Patient Report
Patient ID	[PatientID]	Patient Name	[PatientName]
Address	[Address1]	Gender / Age	[Sex] / [Age]
	[Address2]	DOB	[DOB]
Mobile	[Mobile]
Home	[Home]	Doctor Name	[DoctorName]
Email	[Email]		[DocQualification] [Speciality]
[Complaints]
[Diagnosis]
[TreatmentPlan]
Image Files
[Details]
[DoctorRecommendation]
Printed Date :	[PrintDate]		Signature & Stamp Dr. [DoctorName]  [DocQualification] , [Speciality]