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| MRD / Regn No. |
: SCDC/01202 |
Date |
: 19/06/2026 |
| Patient Name |
: SAMIKSHA MAHENDRA KOLHE |
Age & Gender |
: 16 Yrs. / Female |
| Contact No. |
: 9604771168 |
UHID |
: U 2312 |
| Ht / Wt / BMI |
: 146 / 34.9 / 16.37 |
BP S / BP D |
: 102 / 70 |
| Allergies |
: NA |
Referred By |
: |
| |
|
|
Subjective |
: |
NEUROPATHY,TDD HIGHER THEN WEIGHT,NO MANSURATION LAST 2 YEARS,FASTING HIGH,HYPO NOT MANAGED,PRE SUGAR UP DOWN
|
|
Objective |
: |
EXPLAIN EVERYTHING,CHECK BY 2 GLUCOMETERS |
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
22U |
BEDTIME
|
DAILY |
|
|
2 |
LUPINSULIN R |
|
6U-6U-6U |
|
|
|
|
3 |
INJECTION FAST ASPART (INJ U100)
FIASP
Medicine For GLUCOSE CONTROL |
SQ |
4U |
BEFORE EVENING SNACK
|
DAILY |
|
|
4 |
TAB. NERVESPRED NT |
|
|
0-0-1
|
|
|
|
5 |
TAB FORTIS B |
|
|
0-0-1
|
|
|
|
6 |
ACCU CHECK INSTANT GLUCOMETER STRIPS |
|
4-6/PER DAY + SOS |
|
|
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| |
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| Refill :
0 / Substitution: |
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| Education |
: |
| Next Visit |
: 21/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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