J M Diagnostic

SHIVANI VISHAL VITKAR

JM-20260829124953 · 2026-08-29 · 12:47

Completed
PCPNDT · Form F — 2 separate prints
Pre-procedure (Pages 2 & 3)
Declaration + Disclaimer — patient signs this on arrival, before the USG is done.
Print Declaration + Disclaimer
Post-procedure (Page 1 only)
Ready
USG report captured — statutory Form F Page 1 is ready for the register file.
Print Form F Page 1
Tests
1USG Early PregnancyUSG₹1,200
2TVS 500 USGUSG₹500
Clinical
LMP
2026-07-11
Known case of
—
Seen
—
Advice
—
Staff
Akanksha
Account
Cash
Next Appointment
—
Reason
—
Next ANC
—
Next Consultation
—
Category Charges
Routine
₹0
Special
₹0
USG
₹1,700
X-Ray
₹0
ECG
₹0
Doppler
₹0
Cardiac
₹0
Consultation
₹0
HSG
₹0