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| MRD / Regn No. |
: THBC\23-24\09491 |
Date |
: 21/07/2026 |
| Patient Name |
: Jaymala Koli |
Age & Gender |
: 45 Yrs. / Female |
| Contact No. |
: 9969663478 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NIL |
Referred By |
: |
| |
|
|
Subjective |
: |
L 3-4 SPOND WITH BILAT LL RAD THIGH PAIN |
|
Plan |
: |
MRI LS SPINE AND SCREENING OF PBH |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
PROXYM MR |
|
1-0-1 |
|
7 DAYS |
|
|
2 |
MEPXL |
|
0-0-1 |
7 PM
|
1 MONTH |
| 7 PM | |
|
3 |
D360 60 K |
|
ONCE IN A WEEK |
|
12 WEEKS |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 20/Aug/2026 |
| Tests Suggested For Next Visit |
: CBC URIC ACID VIT B12 SR CALCIUM |
| |
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