                                                                                                                                                     3




                                            CIMS Hospital Pvt. Ltd
Marengo CIMsoff, Science City Rd, Science City, Panchamrut Bunglows Il, Sola,
               Hospital                     Ahmedabad,380060, Gujarat
                                            Phone:91-79-48051111 Fax: Email:info@cims.org www.cims.org
Date - 31/03/2023 9:53AM
                                                                                UHID - 300212079
Patient name - Mr. DILIP KHARIWAL
                                                                                Age/Gender - Male/61 Yr 11 Mth 18 Days
Address - 46, KACHIPURAM,
                                                                                Mobile no. - 9351410711
 Department name - Interventional Cardiology                                    Consultant - Dr. KEYUR HARSHADRAY PARIKH
                                                                     CIMS OPD PROCESS

 CIMS OPD PROCESS
  OPD Requisition



                                                                                                                                 PACE      HEART
                                                                          EC       RENAL Consul           CARDIAC PHYSIO-
                      ECHO          TMT                  LAB                                                                     MAKER     FAILURE
       F/UP                                                                                                REHAB THERAP
                                                                                   DOPPLE tation                                            CLINIC
                                                                                                                        Y
                                                                                      R

                                 NOT
                                                      F UP 1A      YES                                                         FEES
                     YES         READY
                                                          CAROTID     TITL          DIETICIA
         N/P         STRESS      HOLTER           LOOP                                  N
                                                            DOPOLE    TABLE
                                                 MONITO
                      ECHO                                     R       TEST
                                                    R                                                                PAID                UNPAID


                                                                                                                            PRESCRIPTION




                                Dr. visel

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'CIMS Hospital Pvt. Ltd', 'clinic_pharmacy_address': 'Marengo CIMsoff, Science City Rd, Science City, Panchamrut Bunglows Il, Sola', 'clinic_pharmacy_city': 'Ahmedabad', 'clinic_pharmacy_pincode': '380060'}, 'doctor_details': {'doctor_name': 'Dr. KEYUR HARSHADRAY PARIKH', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mr. DILIP KHARIWAL'}, 'prescription_details': {'date_of_doctor_consultation': '31/03/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Interventional Cardiology'}, 'medicine_details': [{'medicine_name': 'PAN 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning And Night', 'course_duration': '5 Days'}, {'medicine_name': 'Aspirin', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'Morning Only', 'course_duration': '30 Days'}, {'medicine_name': 'Clopidogrel', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Night Only', 'course_duration': '30 Days'}], 'lab_test_details': {'lab_test_names': 'ECHO, TMT', 'procedure_request': 'NA'}}