|
|
| MRD / Regn No. |
: TL/20-21/00098 |
Date |
: 30/06/2026 |
| Patient Name |
: Amita Jayesh Shetty |
Age & Gender |
: 42 Yrs. / Female |
| Contact No. |
: 7506178984 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NONE |
Referred By |
: |
| |
|
| Problem
List |
: |
HYPOTHYROIDISM (17/Mar/2021) | PREDIABETES (17/Mar/2021) | |
|
Subjective |
: |
GDM / PREDIABETES,HYPOTHYROIDISM ON TT,BP FLUCTUATIING - HEADACHE,NEAR VISION |
|
Objective |
: |
JUN 26- HB-10.4/AST- 18.86/ALT- 15.38,CREAT-0.75,U ACID- 6.01,TC- 189.77/TG- 66.18/LDL- 139.64/HDL- 36.89,T3- 106.78/T4- 9.45/TSH- 1.792,SR IRON- 52.92 |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
DRISE 60,000 UNITS |
ORAL |
1/15 DAYS |
ANYTIME OF DAY
|
3 MTHS |
|
|
2 |
CAPSULE FERROUS ASCORBATE /FOLIC ACID 100 MG/1.5 MG OROFER XT |
ORAL |
0-0-1-0 |
3 DAYS A WEEK
|
3 MTHS |
|
|
3 |
DILNIP 5 |
ORAL |
1-0-0 |
ABF
|
3 MTHS |
|
|
4 |
THYRONORM 125 MCG |
ORAL |
1-0-0 |
BBF
|
3 MTHS |
|
|
5 |
NERVIHENZ |
ORAL |
0-1-0 |
AL
|
3 MTHS |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 08/Aug/2025 |
| Tests Suggested For Next Visit |
: TSH / HBA1C > 3 MTHS |
| |
|
| |
|
|