|
|
| MRD / Regn No. |
: TL/20-21/00886 |
Date |
: 29/06/2026 |
| Patient Name |
: Jalpa Shah |
Age & Gender |
: 50 Yrs. / Female |
| Contact No. |
: 9967488339 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NONE |
Referred By |
: |
| |
|
| Problem
List |
: |
T2DM (08/Jan/2002) | HYPOTHYROIDISM (06/Jan/2004) | |
|
Subjective |
: |
T2DM X 20 YRS,HYPOTHYROIDISM SINCE 2004,LOT OF TRAVEL / FESTIVALS
|
|
Objective |
: |
29-JUN-2026 REPORTS,FBS-102.61,TC-151.7/ TG-147.2/ LDL-75.96/ HDL-46.3,ALT-102.90/ AST-36.10,CR-0.57,CL-100,T3-1.17/ T4-11.51/ TSH-0.549,VITB12-1883,VITD-58.10,HB-13.3/ HBA1C-8.30% |
|
Plan |
: |
HOLD DECLENTA FOR 2 WEEKS,CHECK FBS 2/WEEK - TARGET FBS 130 |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
THYRONORM 100 MCG |
ORAL |
1-0-0 |
BBF
|
4 MTHS |
|
|
2 |
DRISE 60,000 |
ORAL |
1/15 DAYS |
ANYTIME OF DAY
|
4 MTHS |
|
|
3 |
AMANZA M3 |
ORAL |
1-0-1 |
BBF / BD
|
4 MTHS |
|
|
4 |
INJECTION DEGLUDEC (100IU/ML)
TRESIBA |
SQ |
0-0-24 |
BEDTIME
|
4 MTHS |
|
|
5 |
NERVIHENZ |
ORAL |
0-1-0 |
AL / 3 DAYS A WEEK
|
4 MTHS |
|
|
6 |
ROZUCOR 10 MG |
ORAL |
0-0-1 |
AD
|
4 MTHS |
|
|
7 |
GLIPTOZA 1.8 MG |
SC |
1.8 MG |
BBF
|
4 MTHS |
|
|
8 |
CLINDAMYCIN AND CLOTRIMAZOLE VAGINAL SUPPOSITORIES
CANDID CL |
VAGINAL |
0-0-1 |
BEDTIME
|
6 NIGHTS |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 11/Mar/2026 |
| Tests Suggested For Next Visit |
: AFTER 4 MTHS - FBS / PPBS / HBA1C / TSH |
| |
|
| |
|
Dr Tejal Lathia
M.D, D.M (Endocrinology)
Maharashtra /
2003/05/2166
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