Prescription

MRD / Regn No.

: SG003086

Date

: 16/06/2026

Patient Name

: Susmita Sen Gupta

Age & Gender

: 77 Yrs. / Female

Contact No.

: 9830992189

UHID

Ht / Wt / BMI

BP S / BP D

Allergies

: NKA

Referred By

Problem List	:	TYPE 2 DIABETES (10/Dec/1998) \| HYPERTENSION (10/Dec/2024) \| HYPOTHYROIDISM (10/Dec/2024) \| OSTEOPOROSIS (16/Jan/2026) \|
Salient Investigations	:	ALT ALANINE AMINOTRANSFERASE: 42.7 IU/L \| CREATININE: 0.47 \| EGFR EGLOMERULAR FILTRATION RATE: 137.52 mL/min/1.73m2 \| FASTING PLASMA GLUCOSE (FPG): 68 mg/dL \| HBA1C GLYCOSYLATED HEMOGLOBIN: 6.4 % \| LDL LOW DENSITY LIPOPROTEIN: 41 mg/dL

S#	Generic (Trade) Name	Route	Dosage	Usage	Duration
1	TABLET THYROXINE 50 MCG THYRONORM 50 MCG Medicine For LOW THYROID	PO	1-0-0	BEFORE BREAKFAST	TILL NEXT VISIT
	MUST BE TAKEN ON AN EMPTY STOMACH. COFFEE TEA OR BREAKFAST MUST BE TAKEN ONLY AFTER 30 MINUTES. OTHER DRUGS CAN INTERFERE WITH THE ABSORPTION OF THYROXINE

2	ANTIHYPERGLYCEMIC DAPAGLIFLOZIN 10 MG + SITAGLIPTIN 100 MG + METFORMIN 1000 MG UDAPA TRIO FORTE	PO	1-0-0	BEFORE BREAKFAST

3	INJECTION DEGLUDEC / ASPART (INJ U100) 70/30 RYZODEG Medicine For DIABETES	SQ	24-0-20	BEFORE BREAKFAST AND DINNER	TILL NEXT VISIT
	MAY CAUSE HYPOGLYCEMIA

4	TABLET ROSUVASTATIN 20 MG STATEZE R 20	PO	0-0-1	BEFORE DINNER

5	TABLET ACARBOSE 50 MG GLUCOBAY 50 MG Medicine For DIABETES	PO	0-1-0	BEFORE LUNCH	TILL NEXT VISIT

6	RESIDRONATE 35 MG GEMFOS	PO	1-0-0	ONCE A WEEK	TILL NEXT VISIT

7	CHOLECALCIFEROL 60000 IU UPRISE D3	PO	1-0-0	ONCE A MONTH	TILL NEXT VISIT

8	TABLET CALCIUM CITRATE MALATE 250 MG CCM 250 MG	PO	1-0-1	BEFORE BREAKFAST AND DINNER	TILL NEXT VISIT

9	AMLODIPINE 5 MG + TELMISARTAN 40 MG TELMIKIND AM 40/5 MG	PO	1-0-0	BEFORE BREAKFAST	TILL NEXT VISIT

10	AMLODIPINE 2.5 MG STAMLO 2.5 MG	PO	0-0-1	BEFORE DINNER	TILL NEXT VISIT

Refill : 0 / Substitution:

Education

Next Visit

: 16/Dec/2026

Tests Suggested For Next Visit

: SMBG,HBA1C-HPLC METHOD,UACR:SPOT SAMPLE

Dr. Samit Ghosal
MD (GM), Diploma in Diabetes Cardiff University, MSc (Diabetes Care) Glamorgan University, Diploma in Endocrinology Glamorgan University (USW), SCOPE certification in obesity management
West Bengal / 54020

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