J M Diagnostic

JAYA SWAMINATH TACHTODE

JM-20260819124253 · 2026-08-19 · 12:40

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
2USG Abdomen & PelvisUSG₹1,300
Clinical
LMP
2026-06-28
Known case of
—
Seen
—
Advice
—
Staff
Vaishnavi
Account
Cash
Next Appointment
—
Reason
—
Next ANC
—
Next Consultation
—
Category Charges
Routine
₹0
Special
₹0
USG
₹2,500
X-Ray
₹0
ECG
₹0
Doppler
₹0
Cardiac
₹0
Consultation
₹0
HSG
₹0