Prescription

MRD / Regn No.

: 20160000330

Date

: 14/07/2026

Patient Name

: Mangilal Jain

Age & Gender

: 79 Yrs. / Male

Contact No.

: 9283393909

UHID

:

Ht / Wt / BMI

: 168 / 67.4 / 23.88

BP S / BP D

: 156 / 79

Allergies

: DILITIAZEM

Referred By

:

Problem List	:	HYPERTENSION (23/Nov/2016) \| TYPE 2 DM (01/Jan/2010) \| VITAMIN B12 DEFICIENCY (01/Jan/2016) \| A2G1 DKD (29/Aug/2020) \| BENIGN PROSTATIC HYPERPLASIA (01/Nov/2021) \| A2G2 DKD (31/Jul/2024) \| PARKINSONS DISEASE (19/Nov/2024) \|
Subjective	:	NO NEW COMPLAINTS,DILTIAZEM INDUCED GUM HYPERPLASIA,TOOTH ACHE
Objective	:	NONE
Analysis	:	ANEMIA MICROCYTIC,VITAMIN D DEFICIENCY,T2DM STABLE,GAIT DISTURBANCE,DILTIAZEM INDUCED GUM HYPERPLASIA,A2G2 DKD IMPROVING,PARKINSONS DISEASE,URI,NT PRO BNP AGE APPROPRIATE
Plan	:	TAPER INSULIN,CONTINUE CURRENT MEDICATIONS AND SEE ME IN 3 MONTHS WITH TESTING
Salient Investigations	:	MICROALBUMIN CREATININE RATIO: 100.2 mcg/mg \| FASTING PLASMA GLUCOSE (FPG): 114 mg/dL \| GLYCOSYLATED HEMOGLOBIN (HBA1C): 6.4 % \| POST PRANDIAL GLUCOSE (2HPP): 103 mg/dL \| HEMOGLOBIN: 11.2 g/dL \| MCV - MEAN CORPUSCULAR VOLUME: 65 fL \| PLATELETS: 279 thou cells/ ul \| WBC WHITE BLOOD CELLS: 883 K/uL

S#	Generic (Trade) Name	Route	Dosage	Usage	Duration
1	SITAGLIPTIN 100 MG JANUVIA 100 MG Medicine For DIABETES	PO	1-0-0	BEFORE FOOD	TILL NEXT VISIT

2	METHYCOBALAMIN 1 MG (INJECTION) RENERVE PLUS 1 MG (INJECTION) Medicine For VITAMIN B12	IM	Q 3 MONTHS	AS DIRECTED	TILL NEXT VISIT
	TO BE ADMINISTERED BY A MEDICAL PRACTITIONER OR NURSE ONLY

3	TELMISARTAN CTD 80 MG ERITEL CH 80 MG Medicine For HYPERTENSION KIDNEY PROTECTION	PO	0-0-1	AT BEDTIME	TILL NEXT VISIT

4	FERROUS ASCORBATE /FOLIC ACID 100 MG/1.5 MG OROFER XT Medicine For IRON	PO	0-0-1	AT BEDTIME	TILL NEXT VISIT
	MAY CAUSE STOMACH UPSET AND CONSTIPATION

5	CHOLECALCIFEROL 2000 IU D RISE 2000 IU Medicine For VITAMIN D	PO	0-0-1	AT BEDTIME	TILL NEXT VISIT
	TAKE AT BEDTIME

6	INJECTION DEGLUDEC / ASPART (INJ U100) 70/30 RYZODEG Medicine For DIABETES	SQ	0-6-0 UNITS	BEFORE FOOD	TILL NEXT VISIT
	MAY CAUSE HYPOGLYCEMIA

7	DAPAGLIFLOZIN 10 MG FORXIGA Medicine For DIABETES KIDNEY PROTECTION	PO	1-0-0	BEFORE FOOD	TILL NEXT VISIT
	MAY CAUSE GENITOURINARY INFECTIONS

8	TABLET ZOLPIDEM 5 MG ZOLFRESH 5 MG Medicine For SLEEP	PO	0-0-1		TILL NEXT VISIT
	TAKE ONE HOUR BEFORE BEDTIME. GIVEN FOR SLEEP DISTURBANCE. MAY CAUSE DROWSINESS. DO NOT USE WITH ALCOHOL. DO NOT DRIVE WHILE TAKING THIS MEDICINE

9	METOPROLOL XL 25 MG PROMET XL 25 MG		1-0-0	AFTER FOOD	TILL NEXT VISIT

Refill : 0 / Substitution:

Education

:

Next Visit

: 12/Oct/2026

Tests Suggested For Next Visit

: FBS 2HPP HBA1C