|
|
| MRD / Regn No. |
: DIABEAT/20-21/01325 |
Date |
: 19/07/2026 |
| Patient Name |
: ASHWINI HARAVI |
Age & Gender |
: 18 Yrs. / Female |
| Contact No. |
: 9743152042 |
UHID |
: |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NIL |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM/LADA? (07/Aug/2022) | |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
LUPINSULIN R PENFIL |
S/C |
20-18-14 |
FOR DIABETES 10 MIN BEFORE FOOD
|
CONTINUE |
|
|
2 |
BASAGLAR PENFIL |
ORAL |
0-0-0-20 |
FOR DIABETES SAME TIME DAILY
|
CONTINUE |
|
|
3 |
THYROX 25 |
ORAL |
1-0-0 |
FOR HYPOTHYROIDISM EMPTY STOMACH IN THE MORNING
|
CONTINUE |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: |
| Next Visit |
: 13/Nov/2025 |
| Tests Suggested For Next Visit |
: FFBS/PPBS |
| |
|
| |
|
Dr. Saiyadali A.
MBBS, MD (BMC Bangalore), Fellowship in Diabetology(Diacon Hospital, Bengaluru).
Karnataka /
96943
This is a Computer generated Prescription |
Powered By:  |