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| MRD / Regn No. |
: THBC\23-24\08076 |
Date |
: 24/06/2026 |
| Patient Name |
: Josephine Tomy |
Age & Gender |
: 29 Yrs. / Female |
| Contact No. |
: 9082615235 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NONE |
Referred By |
: |
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Subjective |
: |
PRIMARY HYPOTHYROIDISM 3 YEARS,MARRIED / MOVED TO BORIVLI,NO SUPPLEMENTS,ITCHING ,SAW A DERMATOLOGIST - LEVOCETRIZINE |
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Objective |
: |
MAY 26- FT3- 3.13/FT4- 1.49/TSH- 0.240 |
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Plan |
: |
125 MCG X 4 DAYS / 100 MCG X 3 DAYS - DOSE 114 MCG/DAY |
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S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
TAB THYRONORM 100 MCG |
ORAL |
1-0-0 |
BBF
|
4 MTHS |
|
|
2 |
TABLET THYROXINE SODIUM 25 MCG THYRONORM 25 MCG |
ORAL |
1-0-0 |
BBF / 5 DAYS A WEEK
|
4 MTHS |
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3 |
FOLVITE 5 MG |
ORAL |
1-0-0 |
AFTER BREAKFAST
|
TILL CONCEPTION |
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| Refill :
0 / Substitution: |
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| Education |
: |
| Next Visit |
: 24/Oct/2026 |
| Tests Suggested For Next Visit |
: TSH EVERY 4 MTHS ,IF TSH IS ANYTHING BETWEEN 0.5-4 - THEN SAME DOSE CAN BE CONTINUED |
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