Orris

Give the patient counselling based on the discharge summary

Reading File
Running Command

python3 -c " import pdfplumber with pdfplumber.open('/tmp/workspace/attachments/71241d33-6177-4cef-a37d-d5861eded4fa/Sandhiya discharge summary .pdf') as pdf: for i, page in enumerate(pdf.pages): print(f'=== PAGE {i+1} ===') print(page.extract_text()) "

analyse_media
Running Command

python3 -c " from pypdf import PdfReader reader = PdfReader('/tmp/workspace/attachments/71241d33-6177-4cef-a37d-d5861eded4fa/Sandhiya discharge summary .pdf') print(f'Pages: {len(reader.pages)}') for i, page in enumerate(reader.pages[:5]): text = page.extract_text() print(f'=== PAGE {i+1} ===') print(repr(text[:500]) if text else 'EMPTY') "

Running Command

python3 -c " from pypdf import PdfReader, PdfWriter import os # Check if pdf2image or PIL is available try: from pdf2image import convert_from_path print('pdf2image available') except ImportError: print('pdf2image NOT available') try: import fitz # PyMuPDF print('PyMuPDF (fitz) available') except ImportError: print('PyMuPDF NOT available') try: from PIL import Image print('PIL available') except ImportError: print('PIL NOT available') "

Running Command

python3 -c " from pdf2image import convert_from_path import os os.makedirs('/tmp/workspace/sandhiya_pages', exist_ok=True) pages = convert_from_path('/tmp/workspace/attachments/71241d33-6177-4cef-a37d-d5861eded4fa/Sandhiya discharge summary .pdf', dpi=150, first_page=1, last_page=5) for i, page in enumerate(pages): path = f'/tmp/workspace/sandhiya_pages/page_{i+1:02d}.jpg' page.save(path, 'JPEG', quality=85) print(f'Saved {path}') print('Done') " 2>&1

Reading File
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Running Command

python3 -c " from pdf2image import convert_from_path import os os.makedirs('/tmp/workspace/sandhiya_pages', exist_ok=True) pages = convert_from_path('/tmp/workspace/attachments/71241d33-6177-4cef-a37d-d5861eded4fa/Sandhiya discharge summary .pdf', dpi=150, first_page=3, last_page=10) for i, page in enumerate(pages): path = f'/tmp/workspace/sandhiya_pages/page_{i+3:02d}.jpg' page.save(path, 'JPEG', quality=85) print(f'Saved {path}') print('Done') " 2>&1

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I now have all the essential information from the discharge summary. Let me compile the full patient counselling.

Patient Counselling for Mrs. K. Sandhiya

Nandha Medical College and Hospital, Erode Patient: Mrs. K. Sandhiya | Age/Sex: 27 years / Female IP No: IP260406067 | Diagnosis: Acute Exacerbation of Bronchial Asthma Admitted: 06/04/2026 | Discharged: 09/04/2026 (4 days) Treating Doctor: Dr. N. Sathya, MBBS, MD (Respiratory Medicine)

1. Understanding Your Condition

Mrs. Sandhiya, you were admitted with chest tightness, cough with expectoration, and a running nose for 6 days. You are a known asthmatic (wheezer for 1 year) and what you experienced was an acute attack (flare-up) of Bronchial Asthma. Asthma causes narrowing and swelling of your airways, which produces the tightness, wheeze, and difficulty breathing you felt.
The good news: you have responded well to treatment. At discharge your breathing rate, oxygen levels (SPO2 99%), and lung examination are all stable. You are being sent home with medications to prevent another attack.

