                                                                                                  O.P. JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH

                                 NABR                                                              ·.··. ······ ··········· ·· ····· ···· ········ ······


                 Quality Medi   at Affordable Cost                                                                   Model Town, Hisar - 125005 ("few Z13, far-125005)
           PAYCLINIC/EMERGENCY OPD SLIP                                                                                Ph : 01662-221169, 220169, 9896539128, 9896539182
                                                                                                                          Email : info@ncjims.org website : www.ncjims.org



 GSTIN : 06AAATO1462C1Z1                           O.P. JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH
                                                                                                                                               R.No .: 236722/OPRRC22OP(02-Mar-2023)
  Dr. Bhushan S.                                   Patient Name      : MEGA                                                        OPD Type                            Pay Clinic
  Bansal, M.D.                                    Address            1                                                             Reg. Date & Time                   : 02-Mar-2023 09.25
                                                  Age / Gender       :32Y / Female         Mob. : 8572814220                      Registration Charge                : 200          New
 Reg. No. : HMC-HN-014064                         Patient ID         : 458437/UHID                   98/                           V.From : 02-Mar-2023 V.To: 04-Mar-2023
  Deptt          : Medicine                       OPD No.               : 201308/OPC/220                                            Daily No.                : 21
ChamberNo 880 Weight                                                                                MLAllergy Drug
                                            Height                  HR           Temp                                                                       Food                Other
                  18
       Nutritional Screening : Normal/Obese/Under Nutritioned Asso. Disease : HT __ CAD
                                                                                                                                                                    DM CA CVA

          Diet : Normal/Diabetic/Salt Restricted/Renal/Diabetic Renal P                                                      1-10 VAS Numeric Pain Distress Scale
                                                                                                                                              Moderate Pain
          Patient History :                    FeverRecural                                                                                                                                        10

                                                                  6 months


          Presumptive Diagnosis:                                                           Hypothyroid / Astana


           Patient Examination & Investigation Advice                                Medicine                    Strength Dose Instruction                                              Duration

                                                                                     Rx 7. Thoranorm (50) 100



                                                                                      T methylbal D 100
                       · Ut Len Ab


                        · Bodnach Tw                                                    Arachital None Land one week



                                                                                       . 7. Deskast


                      KS: 3BS0
                                                                                            . T. Supro Pens 509
                                   3110ca




                                                                                                                                   x 15d)




                   , Swash ft Super 4


                                        Jockey



                         CARD NPD                                  20


                      ESR, CRP On: 50


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     Follow up Advice :

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'O.P. JINDAL INSTITUTE OF CANCER & CARDIAC RESEARCH', 'clinic_pharmacy_address': 'Model Town, Hisar - 125005', 'clinic_pharmacy_city': 'Hisar', 'clinic_pharmacy_pincode': '125005'}, 'doctor_details': {'doctor_name': 'Dr. Bhushan S. Bansal, M.D.', 'doctor_qualifications': 'NA', 'doctor_registration_number': '236722/OPRRC22OP'}, 'patient_details': {'patient_name': 'MEGA'}, 'prescription_details': {'date_of_doctor_consultation': '02-Mar-2023'}, 'procedure': {'chief_complaints_diagnosis': 'Fever, Recurring Hypothyroid/Asthana'}, 'medicine_details': [{'medicine_name': 'Thoranorm', 'medicine_dosage': '50 mg', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}, {'medicine_name': 'T Methylbal D', 'medicine_dosage': '100 mg', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}, {'medicine_name': 'Arachital', 'medicine_dosage': 'NA', 'medicine_frequency': '1-0-1', 'course_duration': '1 week'}, {'medicine_name': 'Deskast', 'medicine_dosage': 'NA', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}, {'medicine_name': 'T. Supro Pens', 'medicine_dosage': '509 mg', 'medicine_frequency': '1-0-1', 'course_duration': '15 days'}], 'lab_test_details': {'lab_test_names': 'ESR, CRP', 'procedure_request': 'On: 02-Mar-2023'}}