MRD / Regn No. : THBC\23-24\09230 Date : 02/07/2026
Patient Name : Prtima Ballal Age & Gender : 43 Yrs. / Female
Contact No. : 9867328966 UHID :
Ht / Wt / BMI : 157 / 83.90 / 34.04 BP S / BP D : 115 / 81
Allergies : NONE Referred By :
   
Subjective : IVF,H/O MYOMECTOMY,REF BY DR SUKIRTI JAIN,F/H-MOTHER HAVE DM,HYPOTHYROIDISM SINCE 2019 / PREGESTATIONAL,19 WEEKS / USG NORMAL,WILL CHECK SUGARS AFTER EAACH DIFF BKF AND UPDATE US
Objective : SMBG,FBS-85 TO 117,ABF-101 TO 163,AD-113 TO 208
S# Generic (Trade) Name Route Dosage Usage Duration
1 TABLET THYROXINE SODIUM 75 MCG
THYRONORM 75 MCG
Medicine For HYPOTHYROIDISM 		ORAL 1-0-0 BBF
 TO CONTINUE
2 GLYCOMET SR 500 ORAL 1-1-1 ABF/AL/AD
 30 DAYS
3 INJ TRESIBA SQ 0-0-0-8 BEDTIME
 30 DAYS
4 FIASP SC 6-0-10 15 MINS BEFORE MEALS
 30 DAYS
       
Refill : 0 / Substitution:    
Education :
Next Visit : 11/Aug/2026
Tests Suggested For Next Visit : SMBG,TSH WHENEVER DOING ANY OTHER BLOOD TEST
   
   

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

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