2. Your Discharge Medications - Take As Prescribed

#MedicineDose / SchedulePurpose
1T. Mondeslor (Montelukast + Desloratadine)BD (twice daily)Reduces airway inflammation and allergy
2T. PulmoclearBD (twice daily)Bronchodilator/mucolytic support
3T. Norflox 100 mgMorning only (1-0-1) x 5 daysAntibiotic course - complete fully
4T. Wysolone 20 mgx 5 days, then STEP DOWN toSteroid to reduce airway swelling
T. Wysolone 10 mgx 5 days (taper)Do NOT stop suddenly
5Cap. Budamate Rotacaps 400 mcg1 Puff - 0 - 1 Puff (morning and night) via RotahalerLong-term asthma controller inhaler - Gargle and rinse mouth after every use
6Syp. Ascoril LS5 mL - 5 mL - 5 mL (three times daily)Mucolytic - loosens phlegm
7Syp. Lactulose 15 mL0 - 0 - 15 mL (at night)Stool softener (as steroids can cause constipation)
8Fluticasone Nasal SprayAt bedtime (HS)Reduces nasal congestion and post-nasal drip
9Duolin Respules (S)SOS (only if needed during breathlessness)Rescue nebuliser - use during emergency
10Budesonide Respules (S)SOS (only if needed during breathlessness)Rescue nebuliser - use together with Duolin
Key Instructions:
  • Complete the antibiotic (Norflox) course - do not stop even if you feel better.
  • Do NOT stop Wysolone (steroid) suddenly - taper as instructed (20 mg first, then 10 mg).
  • Always gargle with water after using the Budamate Rotacaps inhaler - this prevents oral fungal infection (thrush).
  • Keep Duolin + Budesonide Respules at home - use only if breathing becomes difficult.

3. Inhaler Technique (Rotacaps)

  1. Load one Rotacap into your Rotahaler device.
  2. Breathe out gently away from the device.
  3. Place the mouthpiece between your lips - make a tight seal.
  4. Breathe in deeply and quickly.
  5. Hold your breath for 10 seconds, then breathe out slowly.
  6. Gargle with plain water immediately after and spit it out - do not swallow.

4. Diet and Lifestyle

  • Avoid known triggers: cold air, dust, smoke (cooking and cigarette), strong perfumes, paint fumes, and pet fur.
  • Keep your living area dust-free: use damp cloth to clean, avoid heavy curtains, carpets, and soft toys that collect dust.
  • No smoking - and avoid second-hand smoke environments.
  • Eat a warm, nutritious diet. You had a 2 kg weight loss - try to eat regular, small meals. Avoid cold drinks and ice-cream.
  • Stay warm - cover your nose and mouth when going out in cold or dusty weather.
  • Drink adequate fluids (warm water, soups) to keep secretions thin and easy to cough out.
  • Avoid self-medication - do not take aspirin, ibuprofen, or NSAIDs without asking your doctor, as they can trigger asthma.

5. When to Return Immediately (Danger Signs)

Go to the Emergency Department or call 9585166029 immediately if you experience:
  • Severe breathlessness at rest or difficulty completing a sentence
  • Bluish discolouration of lips or fingertips
  • Rapid breathing not relieved by rescue nebuliser (Duolin + Budesonide)
  • Chest pain or palpitations
  • High fever (above 101°F) with worsening cough
  • Confusion or excessive drowsiness

6. Follow-Up Appointment

Review after 1 week (17.04.2026) in the Pulmonology OPD.
Please bring:
  • This discharge summary
  • All your medicines
  • Your inhaler device
At the review, your doctor will assess your inhaler technique, lung function, and decide on long-term asthma management. Do not miss this appointment - proper long-term control of asthma prevents future hospital admissions.

7. Remember

  • Asthma is a manageable condition - with regular inhaler use and avoidance of triggers, most patients live a completely normal, active life.
  • Your inhaler (Budamate Rotacaps) is a controller - it must be used every day even when you feel well, not just during attacks.
  • You are known to be on C Tiova Rotacaps and C Budemate Rotacaps from before - your doctor will review and consolidate your inhaler regimen at the OPD visit.
  • If you develop insomnia (you have a past history) or stomach acidity while on steroids, inform your doctor.
Contact: 9585166029 (Husband/Guardian: Mr. Sathishkumar)

