                                                                                                                                                       Please Bring

                                                                                                                                                      Date :


                      M.M.C. Reg. No. 25486
                              M.B.B.S. M.D. (PSY) Consul Psy.
                   DR. M. B. PETHE

                                                                                                                                                     Name & Addre
                                Date :
                                                                                                                                                     Dispensed by
                                 Doctor's Signature :

                                                                          2215

                                                                                   Review on

                                                                                                                                                     quantity dispen
                                                                                                                                                     specify name &
                                                                                          DATE: 215673
                                                                                                                                                     If entire Prescr
                                                                                          BILL NO: 261

                                                            & SUPPLIED
                                                                                          MAHESHMEDICO




                                                                                    25mg
                         1                                                                                            caril                  4)

                                         -                                       10 mg                                             Tab clonic 3]
           20 dp

                                                            I                     50 mg                                            De Uvox 2)

                                                                                    250mg                                           Tab Valance OD
                             Evening            Afternoon Morning
 QUANITY     DURATION                                                               STRENGTH                                  NAME OF MEDICINE
TOTAL                                                DOSAGE FORM

                                                                         Weight                                Age.                                Sex .......
                                                                                                    38475
                                                                       B.P .: .......
                                                            116/72 mm ofHy
                                                                                                                                               Patient's Add. :

                                                                                                                                               Patient's Name :

                                                                                                 Priyanka sancheti
                                                Date : 02/05/2023                                                                              Prescription Seria


                                                                                                                                              E-mail : madhavu
                                             ( Sunday Closed )                                                                                Mob .: 982323206
                                             Tel .: 24212496 Time : 3 p. m. to 5 p. m.                                                        M.M.C. Reg. No .:
                                             Marketyard, Gultekdi, Pune - 37.                                                                 Consultant Psychi
                                             2. Suparshwant Society.                                                                          M.B.B.S. M.D. ( PS
                                             KAMAL NURSING HOME                                                                               DR. M. B. PETHE

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'KAMAL NURSING HOME', 'clinic_pharmacy_address': '2. Suparshwant Society. Marketyard, Gultekdi, Pune - 37.', 'clinic_pharmacy_city': 'Pune', 'clinic_pharmacy_pincode': '37'}, 'doctor_details': {'doctor_name': 'DR. M. B. PETHE', 'doctor_qualifications': 'M.B.B.S. M.D. (PSY)', 'doctor_registration_number': 'M.M.C. Reg. No. 25486'}, 'patient_details': {'patient_name': 'Priyanka sancheti'}, 'prescription_details': {'date_of_doctor_consultation': '02/05/2023'}, 'procedure': {'chief_complaints_diagnosis': 'NA'}, 'medicine_details': [{'medicine_name': 'Tab Valance OD', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'Total 3 times a day', 'course_duration': 'NA'}, {'medicine_name': 'De Uvox', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Total once a day', 'course_duration': 'NA'}, {'medicine_name': 'Tab clonic', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Total once a day', 'course_duration': 'NA'}, {'medicine_name': 'caril', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'Total once a day', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}