|
|
| MRD / Regn No. |
: SCDC/00159 |
Date |
: 16/07/2026 |
| Patient Name |
: AYESHA WASIM SHAIKH |
Age & Gender |
: 7 Yrs. / Female |
| Contact No. |
: 9158595210 |
UHID |
: U 1061 F |
| Ht / Wt / BMI |
: 119 / 17.4 / 12.29 |
BP S / BP D |
: 92 / 52 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (14/Jun/2019) | |
|
Subjective |
: |
RANDOM CHECKING,AIR IN R PEN,DIET NOT BALANCED
|
|
Objective |
: |
NO SMBG,NO BALANCED MEAL,NO 7 SUGAR CHECK |
|
Analysis |
: |
ASKED TO CALL ON HELPLINE FOR DOSE ADJUSTMENT |
|
Plan |
: |
BASIC SURVIVE CARE PROG. |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
INJECTION GLARGINE (INJ U100) BASAGLAR Medicine For GLUCOSE CONTROL |
SQ |
6U |
BEDTIME
|
DAILY |
|
|
2 |
LUPINSULIN R |
|
3U-3U-3U |
|
|
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: 3+7 SMBG PATTERN |
| Next Visit |
: 17/Sep/2026 |
| Tests Suggested For Next Visit |
: |
| |
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| |
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Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
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