Create a printable medication schedule chart for home use

Reading File
Running Command

python3 << 'EOF' from reportlab.lib.pagesizes import A4 from reportlab.lib import colors from reportlab.lib.units import cm, mm from reportlab.platypus import SimpleDocTemplate, Table, TableStyle, Paragraph, Spacer, HRFlowable from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle from reportlab.lib.enums import TA_CENTER, TA_LEFT, TA_RIGHT from reportlab.platypus import KeepTogether import os os.makedirs('/tmp/workspace/sandhiya_meds', exist_ok=True) doc = SimpleDocTemplate( '/tmp/workspace/sandhiya_meds/Sandhiya_Medication_Schedule.pdf', pagesize=A4, topMargin=1.2*cm, bottomMargin=1.2*cm, leftMargin=1.4*cm, rightMargin=1.4*cm ) styles = getSampleStyleSheet() # Custom styles title_style = ParagraphStyle('Title', parent=styles['Normal'], fontSize=15, fontName='Helvetica-Bold', alignment=TA_CENTER, textColor=colors.HexColor('#003366'), spaceAfter=2) subtitle_style = ParagraphStyle('Sub', parent=styles['Normal'], fontSize=10, fontName='Helvetica', alignment=TA_CENTER, textColor=colors.HexColor('#555555'), spaceAfter=2) patient_style = ParagraphStyle('Patient', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold', alignment=TA_CENTER, textColor=colors.HexColor('#003366'), spaceAfter=4) section_style = ParagraphStyle('Section', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold', textColor=colors.white, alignment=TA_LEFT) note_style = ParagraphStyle('Note', parent=styles['Normal'], fontSize=8, fontName='Helvetica', textColor=colors.HexColor('#333333'), leading=12) warn_style = ParagraphStyle('Warn', parent=styles['Normal'], fontSize=8, fontName='Helvetica-Bold', textColor=colors.HexColor('#cc0000'), leading=12) small_style = ParagraphStyle('Small', parent=styles['Normal'], fontSize=7.5, fontName='Helvetica', textColor=colors.HexColor('#333333'), leading=11) # ---- COLOUR PALETTE ---- HEADER_BG = colors.HexColor('#003366') ALT_ROW = colors.HexColor('#EBF3FF') WHITE = colors.white BORDER = colors.HexColor('#003366') GREEN_BG = colors.HexColor('#1a7a3a') RED_BG = colors.HexColor('#cc0000') ORANGE_BG = colors.HexColor('#e07b00') GREY_BG = colors.HexColor('#f0f0f0') TICK_GREEN = colors.HexColor('#1a7a3a') # ======== HEADER ======== elements = [] elements.append(Paragraph("NANDHA MEDICAL COLLEGE AND HOSPITAL", title_style)) elements.append(Paragraph("Pitchandampalayam Post, Erode - 638052 | Ph: 04294-222222", subtitle_style)) elements.append(HRFlowable(width="100%", thickness=2, color=HEADER_BG)) elements.append(Spacer(1, 3*mm)) elements.append(Paragraph("MEDICATION SCHEDULE CHART - HOME USE", ParagraphStyle('H', parent=styles['Normal'], fontSize=13, fontName='Helvetica-Bold', alignment=TA_CENTER, textColor=WHITE, backColor=HEADER_BG, spaceAfter=4, spaceBefore=2, leading=18))) elements.append(Spacer(1, 2*mm)) # ======== PATIENT INFO BOX ======== info_data = [ [Paragraph('<b>Patient Name:</b> Mrs. K. SANDHIYA', small_style), Paragraph('<b>Age / Sex:</b> 27 Years / Female', small_style), Paragraph('<b>IP No:</b> IP260406067', small_style)], [Paragraph('<b>Diagnosis:</b> Acute Exacerbation of Bronchial Asthma', small_style), Paragraph('<b>Discharged:</b> 09/04/2026', small_style), Paragraph('<b>Review Date:</b> 17/04/2026', small_style)], [Paragraph('<b>Doctor:</b> Dr. N. Sathya, MBBS