                    manipalhospitals
                                                                                                                                        OUT PATIENT RECORD
                                                                                                                             OBSTETRICS & GYNAECOLOGY
                                                            LIFE'S ON E


  Patient Name                : Mrs Sukanya Chakraborty                                  Age/Sex :30 Yrs / Female               Episode No .: 009000142270
   Hospital No.               : MH010820179                                              Date        : 2023-03-03 09:40
  Patient Mob. No.            : 9886115119                                               E-mail ID : sukanya3377@gmail.com
  Consultant Name : DR JYOTHSNA MADAN (MBBS.MD)



  KMC Reg No.
                                                                                         Dept        : OBG MMH
                        Ruf by Anucha,
  Doctor's Notes:
       wto MR. a. JISHU: 33 yes.
                                                                                                                                            Height:
                                                                  J.P. Nagas 5th phase                                                      Weight: 57 Kge
                                                                                                                                                              0
      ML: 4 28.
                                                                                                                                            BP:
        Trying for peeg & month :.
                                                                                                                                            Allergies:


                                                                                                                                                  Admission Advised
     MH: PMC: Rug 4-5/ 26 days
                                                                                                                                                  Surgery Advised
                             CHP:                 22.02.2023

                                                     erg
      RactH: mil
                                                                                                                          ofgann


      Family H: mother HTN
                                                                                                                           10kgs in 4 yrs
                                                                       Stop
     Personal H: 22)


                             Buarts
      OfE:

                              Thyroid y


                               PA: soft, no mass ftendeaneu.




                               Adr: 1 TAB FOLSAFE- L 0-0-1 (30



                                          2 Contact four day 10-20 of The cycle




                                          3 R/ c seperte




           Pelvic USE



             Hacmigraus
                                                                                                          Dr. JYOTHSMA MADAN


                  NGA,Q                                                                                Cenastant Obstetrician & Gynaecologiet
                                                                                                                   Regn No. 26493
                                                                                                              Dr. Maisti Manipad Hospital
                    SOTSH


                    Usin R                                 tri




Manipal Hospital, Jayanagar                                                                                                                                           Page 1 of
45/1. 45ch Cross Road, Kottapalya, Jayanagara 9th Block, Jayanagar B
                                                                  ngalumi-560069, Kanacaka
Ph. : 060 4009 1000, 080 4009 1200, 1800 102 5555
Home Care : 1800 102 6070 / 0951773171 | MARS (Ambulance Service) : OH0 2222 1111
Email-Id : info@ryanapp/hospitais.com | Website : manpahospitals.com

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Manipal Hospital, Jayanagar', 'clinic_pharmacy_address': '45/1. 45ch Cross Road, Kottapalya, Jayanagara 9th Block, Jayanagar B', 'clinic_pharmacy_city': 'Bangalore', 'clinic_pharmacy_pincode': '560069'}, 'doctor_details': {'doctor_name': 'DR JYOTHSNA MADAN', 'doctor_qualifications': 'MBBS.MD', 'doctor_registration_number': '26493'}, 'patient_details': {'patient_name': 'Mrs Sukanya Chakraborty'}, 'prescription_details': {'date_of_doctor_consultation': '2023-03-03'}, 'procedure': {'chief_complaints_diagnosis': 'Trying for pregnancy & month'}, 'medicine_details': [{'medicine_name': 'FOLSAFE-L', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Daily', 'course_duration': '30 days'}], 'lab_test_details': {'lab_test_names': 'Pelvic Ultrasound', 'procedure_request': 'R/ c separate'}}