Raj Kumar Goel Institute of Technology

5
th
km stone, Delhi-Meerut Road Ghaziabad (U.P.)
Ph: 0120-2788273, 2788409, 2788447

The Prescription Analysis of Tuberculosis Patients

Patient Details
Name: Age & Sex:
OPD/Private: Smoker/Alcoholic:
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Q: 1What are the earlier symptoms of disease observed?



Q: 2 What are diagnosis test /tests performed in concern with disease?



Q: 3 What type of tuberculosis and the time period of suffering with the same?




Q: 4 What are the drugs prescribed for the concerned disease?






Q: 5 What are the comorbidities with the disease, if any?



Q: 6 What are the adverse reactions have been noticed with drug therapy?




Q: 7 What are the herbal are being used, if any?



Q: 8 What are the dietary changes done during therapy, if any?



Q: 9 Did anyone in your family or friends had the same disease ever?



Q: 10 Are you satisfied with the treatment?