J M Diagnostic

NEHA VIJAY GOSAVI

JM-20260825132057 · 2026-08-25 · 13:17

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 Nuchal Scan (NT Scan)USG₹2,200
Clinical
LMP
2026-05-31
Known case of
Seen
Advice
Staff
Vaishnavi
Account
Cash
Next Appointment
Reason
Next ANC
Next Consultation
Category Charges
Routine
₹0
Special
₹0
USG
₹2,200
X-Ray
₹0
ECG
₹0
Doppler
₹0
Cardiac
₹0
Consultation
₹0
HSG
₹0