[ 'name' => 'standard', 'title' => 'Standard Multispeciality Hospital OPD Prescription', 'html' => <<
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{{H_Name}}{{H_address_1}}, {{H_address_2}} | Phone: {{H_phone_No}}
OUTPATIENT DEPARTMENT (OPD) PRESCRIPTION
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| Patient Name: {{PATIENT_NAME}} | UHID: {{UHID}} | OPD No: {{OPD_CODE}} | Date: {{VISIT_DATE}} |
| Age / Sex: {{AGE_GENDER}} | Phone: {{PHONE_NO}} | Consultant: {{DOCTOR_NAME}} | |
| Vitals: BP: {{BP}} mmHg | Pulse: {{PULSE}} /min | Temp: {{TEMP}} °F | SpO2: {{SPO2}} % | Wt: {{WEIGHT}} kg | Height: {{HEIGHT}} cm | BMI: {{BMI}} | |||
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Follow-up Visit: {{FOLLOW_UP_DATE}} Emergency? Contact Hospital 24x7 Casualty: {{H_phone_No}} |
____________________________________ {{DOCTOR_NAME}} {{DOCTOR_DEGREE}} | Reg No: {{DOCTOR_REG_NO}} |
{{H_Name}}{{H_address_1}} | Ph: {{H_phone_No}}
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{{DOCTOR_NAME}} {{DOCTOR_DEGREE}} (Reg: {{DOCTOR_REG_NO}}) |
| Patient: {{PATIENT_NAME}} ({{AGE_GENDER}}) | UHID: {{UHID}} | OPD: {{OPD_CODE}} | Date: {{VISIT_DATE}} | BP: {{BP}} | Pulse: {{PULSE}} |
| Next Review: {{FOLLOW_UP_DATE}} | Valid for 7 days | Doctor Signature: ___________________ |
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{{H_Name}} - PEDIATRIC CLINICChild Health & Immunization Center | Ph: {{H_phone_No}}
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| Child Name: {{PATIENT_NAME}} | UHID: {{UHID}} | Age / Sex: {{AGE_GENDER}} | Date: {{VISIT_DATE}} |
| Growth Parameters: Weight: {{WEIGHT}} kg | Height/Length: {{HEIGHT}} cm | Head Circ: [HC_CM] cm | Temp: {{TEMP}} °F | |||
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Immunization Due: Next vaccine due at [AGE/DATE]. Emergency: In case of poor feeding, high fever, or respiratory distress, report to Pediatric ER. |
____________________________________ Consultant Pediatrician |