                                                                                 ---
                 Consultant Sign. & Stamp                                        ( ) No                                                                                    Poss
                                     RD.S.                        Rev. No.05, Dated 02/02/2023
                                      DENTAL SUP                  SMH/GEN/FR/17) No                                                  ( ) Yes.                              Expe
                                     DR. LALIT VAR                               ( ) No                                              ( ) Yes ....                          Prop
                                                                                                                                                                           PAT
                                                                                            SEVERE                               MODERATE MILD
            PATOLO 000                                             13. NEXT FOLLOW UP9-10
                                                                                      VISIT: 7-8                   5-6            3-4    1-2
                             Tess        gel

                                                                    7ata
                                                                                                                                                                          9. PAI

50                                                                                                         8


               350 mgx Rf              DID LALI
                         RC

                                                                       Blah.                                             7
           MOLOGIST



                                                                                                                                                          Carriers.


                                                                                                                                                                       8. SYSTE


                                                                                                                                                                 Pallor/Edem

                                                                                                OVER WEIGHT                         WEIGHT                       HEIGHT
                                                                Jab. Lecadol- Pp B0 00
                                                                                                                                                                       7. NUTRI


                      Phd 00                                                                                                 R/R:                               TEMP .:

                                                                                                SPO2                         PULSE:                             BP:
                                               Augenentia 628 9                                                                                                       6. GENER



                                                                 - Tab. detkan                                                                                    5. DRUG A


                                                                                                                                                                 4. FAMILY H


                                                          - Tab. Dar ong               EDD .......             LMP ...       ... A .........                     3. G .....


                                                            4
                                                                                                       DISORDER
                                                                  12. TREATMENT ADVISED: (CAPITAL
                                                                                           ARTHRITIS
                                                                                                  LETTER ONLY): COPD
                                                                                                       SEIZURE
                                                                                                     THYROID                                        HTN       DM
                                                                                                                                                                2. PAST HIS

                                                                                                                                                      Scrive 45 days


                                                                  11. INVESTIGATION:



                                                                                                                                                          =Por ent
                                                                 10. PROVISIONAL/DIFFERENTIAL DIAGNOSIS:
                                                                                                                                                                  1. PRESEN

                                                                      varshey PANEL-Case                                                                              Name of C

                                     .. Age: 30 Sex:                                                                                                                  Name of P
                                                                                           Pinki
                                                                                                                                                                  Receipt No
                                                                                                               Department: Dental
                                                                                                                                                                      UHID No .:
                6/ May/ 23              6490                                                         OPD PRESCRIPTION
                                                                                                                                                we care you
                                                                                                                      (Govt. Registration No .: RMEE19011
                                                                   E-mail:shreyahospital837@gmail.com, Web .: www.shreyahospital.com
     NAB                                                                                                                     (A Unit of Shreya Multispecia
                                                       Paytm & C : 7838737363           we care your smile
                                                                Helpline No .: 0120-4775450, 54 (50 Lines)
                                                                  837, Shalimar Garden, Extn-I, Sahibabad, GZB                   SHREYA HOSPITAL

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Shreya Hospital', 'clinic_pharmacy_address': '837, Shalimar Garden, Extn-I, Sahibabad, GZB', 'clinic_pharmacy_city': 'Ghaziabad', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Ale Latif', 'doctor_qualifications': 'NA', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Pinki'}, 'prescription_details': {'date_of_doctor_consultation': '6/5/2023'}, 'procedure': {'chief_complaints_diagnosis': 'Sore Throat'}, 'medicine_details': [{'medicine_name': 'Pan 40', 'medicine_dosage': 'BBF', 'medicine_frequency': '1-0-1', 'course_duration': '45 days'}, {'medicine_name': 'Tab. Detcain', 'medicine_dosage': 'AL', 'medicine_frequency': '1-0-1', 'course_duration': '4 days'}, {'medicine_name': 'Jab. Lecadol-pp', 'medicine_dosage': 'BD', 'medicine_frequency': '1-0-1', 'course_duration': '7 days'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}