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| MRD / Regn No. |
: 20260000612 |
Date |
: 02/07/2026 |
| Patient Name |
: Jiten Nandi |
Age & Gender |
: 51 Yrs. / Male |
| Contact No. |
: 7384736324 |
UHID |
: |
| Ht / Wt / BMI |
: 159 / 66 / 26.11 |
BP S / BP D |
: 110 / 70 |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 2 DM (02/Jul/2021) | F0S2 MASLD (02/Jul/2026) | |
|
Subjective |
: |
DM FOR 5 YEARS,DYSLIPIDEMIA |
|
Objective |
: |
NONE |
|
Analysis |
: |
TYPE 2 DM,CDR ON OCT > 0.3,S2F0 NAFLD |
|
Plan |
: |
START GLP1RA SGLT2I,SEE ME IN 1 MONTH |
|
| Salient Investigations |
: |
ESR: 7 mm/hour | FASTING PLASMA GLUCOSE (FPG): 162 mg/dL | GLYCOSYLATED HEMOGLOBIN (HBA1C): 6.8 % | POST PRANDIAL GLUCOSE (2HPP): 349 mg/dL | HEMOGLOBIN: 13.5 g/dL | MCH: 29 pg | MCHC: 34 gm % | MCV: 86 fl | PCV: 40 % | PLATELETS: 123 thou cells/ ul | RBC COUNT: 4.61 million/ul | TOTAL COUNT WBC: 6.81 Cells/cmm | TSH : 2.540 mIU/L | UREA: 23 mg/dL | CREATININE: 0.85 mg/dL | 24 H URINARY CALCIUM: 4.2 mg/24 hours | HDL HIGH DENSITY LIPOPROTEIN: 38 mg/dL | LDL LOW DENSITY LIPOPROTEIN: 66 mg/dL | TGL TRIGLYCERIDE: 263 mg/dL | TOTAL CHO/HDL RATIO: 3.5 | TOTAL CHOLESTEROL: 132 mg/dl | VLDL: 53 mg/dl | A\G RATIO: 1.94 g/dl | ALBUMIN (SERUM): 4.84 g/dL | ALKALINE PHOSPHOTASE: 69 IU/L | DIRECT BILIRUBIN: 0.76 mg/dl | GAMMA GLUTAMYL TRANSFERASE (GGT): 33 U/L | GLOBULIN: 2.50 g/dl | INDIRECT BILIRUBIN: 1.74 | SGOT (AST): 40 U/L | SGPT (ALT): 67 IU/L | TOTAL BILIRUBIN: 2.50 mg/dL | TOTAL PROTEIN: 7.34 g/dl | BICARBONATE: 25 meq/L | CHLORIDE: 100 meq/L | POTASSIUM: 4.0 meQ/L | SODIUM: 137 meq/L | CALCIUM: 9.4 mg/DL | MICROALBUMIN CREATININE RATIO: 2.96 mcg/mg | CUP DISC RATIO L: 0.18 | CUP DISK RATIO R: 0.20 | ABI LEFT: 1.07 | ABI RIGHT: 1.05 | E / E PRIME: 11 | EJECTION FRACTION: 60 % | EGFR EGLOMERULAR FILTRATION RATE: 101.11 mL/min/1.73m2 | FIB4: 2.03 | EGFR EGLOMERULAR FILTRATION RATE: 101.11 mL/min/1.73m2 | FIB4: 2.03 | EGFR EGLOMERULAR FILTRATION RATE: 101.11 mL/min/1.73m2 | FIB4: 2.03 | EGFR EGLOMERULAR FILTRATION RATE: 101.11 mL/min/1.73m2 | EGFR EGLOMERULAR FILTRATION RATE: 101.11 mL/min/1.73m2 | EGFR EGLOMERULAR FILTRATION RATE: 101.11 mL/min/1.73m2 | FIB4: 2.03 | FIB4: 2.03 | LIVER CAP: 271 dB/M | LIVER ELASTICITY: 4.8 kPA | LIVER METAVIR SCORE: S2 | LIVER STEATOSIS SCORE: F0 | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION SEMAGLUTIDE SEMALIX 0.25 MG Medicine For DIABETES OBESITY MASLD CAD |
SQ |
ONCE A WEEK |
AS DIRECTED NO RELATION TO FOOD
|
TILL NEXT VISIT |
| MAY CAUSE NAUSEA VOMITING OR EYE DISTURBANCE | |
|
2 |
SGLT2I EMPAGLIFLOZIN 10 MG JARDIANCE Medicine For DIABETES OBESITY HEART AND KIDNEY PROTECTION |
PO |
1-0-0 |
BEFORE FOOD
|
TILL NEXT VISIT |
| MAY CAUSE GENITOURINARY INFECTIONS | |
|
3 |
ROSUVASTATIN 10 MG ROSEDAY 10 MG Medicine For CHOLESTEROL |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
| MAY CAUSE FATIGUE AND MUSCLE PAIN | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
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| Education |
: |
| Next Visit |
: 01/Aug/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP SMBG |
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