|
|
| MRD / Regn No. |
: SCDC/00530 |
Date |
: 17/07/2026 |
| Patient Name |
: RUTUJA VINOD KHARAT |
Age & Gender |
: 14 Yrs. / Female |
| Contact No. |
: 7822026106 |
UHID |
: U 1865 B |
| Ht / Wt / BMI |
: 152 / 46 / 19.91 |
BP S / BP D |
: 100 / 70 |
| Allergies |
: NO |
Referred By |
: |
| |
|
| Problem
List |
: |
T1DM (19/Sep/2022) | |
|
Subjective |
: |
RANDOM CHECKING,ALL SUGARS HIGH,NO PROTIN IN DIET,DIET GADBAD,TIME NOT FIXED
|
|
Objective |
: |
GIVEN BALANCED MEAL PLAN,NO BALANCE MEAL,NO DOSE ADJUSTMENT |
|
Analysis |
: |
ASKED TO BRING MOTHER |
|
Plan |
: |
3+7 SMBG PATTERN |
|
|
|
S# |
Generic (Trade) Name |
Route |
Dosage |
Usage |
Duration |
|
1 |
LUPINSULIN R |
|
10U-8U-8U |
|
|
|
|
2 |
INJECTION GLULISINE (INJ U100)
APIDRA
Medicine For T1DM T2DM |
SQ |
8U |
|
DAILY |
| EXPLAINED | |
|
3 |
INJECTION GLARGINE (INJ U100)
BASAGLAR
Medicine For GLUCOSE CONTROL |
SQ |
22U |
BEDTIME
|
DAILY |
|
|
| |
|
|
|
| Refill :
0 / Substitution: |
|
|
| Education |
: EXPLAINED BASIC CARE |
| Next Visit |
: 18/Sep/2026 |
| Tests Suggested For Next Visit |
: |
| |
|
| |
|
Dr. Archana Sarda
MD Medicine
Maharashtra /
73570
This is a Computer generated Prescription |
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