|
|
| MRD / Regn No. |
: THBC\23-24\09375 |
Date |
: 26/06/2026 |
| Patient Name |
: Nikhil Pagariya |
Age & Gender |
: 40 Yrs. / Male |
| Contact No. |
: 9172327800 |
UHID |
: |
| Ht / Wt / BMI |
: 177.8 / 70.9 / 22.43 |
BP S / BP D |
: 120 / 79 |
| Allergies |
: NONE |
Referred By |
: |
| |
|
| Problem
List |
: |
HYPOTHYROIDISM (26/Sep/2025) | |
|
Subjective |
: |
HYPOTHYROIDISM SINCE 2025,PAT GRANDFATHER CABG - LATE AGE,NO OTHER HISTORY OF CARDIAC DS AS FAR AS HE KNOWS,BLOOD CANCER / PROSTATE CANCER / BREAST CARCINOMA |
|
Objective |
: |
JUN-2026 REPORTS,HB-14.6/ HBA1C-4.8%,FBS-82,TC-243/ TG-185/ LDL-169/ HDL-37,TSH-7.5014/ T4-5.8,APR-2026 REPORTS,CA-9.5,HB-14.7,FBS-90.1,CR-1.09,ALT-12.9/ AST-21.1,TC-263/ TG-154.10/ LDL-199.38/ HDL-32.80,T3-143/ T4-8.63/ TSH-1.62,VITD-33.20 |
|
Plan |
: |
100 MCG X 3 DAYS / 50 MCG X 4 DAYS,IF BOTTLE IS OVER - SWITCH TO 75 MCG,(DOSE 71 MCG) |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
TABLET THYROXINE SODIUM 100 MCG
THYRONORM 100 MCG
Medicine For HYPOTHYROIDISM |
ORAL |
1-0-0 |
BBF / 3 DAYS A WEEK
|
90 DAYS |
|
|
2 |
TABLET THYROXINE SODIUM 50 MCG
THYRONORM 50 MCG
Medicine For HYPOTHYROIDISM |
ORAL |
1-0-0 |
BBF / 4 DAYS A WEEK
|
90 DAYS |
|
|
3 |
JUPIROS EZ 10/10 MG |
ORAL |
0-0-1 |
AD
|
90 DAYS |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 24/Sep/2026 |
| Tests Suggested For Next Visit |
: TOTAL T3 / T4 / TSH / LIPID PROFILE / THYROID PEROXIDASE ANTIBODY > 2 MTHS |
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