J M Diagnostic
JAYSHREE ANAND SAWANT
JM-20261026111523 · 2026-10-26 · 11:12
Completed
WA
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 + DisclaimerPost-procedure (Page 1 only)
ReadyUSG report captured — statutory Form F Page 1 is ready for the register file.
Print Form F Page 1Tests
| 1 | USG Nuchal Scan (NT Scan) | USG | ₹2,200 |
| 2 | 3 D Image | USG | ₹1,000 |
Clinical
- LMP
- 2026-08-04
- Known case of
- —
- Seen
- —
- Advice
- —
- Staff
- Vaishnavi
- Account
- Cash
- Next Appointment
- —
- Reason
- —
- Next ANC
- —
- Next Consultation
- —
Category Charges
Routine
₹0
Special
₹0
USG
₹3,200
X-Ray
₹0
ECG
₹0
Doppler
₹0
Cardiac
₹0
Consultation
₹0
HSG
₹0