MRD / Regn No. : THBC\23-24\06367 Date : 01/07/2026
Patient Name : Gourihar Kothawale Age & Gender : 63 Yrs. / Male
Contact No. : 9819984460 UHID :
Ht / Wt / BMI : 180.34 / 84.79 / 26.07 BP S / BP D : 159 / 91
Allergies : NONE Referred By :
   
Subjective : NEWLY DETECTED DM,PRIMARY HYPOTHYROIDISM,VIT B12 / VIT D DEF
Objective : 18-JUN-2026 REPORTS,HB-13.1/ HBA1C-6.6%,FBS-95.85,TC-176/ TG-102/ LDL-127.4/ HDL-26,VITD-12.1,VITB12-193,T3-134/ T4-4.64/ TSH-34.3,FT3-2.93/ FT4-0.64,CR-0.88,ALT-33.5/ AST-36.7,HSCRP-1.94,EGFR-97
Plan : START THYROID MEDS - CHECK TSH > 6 WEEKS - ONCE TSH NORMAL THEN CHECK BP AFTER THAT,BP / CBC / HBA1C - WILL ATTEND TO IN NEXT VISIT  
S# Generic (Trade) Name Route Dosage Usage Duration
1 THYRONORM 62.5 MCG ORAL 1-0-0 30 MINS BBF
TO CONTINUE
2 NERVIHENZ ORAL 1-0-0 AL
3 MTHS
3 DRISE 60,000 UNITS ORAL 1/WEEKLY ANYTIME OF DAY
 3 MTHS
4 TABLET TELMISARTAN (40MG) AND CILNIDIPINE (10MG)
ERITEL LN 40 		ORAL 1-0-0 ABF
 3 MTHS
       
Refill : 0 / Substitution:    
Education : IF LOW SUGARS (<70 MG/DL),TAKE 1 TBSP(15GMS) GLUCOSE POWDER. CHECK AGAIN AFTER 15 MINS IF >100 CAN GIVE A PROTEIN MEAL.
Next Visit : 01/Oct/2026
Tests Suggested For Next Visit : FBS / PPBS / HBA1C / TSH / CBC > 3 MTHS
   
   

Dr Tejal Lathia
M.D, D.M (Endocrinology)
Maharashtra / 2003/05/2166

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