DigiCon

@if (isset(session()->get('doctor')['vCentralCode'])) {{ session()->get('doctor')['vCentralCode'] }} @endif

@if (isset(session()->get('doctor')['vCentralCode']))

Logout

@endif

@csrf

@if (isset(session()->get('doctor')['vCentralCode']))

Back

@else

@endif

(Kindly fill the relevant information or tick, as appropriate.)

@if(isset(session()->get('doctor')['vCentralCode']))

Name of Doctor *

@else

Name of Doctor *

@endif

Medical Registration Number *

Address *

Any co-morbid conditions *

Type 2 diabetes mellitus

Cardiovascular disease (CVD)

Hypertension (HT)

Benign prostatic hyperplasia (BPH)

Since: Years / Months

Over active bladder

Other

Sr. No	Name of Drug *	Dose *	Frequency *	Duration *
1	Mirago S 25 (Mirabegron 25 mg + Solifenacin 5 mg)
2	Mirago S 50 ( Mirabegron 50 mg + Solifenacin 5 mg)
3	Any other
4	Any other