                                   ·· ········                                                                                                                                                    PATKINTCREATED
                                                                                                                                                                                                         SAFETY &



                                         Care . Satisfaction . Trust


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                                                                                                                                                                                        9.8.23
                                                                                                                                                                                                      Time :
                                                                                                                                                                                    Date :.

                      Name : UK                                              Shantanu
                                                                                                                                                                                    CR No. :

                      Age :___                         Sex : Male [] Female []

                      Pulse:                           /min BP:                                                mm of Hg



                      Brief History :


                                                                                                                       T.           citan - ct



                                                                                                                                                        1-                     -1

                                                                                                                   T.                     Drohn- M

                                                                                                                                                            1 --
                  Symptoms :
                                                                                                                  r.                   Esogran D
                                                                                                                                                                                                   x 5 day

                                                                                                                                                               -

                                                                                                  * c. Imodium
                                                                                                                                                                   -           6)




                                                                                                                                                     1 2m
                                                                                                                                                                   -1 cup
        Investigation :

        . CBC                                                                                                                                         max                   3/day



    -
               Stuol (2)



                                                                                                                        50

   - s-Elect
                                                                                                                       slew                                                                      Sign / Stapp
    -Burfrimm



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{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'यश हॉस्पिटल', 'clinic_pharmacy_address': 'सर्व्हे नं. १६८/१० व ११, साधना मुलींच्या शाळेमागे, डी. पी. रोड, माळवाडी, साडेसतरा नळी, हडपसर, पुणे - ४११ ०२८', 'clinic_pharmacy_city': 'पुणे', 'clinic_pharmacy_pincode': '४११ ०२८'}, 'doctor_details': {'doctor_name': 'डॉ. सुहास कुंभार (एम.डी.) • डॉ. शैला कुंभार (बी.ए.एम.एस.) • डॉ. विजय कुंभार (डी.ओ.)', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'UK Shantanu'}, 'prescription_details': {'date_of_doctor_consultation': '9.8.23'}, 'procedure': {'chief_complaints_diagnosis': 'T. citan - ct, T. Drohn- M, r. Esogran D'}, 'medicine_details': [{'medicine_name': 'citan-ct', 'medicine_dosage': '1-1', 'medicine_frequency': 'दिवसातील ३ वेळा', 'course_duration': 'NA'}, {'medicine_name': 'Drohn-M', 'medicine_dosage': '1-1', 'medicine_frequency': 'दिवसातील १ वेळा', 'course_duration': 'NA'}, {'medicine_name': 'Esogran D', 'medicine_dosage': '1 x 5 दिवस', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'CBC, Stuol (2), s-Elect, slew, Burfrimm', 'procedure_request': 'NA'}}