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\fancyhead[LO]{ {\bfseries \Large Dr Vaibhav Banait},\\ \footnotesize {MD(Med),DNB(Med), DM(Gastroenterology)},\\ \footnotesize {Gastroenterogist and therapeutic endoscopist,}\\Reg No:MMC  81563}
\fancyhead[RO] { {\bfseries \Large Dr Aparna Banait,} \\ MBBS, DOMS, \\ \footnotesize{ Eye Specialist}\\ Reg No: MMC 2000/04/2009 }
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\fancyfoot[CO]{{\bfseries{BANAIT CLINIC}}, Plot No 148, Kumudini Mansion, Behind Baba Travels,\\ Opp. Ramkrishna Nagar garden,Vivekanand Nagar, Nagpur-440015,\\ Phone: 0712-2242197, 09860643436}
\makeatletter

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\begin{document}


\noindent \begin{center}
{\LARGE{निर्देशानुसार निम्नलिखित दवाईया लीजिये}}
\par\end{center}

\noindent \begin{center}
{\large Printed: $<today::%Y %B %d>$}
\par\end{center}{\large \par}

\noindent \begin{center}
{\large Provider: $<current_provider>$}
\par\end{center}{\large \par}

\noindent Patient: $<lastname>$, $<firstname>$

\noindent Birthdate: $<date_of_birth::%Y %B %d>$

{\footnotesize
	$<adr_street::home>$ $<adr_number::home>$ \\
	$<adr_postcode::home>$ $<adr_location::home>$
}


\section*{Rx}
\begin{description}
$<current_meds::	\item {}%(substance)s {\footnotesize (%(brand)s)} %(preparation)s %(amount)s%(unit)s: %(schedule)s x %(duration)s >$
\end{description}
%------------------------------------------------------------------
$<free_text::tex//Medication notes to the patient::9999>$
%-----------------------------------------------------------------
\noindent \begin{flushright}
\texttt{\textsl{\footnotesize {डॉ. वैभव बाणाईत}}}
\par\end{flushright}
\end{document}

