                       SHREYA HOSPITAL


                          (A Unit of Shreya Multispeciality Hospital Pvt. Ltd.)
                                                                                               337, Shalimar Garden, Ext
                                   (Govt. Registration N                                                                  -1. 54
                                                                                                Helpline No .: 0120-4775450,  Sahibabad,
                                                                                                                                 (50 Lines)GZB.
        UHID No: 140665                                     >: RMEE1901175)                              PATm & O : 7838737363
        Receipt No.                          -                  OPD PRESCRIPTION

       Name of Patient                              Department: Gan.
                                       MV3
                                                         Pinker-                                                 21431
       Name of Consultant :                                                                                                             Date: 29.9.23

         1. PRESENT COMPLAINTS :-                                  Dr usha- 8 m/s                                          Age: 30qusox I
                                                                                                                         PANEL ...
                                                                                                                              Cash
                             kou p 12.1. 2023                                                   10. PROVISIONAL/DIFFERENTIAL DIAGNOSIS:


                             EDI 19.10. 2022
                                                                                                11. INVESTIGATION: anne- NAVO.

                                                                                                  ABTUO.
        2. PAST HISTORY :-
             DM                                                         NOG
                       HTN         COPD           SEIZURE          ARTHRITIS THYROID
                                                  DISORDER                                       12. TREATMENT ADVISED: (CAPITAL LETTER ONLY):
                                                                        37me
       3. G ,POL OA, LMP.
                                                                             .EDD.               Acu usa Abd caler

      4. FAMILY HISTORY                   Lack of PM -                                                                               Doppler c

                                                                                                                                                   RPS.

      5. DRUG ALLERGY & HISTORY :-
                                                                                                        Jab Ei0's Pe 1mix lock

     6. GENERAL EXAMINATION :-
         BP: 110/76 PULSE:
                                                                      SPO2                             Jab Ancal-Dlax 100
         TEMP .:                         R/R:


     7. NUTRITIONAL SCREENING:

        HEIGHT                      WEIGHT 69-7 POKER WEIGHT
                                                                                                    Dalivo D3. 10hrs alle .
       Pallor/Edema/Icterus/Lymphdnode/Koilonychia/Dermatitis


    8. SYSTEMIC/ LOCAL SITE EXAMINATION :
                                                                                                     Margenà all' parkin
                                   PIA FM. 37 ale

                                                                                                                                     Emergency



                                      ve puede


                                                                                                                                          LOT
                                                                                                     show.
                                                         Sacralos.
  9. PAIN:                                                                                                                                                       -



                                              5-6                  7-8     9-10                        13. NEXT FOLLOW UP VISIT:
             0         1-2           3-4
                                       MODERATE                       SEVERE
                      MILD                                                                                Renew ala
PATIENT EDUCATION (patient Is Briefed On The Following)
                                                                             ......   ( ) No
                                     ( ) Yes ..
Proposed Care Plan                                                                                      SMH/GEN/FR/17
                                                                                      ( ) No
                                     ( ) Yes.                                                                                               Ical Sign. & Stamp
Expected Outcome                                                                                        Rev.No.05, Dated 02/02/2023
                                                                                      ( ) No
Possible Complication ( ) Yes ..

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Shreya Hospital', 'clinic_pharmacy_address': '337, Shalimar Garden, Ext, Sahibabad, GZB.', 'clinic_pharmacy_city': 'Ghaziabad', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Usha', 'doctor_qualifications': 'NA', 'doctor_registration_number': '21431'}, 'patient_details': {'patient_name': 'MV3'}, 'prescription_details': {'date_of_doctor_consultation': '29.9.23'}, 'procedure': {'chief_complaints_diagnosis': 'Sore throat'}, 'medicine_details': [{'medicine_name': 'Pan 40', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '10 days'}, {'medicine_name': 'Paracetamol', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Morning and Night', 'course_duration': '3 days'}, {'medicine_name': 'Cough syrup', 'medicine_dosage': '1-1-1', 'medicine_frequency': 'Morning, Afternoon, and Night', 'course_duration': '5 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}