MD (Respiratory Medicine)', small_style), Paragraph('<b>Dept:</b> Pulmonology OPD', small_style), Paragraph('<b>Contact:</b> 9585166029', small_style)], ] info_table = Table(info_data, colWidths=[7.2*cm, 5.2*cm, 5.2*cm]) info_table.setStyle(TableStyle([ ('BACKGROUND', (0,0), (-1,-1), colors.HexColor('#f5f9ff')), ('BOX', (0,0), (-1,-1), 1.5, BORDER), ('INNERGRID', (0,0), (-1,-1), 0.4, colors.HexColor('#aaaacc')), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ('LEFTPADDING', (0,0), (-1,-1), 5), ])) elements.append(info_table) elements.append(Spacer(1, 3*mm)) # ======== MAIN MEDICATION TABLE ======== header_para = lambda t: Paragraph(f'<b>{t}</b>', ParagraphStyle('TH', parent=styles['Normal'], fontSize=8.5, fontName='Helvetica-Bold', textColor=WHITE, alignment=TA_CENTER, leading=12)) cell_para = lambda t, bold=False, color='#222222': Paragraph( f'<b>{t}</b>' if bold else t, ParagraphStyle('TD', parent=styles['Normal'], fontSize=8, fontName='Helvetica-Bold' if bold else 'Helvetica', textColor=colors.HexColor(color), leading=11)) tick = lambda: Paragraph('<b>✓</b>', ParagraphStyle('TK', parent=styles['Normal'], fontSize=10, fontName='Helvetica-Bold', textColor=TICK_GREEN, alignment=TA_CENTER)) dash = lambda: Paragraph('—', ParagraphStyle('DS', parent=styles['Normal'], fontSize=9, textColor=colors.grey, alignment=TA_CENTER)) sos = lambda: Paragraph('<b>SOS</b>', ParagraphStyle('SS', parent=styles['Normal'], fontSize=8, fontName='Helvetica-Bold', textColor=colors.HexColor('#e07b00'), alignment=TA_CENTER)) col_w = [0.6*cm, 4.3*cm, 3.5*cm, 1.5*cm, 1.5*cm, 1.5*cm, 1.6*cm, 3.1*cm] med_header = [ header_para('#'), header_para('Medicine Name'), header_para('Dose & Purpose'), header_para('Morning\n🌅'), header_para('Afternoon\n☀️'), header_para('Night\n🌙'), header_para('Duration'), header_para('Special Instructions'), ] def np(t, sz=7.5, bold=False, color='#222222', align=TA_LEFT): return Paragraph(f'<b>{t}</b>' if bold else t, ParagraphStyle('NP', parent=styles['Normal'], fontSize=sz, fontName='Helvetica-Bold' if bold else 'Helvetica', textColor=colors.HexColor(color), alignment=align, leading=11)) meds = [ # Regular medicines ['1', 'T. Mondeslor\n(Montelukast +\nDesloratadine)', 'Prevents airway\ninflammation &\nallergy', '✓', '—', '✓', 'Ongoing', 'Take after food'], ['2', 'T. Pulmoclear', 'Bronchodilator\n& mucolytic\nsupport', '✓', '—', '✓', 'Ongoing', 'Take after food'], ['3', 'T. Norflox 100 mg', 'Antibiotic -\nComplete full\ncourse', '✓', '—', '✓', '5 Days\nOnly', 'Complete course\neven if feeling\nbetter'], ['4', 'T. Wysolone 20 mg\n→ then 10 mg', 'Steroid - reduces\nairway swelling', '✓', '—', '—', '5+5 Days\n(Taper)', 'Take with food.\nDo NOT stop\nsuddenly'], ['5', 'Cap. Budamate\nRotacaps 400 mcg\n(via Rotahaler)', 'Controller\ninhaler -\nLong-term', '1 Puff', '—', '1 Puff', 'Daily\n(Ongoing)', '⚠ GARGLE mouth\nwith water after\nevery use'], ['6', 'Syp. Ascoril LS\n5 mL', 'Loosens phlegm\n(Mucolytic)', '5 mL', '5 mL', '5 mL', 'Ongoing', 'Shake well\nbefore use'], ['7', 'Syp. Lactulose\n15 mL', 'Prevents\nconstipation', '—', '—', '15 mL', 'Ongoing', 'Take at night\nbefore bed'], ['8', 'Fluticasone\nNasal Spray', 'Reduces nasal\ncongestion', '—', '—', '2 Sprays\neach nostril', 'Ongoing', 'Spray at bedtime\n(HS)'], # SOS medicines ['9', 'Duolin