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| MRD / Regn No. |
: THBC\23-24\09447 |
Date |
: 21/07/2026 |
| Patient Name |
: Manjusha Warungase |
Age & Gender |
: 39 Yrs. / Female |
| Contact No. |
: 9819467011 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NIL |
Referred By |
: |
| |
|
|
Subjective |
: |
PIVD L 4-5 WITH BILAT LL RAD WITH NEURODEFICIT |
|
Plan |
: |
MRI LS SPINE |
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S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
PROXYM MR |
|
1-0-1 |
|
7 DAYS |
|
|
| |
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| Refill :
0 / Substitution: |
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|
| Education |
: |
| Next Visit |
: 10/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
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