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RT049609A250113142519

The document is a home delivery credit slip and prescription for RATNAMALA V SAWANT, aged 65, issued by ONGC Medical Services. It lists various medications prescribed, including dosages and quantities, along with the doctor's name, Dr. Diksha Ray. The prescription is valid for 3 days and requires a signature and stamp for credit facility use.

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0% found this document useful (0 votes)
20 views2 pages

RT049609A250113142519

The document is a home delivery credit slip and prescription for RATNAMALA V SAWANT, aged 65, issued by ONGC Medical Services. It lists various medications prescribed, including dosages and quantities, along with the doctor's name, Dr. Diksha Ray. The prescription is valid for 3 days and requires a signature and stamp for credit facility use.

Uploaded by

pjha6013
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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OIL AND NATURAL GAS CORPORATION LIMITED

ONGC Medical Services


Home Delivery Credit Slip(Chemist's Copy)

Address :- RATNAMALA V SAWANT C/1401,SAROVAR DARSHAN TOWERS,CHS.LTD. ALMEDA RD,NEAR TMC PANCHPAKHADI,

*2342756 *
Contat No:- 09969221324

Sr-No. 2342756 Date : 13-01-2025 14:25:18 MSB-PAGE NO 21 Location Mumbai


Card-No RT049609A Name. RATNAMALA V SAWANT Age 65 yrs
Relation Self Sex. F
Form Medicine-Name Qty-Pres.
TAB METOSARTAN 50 30
TAB STAMLO 2.5 60
TAB OLIMELT 2.5 60
TAB PIVASTA 2 30
TAB ZAPIZ 0.25 30
TAB DYTOR 5 30
TAB EUREPA 0.5 30
CAP VSL 3 30
SPRAY FLORESP NASAL SPRAY 1
TAB MUCINAC 30
Dr. Diksha Ray
Beneficiary/Attendant Signature Verified at pharmacy counter GDMO
Printed copy of this prescription is not valid for credit facility unless signed and stamped in original by ONGC Doctor.
cut here
valid for 3 days from the date of issue of this credit slip.

OIL AND NATURAL GAS CORPORATION LIMITED


ONGC Medical Services
Prescription (Beneficiary Copy)

Sr-No. 2342756 Name. 13-01-2025 14:25:18 MSB-PAGE NO 21


Card-No RT049609A Date : RATNAMALA V SAWANT Age 65 yrs
Relation Self Sex. F category RTD
Address :- RATNAMALA V SAWANT C/1401,SAROVAR DARSHAN TOWERS,CHS.LTD. ALMEDA RD,NEAR TMC PANCHPAKHADI, Contat No:-
09969221324
Form Medicine-Name Dosage Days Qty-Pres.
TAB METOSARTAN 50 One Tab. once a day 30 30 (na)
TAB STAMLO 2.5 One Tab. twice a day 30 60 (na)
TAB OLIMELT 2.5 One Tab. twice a day 30 60 (na)
TAB PIVASTA 2 One Tab. once a day 30 30 (na)
TAB ZAPIZ 0.25 One Tab. once a day 30 30 (na)
TAB DYTOR 5 One Tab. once a day 30 30 (na)
TAB EUREPA 0.5 One Tab. once a day 30 30 (na)
CAP VSL 3 One Cap. once a day 30 30 (na)
SPRAY FLORESP NASAL SPRAY AS ADVISED 30 1 (na)
TAB MUCINAC One Tab. once a day 30 30 (na)
Dr. Diksha Ray
collected by : Home Delivery
cut here GDMO

OIL AND NATURAL GAS CORPORATION LIMITED

*2342756
ONGC Medical Services
Prescription (Medical Services Copy)

Sr-No. 2342756 Date : 13-01-2025 14:25:18 MSB-PAGE NO 21 location Mumbai


Card-No RT049609A Name. RATNAMALA V SAWANT Age 65 yrs
Relation Self Sex. F category RTD

Form Medicine-Name Dosage Days Qty-Pres.


TAB METOSARTAN 50 One Tab. once a day 30 30 (na)
TAB STAMLO 2.5 One Tab. twice a day 30 60 (na)
TAB OLIMELT 2.5 One Tab. twice a day 30 60 (na)
TAB PIVASTA 2 One Tab. once a day 30 30 (na)
TAB ZAPIZ 0.25 One Tab. once a day 30 30 (na)
TAB DYTOR 5 One Tab. once a day 30 30 (na)
TAB EUREPA 0.5 One Tab. once a day 30 30 (na)
CAP VSL 3 One Cap. once a day 30 30 (na)
SPRAY FLORESP NASAL SPRAY AS ADVISED 30 1 (na)
TAB MUCINAC One Tab. once a day 30 30 (na)
Dr. Diksha Ray
collected by - Home Delivery GDMO

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