|
|
| MRD / Regn No. |
: SCDC/00082 |
Date |
: 03/06/2026 |
| Patient Name |
: SHRAVNI LUTE |
Age & Gender |
: 15 Yrs. / Female |
| Contact No. |
: 9579504409 |
UHID |
: U 1522 B C |
| Ht / Wt / BMI |
: |
BP S / BP D |
: |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (25/Jan/2020) | |
|
Subjective |
: |
DOING
|
|
Objective |
: |
LEARNING |
|
Analysis |
: |
BALANCE MEAL PLAN |
|
Plan |
: |
GIVEN FRESH MEAL PLAN AND SMBG PATTERN |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
ACTRAPID |
SC |
4U-2U-2U |
BEFORE EVERY MEAL
|
DAILY |
|
|
2 |
INJECTION GLARGINE (INJ U100) BASAGLAR |
|
12U |
BEDTIME
|
DAILY |
|
|
3 |
INJECTION GLULISINE (INJ U100) APIDRA Medicine For T1DM T2DM |
SQ |
03U |
|
DAILY |
| EXPLAINED | |
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: EXPLAINED BASIC CARE,EMERGENCY CARE TO CAREGIVER |
| Next Visit |
: |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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