Prescription

MRD / Regn No.

: SG004664

Date

: 11/07/2026

Patient Name

: Fr.Joe Kootinal

Age & Gender

: 82 Yrs. / Male

Contact No.

: 9903408303

UHID

Ht / Wt / BMI

: 157 / 68 / 27.59

BP S / BP D

: 180 / 79

Allergies

: NKA

Referred By

Problem List	:	TYPE 2 DIABETES (11/Jul/2026) \| HYPERTENSION (11/Jul/2026) \|
Salient Investigations	:	FASTING PLASMA GLUCOSE (FPG): 149 mg/dL \| HB HEMOGLOBIN: 12.6 g/dL \| URIC ACID: 7.5

S#	Generic (Trade) Name	Route	Dosage	Usage	Duration
1	ANTIHYPERGLYCEMIC DAPAGLIFLOZIN 10 MG + METFORMIN SR 500 MG APDA M 500 MG	PO	1-0-0	BEFORE BREAKFAST	TILL NEXT VISIT

2	TABLET TELMISARTAN 40 MG + AMLODIPINE 5 MG APEL AM	PO	1-0-1	BEFORE BREAKFAST AND DINNER	TILL NEXT VISIT

3	TABLET ROSUVASTATIN 20 MG STATEZE R 20	PO	0-0-1	BEFORE DINNER	TILL NEXT VISIT

Refill : 0 / Substitution:

Education

Next Visit

: 11/Jan/2027

Tests Suggested For Next Visit

: CHECK BP AFTER 10 DAYS AND INFORM,CHECK FASTING AND PP AFTER 4 WEEKS AND INFORM,HBA1C-HPLC METHOD,CREATININE,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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