-DSR', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning', 'course_duration': '14 days'}, {'medicine_name': 'Syp. Belfate', 'medicine_dosage': '2-0-0', 'medicine_frequency': 'Morning', 'course_duration': '14 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}