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|
| MRD / Regn No. |
: 20260000315 |
Date |
: 22/07/2026 |
| Patient Name |
: Punam Saha |
Age & Gender |
: 36 Yrs. / Female |
| Contact No. |
: 9831731751 |
UHID |
: |
| Ht / Wt / BMI |
: 161 / 76 / 29.32 |
BP S / BP D |
: / |
| Allergies |
: NKA |
Referred By |
: |
| |
|
| Problem
List |
: |
TYPE 2 DM (15/Apr/2026) | OBESITY (15/Apr/2026) | OBESITY WITH METABOLIC COMPLICATIONS (15/Apr/2026) | VITAMIN D DEFICIENCY (15/Apr/2026) | |
|
Subjective |
: |
HX OF GDM,POST GDM RECURRENCE OF DM,DYSESTHESIAS,HAS STOPPED MEDICATIONS |
|
Objective |
: |
NONE |
|
Analysis |
: |
OBESITY,TYPE 2 DM,VITAMIN D DEFICIENCY |
|
Plan |
: |
INCREASE MOUNJARO 5 MG,SEE ME IN 2 MONTHS WITH TESTING |
|
| Salient Investigations |
: |
TOTAL CHOLESTEROL: 194.97 mg/dl | FASTING PLASMA GLUCOSE (FPG): 111.72 mg/dL | POST PRANDIAL GLUCOSE (2HPP): 139.31 mg/dL | |
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
CAPSULE CHOLECALCIFEROL 2000 IU D RISE Medicine For VITAMIN D |
PO |
0-0-1 |
AT BEDTIME
|
TILL NEXT VISIT |
|
|
2 |
INJECTION TIRZEPATIDE 5 MG MOUNJARO Medicine For OBESITY DIABETES |
SQ |
ONCE A WEEK |
AS DIRECTED NO RELATION TO FOOD
|
TILL NEXT VISIT |
| MAY CAUSE NAUSEA VOMITING OR DIARRHEA | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: RARE VERY RARE INSTANCES OF EYE DISTURBANCE WITH TIRZEPATIDE HAVE BEEN REPORTED |
| Next Visit |
: 21/Aug/2026 |
| Tests Suggested For Next Visit |
: FBS 2HPP HBA1C |
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