Respules\n(Nebuliser)', 'Rescue -\nfor breathing\ndifficulty', 'SOS', 'SOS', 'SOS', 'Only if\nneeded', '⚠ Use ONLY\nwhen breathing\nis difficult'], ['10', 'Budesonide\nRespules\n(Nebuliser)', 'Rescue steroid\n(with Duolin)', 'SOS', 'SOS', 'SOS', 'Only if\nneeded', '⚠ Use together\nwith Duolin\nRespule'], ] tick_sym = '✓' dash_sym = '—' sos_sym = 'SOS' def time_cell(t): if t == tick_sym: return Paragraph(f'<b>{t}</b>', ParagraphStyle('C', parent=styles['Normal'], fontSize=11, fontName='Helvetica-Bold', textColor=TICK_GREEN, alignment=TA_CENTER)) elif t == dash_sym: return Paragraph(t, ParagraphStyle('C', parent=styles['Normal'], fontSize=9, textColor=colors.grey, alignment=TA_CENTER)) elif t == sos_sym: return Paragraph(f'<b>{t}</b>', ParagraphStyle('C', parent=styles['Normal'], fontSize=8, fontName='Helvetica-Bold', textColor=ORANGE_BG, alignment=TA_CENTER)) else: return Paragraph(t, ParagraphStyle('C', parent=styles['Normal'], fontSize=8, textColor=colors.HexColor('#003399'), alignment=TA_CENTER, leading=11)) table_data = [med_header] for m in meds: row = [ np(m[0], bold=True, align=TA_CENTER), np(m[1], bold=True, color='#003366'), np(m[2], sz=7.5), time_cell(m[3]), time_cell(m[4]), time_cell(m[5]), np(m[6], sz=7.5, align=TA_CENTER), np(m[7], sz=7.5), ] table_data.append(row) med_table = Table(table_data, colWidths=col_w, repeatRows=1) # Style ts = [ # Header ('BACKGROUND', (0,0), (-1,0), HEADER_BG), ('TEXTCOLOR', (0,0), (-1,0), WHITE), ('ALIGN', (0,0), (-1,0), 'CENTER'), ('VALIGN', (0,0), (-1,-1), 'MIDDLE'), ('FONTNAME', (0,0), (-1,0), 'Helvetica-Bold'), ('FONTSIZE', (0,0), (-1,0), 8.5), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ('LEFTPADDING', (0,0), (-1,-1), 4), ('RIGHTPADDING', (0,0), (-1,-1), 3), # Alternating rows ('BOX', (0,0), (-1,-1), 1.5, BORDER), ('INNERGRID', (0,0), (-1,-1), 0.5, colors.HexColor('#aaaacc')), # SOS rows (9,10 → index 9,10 in table_data) ('BACKGROUND', (0,9), (-1,9), colors.HexColor('#fff7ee')), ('BACKGROUND', (0,10), (-1,10), colors.HexColor('#fff7ee')), ] # Alternating row colors for regular meds for i in range(1, 9): if i % 2 == 0: ts.append(('BACKGROUND', (0,i), (-1,i), ALT_ROW)) else: ts.append(('BACKGROUND', (0,i), (-1,i), WHITE)) med_table.setStyle(TableStyle(ts)) elements.append(med_table) elements.append(Spacer(1, 4*mm)) # ======== STEROID TAPER GUIDE ======== taper_title = Paragraph("📅 STEROID TAPER SCHEDULE (Wysolone)", ParagraphStyle('TT', parent=styles['Normal'], fontSize=9.5, fontName='Helvetica-Bold', textColor=WHITE, backColor=colors.HexColor('#7a3a00'), alignment=TA_LEFT, leading=16, leftIndent=4)) elements.append(taper_title) taper_data = [ [np('Days 1-5', bold=True, color='#ffffff'), np('Days 6-10', bold=True, color='#ffffff'), np('After Day 10', bold=True, color='#ffffff')], [np('T. Wysolone 20 mg\nMorning only (1-0-0)', sz=8, color='#003366'), np('T. Wysolone 10 mg\nMorning only (1-0-0)', sz=8, color='#003366'), np('STOP - Do not take\nwithout doctor advice', sz=8, color='#cc0000')], ] taper_table = Table(taper_data, colWidths=[6*cm, 6*cm, 5.6*cm]) taper_table.setStyle(TableStyle([ ('BACKGROUND', (0,0), (-1,0), colors.HexColor('#c96a00')), ('BACKGROUND', (0,1), (-1,1), colors.HexColor('#fff3e0')), ('BOX', (0,0), (-1,-1), 1.2, colors.HexColor('#7a3a00')), ('INNERGRID', (0,0), (-1,-1), 