Sai Arogya Homoeo Clinic
5, Laxmi Road, Sadashiv Peth, Pune
Maharashtra — 411030
Ph: +91-98220-33445 · care@saiarogya-homoeo.in
Homoeopathy · BHMS · Reg MH-HOM-37712
Clinical Reg CEA-MH-HOM-004821
Dr. A. Bhosale
Homoeopathy Dispensing Card
No: TC/25-26/000541
Dt: 22-09-2026
Homoeopathy Dispensing · Dr. A. Bhosale · BHMS · Reg MH-HOM-37712
Patient
N. Pawar · 35 Y · M
UHID: AYU-2026-008155
Complaint: Chronic allergic rhinitis — sneezing paroxysms, morning worse
Ph: +91-97640-11223
Safety check (each dispense)
No known drug allergy (NKDA).
Contraindications: No strong odours (camphor, coffee) during medication.
| Date | Remedy + Potency | Form + Qty | Vehicle | Vitals | Response / Sign |
|---|---|---|---|---|---|
| 23-09-2026 | NATRUM MURIATICUM200C | Globules8 GM GLOBULES | Direct on tongue, empty stomach | BP 122/80, P 76 | First dose; mild aggravation of sneezing day 1, expectedSigned: Dr. A. Bhosale |
| 30-09-2026 | EUPHRASIA COMPLEX TAB (SCHWABE)3X | Tablets30 GM PACK | — | BP 120/78, P 74 | Sneezing spells reduced, no aggravationSigned: Dr. A. Bhosale |
Constitutional case-management follow-up
Case review with re-case-taking on 22-10-2026 (4 weeks); interim phone check 30-09-2026; potency step-down to Q (LM) planned if the aggravation recurs.
Bring this card and the remedy-reaction diary to every visit; each visit includes a case-taking review before any potency change.
Materials batch traceability (to pharmacy bills)
Natrum Muriaticum 200C globule pot 8 GM · Batch NM22045 · Bill HOM/25-26/003418
Euphrasia complex tablets 30 GM · Batch EC44102 · Bill HOM/25-26/003418
Informed consent (signed before first dispense)
Risks: Initial homoeopathic aggravation, allergic reaction to excipient; alternatives: conventional symptomatic treatment
Alternatives: Conventional symptomatic treatment; antihistamines
Preparation: No food/tobacco 20 min before and after each dose
Cost: ₹2,400 for 4 dispense events (materials inclusive) · Language: English · Date: 22-09-2026
Right to withdraw explained. Witness: R. Pawar (brother) · Practitioner: Dr. A. Bhosale (MH-HOM-37712)
Consent explained in the patient's language; the patient may withdraw at any time.
Patient / relative signature + date
Practitioner signature + date
Remedy-reaction diary: record the date/time, remedy + potency taken, and any new, shifted or returning old symptoms after each dose; bring the diary to every follow-up so the case can be assessed before repetition.