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| MRD / Regn No. |
: SCDC/00078 |
Date |
: 05/06/2026 |
| Patient Name |
: ZOYA ZAFAR SHAIKH |
Age & Gender |
: 12 Yrs. / Female |
| Contact No. |
: 8329825029 |
UHID |
: U 1711 B |
| Ht / Wt / BMI |
: 147 / 44.9 / 20.78 |
BP S / BP D |
: 114 / 68 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (13/Oct/2021) | |
|
Subjective |
: |
NO CHECKING PATTERN,NO FIX TIME,SCALE GIVEN,7 SUGAR DONE,FASTING HIGH,PRE UP DOWN,HYPO MANAGED
|
|
Objective |
: |
NO BALANCED DIET,HIGH CARB PROTIN LOW,1ST WARNING |
|
Analysis |
: |
GIVEN MONITORING PATTERN |
|
Plan |
: |
EXP.EVERYTHING |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION GLULISINE (INJ U100)
APIDRA
Medicine For T1DM T2DM |
SQ |
4U |
|
DAILY |
| EXPLAINED | |
|
2 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
20U |
BEDTIME
|
DAILY |
|
|
3 |
LUPINSULIN R |
|
6U-4U-4U |
|
|
|
|
| |
|
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|
| Refill :
0 / Substitution: |
|
|
| Education |
: EXPLAINED BASIC CARE |
| Next Visit |
: 07/Aug/2026 |
| Tests Suggested For Next Visit |
: |
| |
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Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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