0.5, colors.HexColor('#c96a00')), ('ALIGN', (0,0), (-1,-1), 'CENTER'), ('VALIGN', (0,0), (-1,-1), 'MIDDLE'), ('TOPPADDING', (0,0), (-1,-1), 5), ('BOTTOMPADDING', (0,0), (-1,-1), 5), ])) elements.append(taper_table) elements.append(Spacer(1, 4*mm)) # ======== TWO-COLUMN: WARNINGS + FOLLOW-UP ======== warn_lines = [ "⚠ Do NOT stop any medicine without doctor's advice.", "⚠ GARGLE mouth after every Budamate Rotacaps inhalation.", "⚠ Complete the full Norflox antibiotic course (5 days).", "⚠ Take Wysolone with food. Never stop suddenly.", "⚠ Use Duolin + Budesonide Respules ONLY when breathing is difficult.", "⚠ Avoid dust, smoke, cold air, strong perfumes, pet exposure.", "⚠ Do NOT take Aspirin / Ibuprofen / NSAIDs (can trigger asthma).", ] warn_text = '<br/>'.join(warn_lines) danger_lines = [ "🚨 Go to EMERGENCY if you experience:", " • Severe breathlessness / cannot complete a sentence", " • Bluish lips or fingertips", " • No relief after using Duolin + Budesonide Respules", " • Chest pain or fast heart beat", " • High fever with worsening cough", " • Confusion or excessive drowsiness", "", "📅 REVIEW: 17/04/2026 - Pulmonology OPD", "📞 Emergency Contact: 9585166029", ] danger_text = '<br/>'.join(danger_lines) warn_para = Paragraph(warn_text, ParagraphStyle('WP', parent=styles['Normal'], fontSize=7.8, fontName='Helvetica', textColor=colors.HexColor('#7a0000'), leading=13)) danger_para = Paragraph(danger_text, ParagraphStyle('DP', parent=styles['Normal'], fontSize=7.8, fontName='Helvetica', textColor=colors.HexColor('#222222'), leading=13)) bottom_data = [[ [Paragraph('⚠ IMPORTANT REMINDERS', ParagraphStyle('BT', parent=styles['Normal'], fontSize=9, fontName='Helvetica-Bold', textColor=WHITE, alignment=TA_CENTER)), Spacer(1,2), warn_para], [Paragraph('🚨 DANGER SIGNS & FOLLOW-UP', ParagraphStyle('BT2', parent=styles['Normal'], fontSize=9, fontName='Helvetica-Bold', textColor=WHITE, alignment=TA_CENTER)), Spacer(1,2), danger_para], ]] # Use inner tables def make_box(title_text, body_para, bg, title_bg): t_data = [ [Paragraph(title_text, ParagraphStyle('BX', parent=styles['Normal'], fontSize=9, fontName='Helvetica-Bold', textColor=WHITE, alignment=TA_CENTER))], [body_para], ] t = Table(t_data, colWidths=[8.5*cm]) t.setStyle(TableStyle([ ('BACKGROUND', (0,0), (0,0), title_bg), ('BACKGROUND', (0,1), (0,1), bg), ('BOX', (0,0), (-1,-1), 1.2, title_bg), ('INNERGRID', (0,0), (-1,-1), 0.3, colors.HexColor('#cccccc')), ('TOPPADDING', (0,0), (-1,-1), 5), ('BOTTOMPADDING', (0,0), (-1,-1), 5), ('LEFTPADDING', (0,0), (-1,-1), 6), ('RIGHTPADDING', (0,0), (-1,-1), 6), ('VALIGN', (0,0), (-1,-1), 'TOP'), ])) return t box1 = make_box('⚠ IMPORTANT REMINDERS', warn_para, colors.HexColor('#fff5f5'), colors.HexColor('#8b0000')) box2 = make_box('🚨 DANGER SIGNS & FOLLOW-UP', danger_para, colors.HexColor('#f0fff0'), colors.HexColor('#1a5c1a')) two_col = Table([[box1, Spacer(0.4*cm, 1), box2]], colWidths=[8.5*cm, 0.4*cm, 8.5*cm]) two_col.setStyle(TableStyle([ ('VALIGN', (0,0), (-1,-1), 'TOP'), ('TOPPADDING', (0,0), (-1,-1), 0), ('BOTTOMPADDING', (0,0), (-1,-1), 0), ('LEFTPADDING', (0,0), (-1,-1), 0), ('RIGHTPADDING', (0,0), (-1,-1), 0), ])) elements.append(two_col) elements.append(Spacer(1, 4*mm)) # ======== DAILY TRACKING GRID ======== track_title = Paragraph("📋 DAILY MEDICATION TRACKING - Week 1 (Tick ✓ after each