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Smimer: Near Umarwada, Sahara Darwaja, Umarwada, Surat. 395010, Surat, GUJARAT, INDIA

The document is a prescription sheet for a patient named Hemang Navinchandra Veragiwala, who visited the psychiatry department on May 29, 2025. The provisional diagnosis is undiagnosed, and the patient is prescribed four medications including Fluoxetine and Lorazepam for a duration of 10 days. The consulting doctor is Dr. Parag Suresh Shah.

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11 views1 page

Smimer: Near Umarwada, Sahara Darwaja, Umarwada, Surat. 395010, Surat, GUJARAT, INDIA

The document is a prescription sheet for a patient named Hemang Navinchandra Veragiwala, who visited the psychiatry department on May 29, 2025. The provisional diagnosis is undiagnosed, and the patient is prescribed four medications including Fluoxetine and Lorazepam for a duration of 10 days. The consulting doctor is Dr. Parag Suresh Shah.

Uploaded by

sh317243
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SMIMER

Near Umarwada, Sahara Darwaja, Umarwada, Surat. 395010, Surat, GUJARAT, INDIA

Phone:02612368040 Email:smimerhospital@suratmunicipal.org Website:www.suratmunicipal.gov.in/smimer

Prescription Sheet
Patient UHID : SMC250204002856 Patient Visit No. : SMIMIP250018035 Visit Date : 29/05/2025
Patient Name : HEMANG NAVINCHANDRA VERAGIWALA | Sex : Male | Age : 57 Yrs | Mobile No. :7405464925
Consulting Doctor : Dr. PARAG SURESH SHAH Department Name : Psychiatry Unit : *SMC250204002856*
Provisional Diagnosis : Undiagnosed

Allergy :Other

Sr. Start Date- Frequency Duratio


Drug Name Route Frequency Status Instructions Remark Order By
No. End Date Time n
Tab.
30/05/2025 - BD,1-0-1-0 Dr BHAVYA
1 FLUOXETINE Oral Continue 10 Days
08/06/2025 -0 NAGAR
(10MG)
30/05/2025 - Tab. OD,1-0-0-0 Dr BHAVYA
2 Oral Continue 10 Days
08/06/2025 NEUHENZ D3 -0 NAGAR
30/05/2025 - TAB.LORAZE OD,0-0-1-0 Dr BHAVYA
3 Oral Continue 10 Days
08/06/2025 PAM(2MG) -0 NAGAR
Tab.OXCARB
30/05/2025 - BD,1-0-1-0 Dr BHAVYA
4 AZEPINE Oral Continue 10 Days
08/06/2025 -0 NAGAR
(150MG)

Consulting Doctor : Dr. PARAG SURESH


SHAH
Medical Reg. No. :
Department : Psychiatry

Print Date : 04/06/2025 10:55 AM Page 1 of 1

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