MRD / Regn No. : 7612 Date : 22/06/2026
Patient Name : Hazi Mansura Bibi Age & Gender : 68 Yrs. / Female
Contact No. : 9883780440 UHID :
Ht / Wt / BMI : 152 / 65 / 28.13 BP S / BP D : 154 / 80
Allergies : NKA Referred By :
   
Problem List : TYPE 2 DIABETES (19/Oct/2011) | HYPOTHYROIDISM (19/Oct/2022) | HYPERTENSION (19/Oct/2022) |
Salient Investigations : CREATININE: 0.8 | EGFR EGLOMERULAR FILTRATION RATE: 76.43 mL/min/1.73m2 | HBA1C GLYCOSYLATED HEMOGLOBIN: 9.6 % | MICROALBUMIN CREATININE RATIO: 140 mcg/mg
S# Generic (Trade) Name Route Dosage Usage Duration
1 TABLET THYROXINE 88 MCG
THYRONORM 88 MCG
Medicine For HYPOTHYROIDISM 		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 TELMISARTAN 80 MG + CHLORTHALIDONE 12.5 MG
TELDAY H 		PO 1-0-0 BEFORE BREAKFAST
 TILL NEXT VISIT
3 INJECTION DEGLUDEC / ASPART (INJ U100) 70/30
RYZODEG
Medicine For DIABETES 		SQ 40-0-36 BEFORE BREAKFAST AND DINNER
 TILL NEXT VISIT
MAY CAUSE HYPOGLYCEMIA
4 TABLET ROSUVASTATIN 10 MG
STATEZE R 		PO 0-0-1 BEFORE DINNER
5 ANTIHYPERGLYCEMIC SITAGLIPTIN 100 MG + DAPAGLIFLOZIN 10 MG + METFORMIN 1000 MG
LUPISIT DM 1000 		PO 1-0-0 BEFORE BREAKFAST
 TILL NEXT VISIT
6 TABLET ACARBOSE 50 MG
GLUCOBAY 50 MG
Medicine For DIABETES 		PO 0-1-0 BEFORE LUNCH
 TILL NEXT VISIT
       
Refill : 0 / Substitution:    
Education :
Next Visit : 22/Dec/2026
Tests Suggested For Next Visit : HBA1C-HPLC METHOD,CREATININE,RETINA CHECK UP,UACR:SPOT SAMPLE
   
   
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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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