dose)", ParagraphStyle('TR', parent=styles['Normal'], fontSize=9, fontName='Helvetica-Bold', textColor=WHITE, backColor=colors.HexColor('#1a4c7a'), alignment=TA_LEFT, leading=16, leftIndent=4)) elements.append(track_title) days = ['Day 1\n09/04', 'Day 2\n10/04', 'Day 3\n11/04', 'Day 4\n12/04', 'Day 5\n13/04', 'Day 6\n14/04', 'Day 7\n15/04'] track_meds = [ 'T. Mondeslor (M/N)', 'T. Pulmoclear (M/N)', 'T. Norflox 100 mg (M/N)', 'T. Wysolone 20mg (M)', 'Cap. Budamate Rotacaps (M/N)', 'Syp. Ascoril LS (M/A/N)', 'Syp. Lactulose (N)', 'Fluticasone Nasal Spray (N)', ] track_header = [np('Medicine', bold=True, color='#ffffff')] + [np(d, bold=True, color='#ffffff', align=TA_CENTER) for d in days] track_data = [track_header] for tm in track_meds: row = [np(tm, sz=7.5)] + [np('□', sz=10, align=TA_CENTER) for _ in days] track_data.append(row) track_col_w = [5.2*cm] + [1.85*cm]*7 track_table = Table(track_data, colWidths=track_col_w) track_ts = [ ('BACKGROUND', (0,0), (-1,0), colors.HexColor('#1a4c7a')), ('TEXTCOLOR', (0,0), (-1,0), WHITE), ('BOX', (0,0), (-1,-1), 1.2, colors.HexColor('#1a4c7a')), ('INNERGRID', (0,0), (-1,-1), 0.4, colors.HexColor('#aaaacc')), ('ALIGN', (1,0), (-1,-1), 'CENTER'), ('VALIGN', (0,0), (-1,-1), 'MIDDLE'), ('TOPPADDING', (0,0), (-1,-1), 4), ('BOTTOMPADDING', (0,0), (-1,-1), 4), ('LEFTPADDING', (0,0), (-1,-1), 3), ] for i in range(1, len(track_data)): if i % 2 == 0: track_ts.append(('BACKGROUND', (0,i), (-1,i), ALT_ROW)) else: track_ts.append(('BACKGROUND', (0,i), (-1,i), WHITE)) track_table.setStyle(TableStyle(track_ts)) elements.append(track_table) elements.append(Spacer(1, 3*mm)) # ======== FOOTER ======== footer = Paragraph( "This chart is prepared based on discharge advice by Dr. N. Sathya, MBBS MD (Respiratory Medicine), Nandha Medical College and Hospital, Erode. " "For emergencies call: <b>9585166029</b> | Review appointment: <b>17/04/2026 - Pulmonology OPD</b>", ParagraphStyle('FT', parent=styles['Normal'], fontSize=7.5, fontName='Helvetica', textColor=colors.HexColor('#555555'), alignment=TA_CENTER, backColor=colors.HexColor('#eef4ff'), leading=12)) elements.append(footer) doc.build(elements) print("PDF created successfully!") EOF

The printable medication schedule chart is ready. Here's what's included:

Sandhiya Medication Schedule

PDF Document · PDF

The A4 PDF chart contains 5 sections:
  1. Patient Info Header - Name, IP number, diagnosis, doctor, review date, and emergency contact at the top.
  2. Main Medication Table (10 medicines) - All 10 prescribed medicines with:
    • Dose and purpose for each
    • Morning / Afternoon / Night columns with tick marks (✓), dash (—), or SOS labels
    • Duration (ongoing vs. fixed days)
    • Special instructions per medicine
  3. Steroid Taper Schedule - A clear 3-column guide showing Days 1-5 (Wysolone 20 mg) → Days 6-10 (10 mg) → Stop, with a prominent orange warning.
  4. Two-column Warning Box - Left column has 7 important reminders (gargling, no NSAIDs, complete antibiotics, etc.). Right column lists danger signs requiring emergency visit and the review appointment date.
  5. Daily Tracking Grid - A 7-day checkbox grid (09/04 to 15/04) for all 8 regular medicines, with empty boxes the patient can tick off each day after taking their dose.
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