                                                                                HEALTH CHECKUP PLANS*


                                          BAPS
                                          Pramukh Swami                                                                  Shri Pramuch Swami Mat                   zaj Marg
                                          Hospital                                                       Actaja   Char Rasta. Adajan, Surat, Gujarat, india.
                                                                                                                   Tel : 6261 - 2788000 / 2706100 /2781000


                HISTORY GIVEN BY                                     Name at Pt: Kemi Shah
                                                                                                                                                       2152 403
                                                                     Age: 33 Yr Gender : M . / Time !
                                                                     Weight                Kg. Height               Cm .. BMI
                                                                   10
                                                  lower loin                                                                    CBC SCOT court B
                           Over
                                                                                                                                 TCH ) RBS | URIN
                  >> Both VL pain




                            cord cosh
                                                                                          > talo                          ACTION RD


           Past History:                                                             (road) 1


          Surgical History:

         Family History:

         Pe        al History: Habbit
                        18123
         General Examination:                                                                                               WIEORYS
       Temup:
       Spol:  99                  * at room air
                                   /Min                                                    214HC-                                1 217
       Pulver
   B P            6 D1 12/Mm of Hg.
                           Both or                                                                                  Dolo (60)
                                                                                                >> Tab

                Caff-montenous                                                                                     dic 241457
  S/E.


 Cvs: dear

CNS:
                                                                                                                                 Dr. Ashish Singwala
GIT:
                                                                                                                                  Reg. No. G-13073
CLINICALY DIAGNOSIS:                                                                                                              Consultant Physician. MD. (Medicine), AF




                      contact for queries, updated plans or appointment : 997

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'BAPS Pramukh Swami Hospital', 'clinic_pharmacy_address': 'Shri Pramuch Swami Marg, Char Rasta, Adajan, Surat, Gujarat, India', 'clinic_pharmacy_city': 'Surat', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Ashish Singwala', 'doctor_qualifications': 'MD (Medicine)', 'doctor_registration_number': 'G-13073'}, 'patient_details': {'patient_name': 'Kemi Shah'}, 'prescription_details': {'date_of_doctor_consultation': 'NA'}, 'procedure': {'chief_complaints_diagnosis': 'lower loin pain, overweight'}, 'medicine_details': [{'medicine_name': 'Diclofenac', 'medicine_dosage': '60 mg', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'CBC, Blood Sugar, Urine Test'}}