                                                                                                   Dr. Sachin Vibhandik
                                                                                                                                                             Reg No .: 2005010009
                                                                                                  (MBBS, M.D. Medicine)
  Vista Clinic
                                                                                                  Sir. J.J. Hospital & Grant Govt. Medical College, Mumbai

                                                                                                  Consultant Physician, Diabetologist & Intensivist

                                                                                                  Mob .: 8850914553. E-mail : drvibhandik@gmail.com
Precise Treatment, Honest Advice


                Address : 109, First Floor, Roongta Bella Vista, Near Bhujbal Farm, Govind Nagar Corner,

                    Mumbai-Agra Road, Nashik-09. For Appointment : 8263885989, 0253-4024890.



                                                                                                                                                  Date : 05-Apr-2023
          Name : Mrs.Usha Sanjay Dabholkar (59y, Female)
                                                                                                                                                #Visit : 2
          Phone : 8390929862
           ID            : 244


        Complaints: FOLLOW UP

        Past History: K/C/O DM WITH HTN WITH HYPERTHYROIDISM WITH MORBID OBESITY WITH OSA

        BP 180 / 80" mmHg Pulse 84 bpm Weight 73.0 kg SPO2 98 % Random Blood Sugar (RBS)
         (Glucometer) 103 mg/dL

        Sys.Exam: General: B/L MINIMAL PITTING PEDAL EDEMA +;

        Notes: FBS = 85 ; TSH = 44.6

         Diagnosis: DM WITH HTN WITH HYPOTHYROIDISM WITH MORBID OBESITY WITH OSA

            M


                                                                                 Dosage                        Timing - Freq. - Duration
            Medicine

                                                                                 1-0-0                          ······ ··· - ····· - 30 ····
          1) TAB. DAMITA M 10/1000 MG

                Composition                : DAPAGLIFLOZIN 10 MG + METFORMIN 1000 MG
                Timing                       1 TAB - ······ ···

                                                                                  1-0-0                         ······ ··· - ····· - 30 ····
          2) TAB. TELVAS 3D 80MG

                 Composition              : AMLODIPINE 5 MG + HYDROCHLOROTHIAZIDE 12.5 MG + TELMISARTAN 80 MG
                 Timing                    : 1 TAB - TRAIT 3ITE

                                                                                  1-0-0                          ······ ··· - ····· - 30 ····
          3) TAB. RABEZ 20MG *

                 Composition               : RABEPRAZOLE 20 MG
                 Timing                    : 1 TAB - ······ ···

                                                                                  0-0-1                          ········· - ····· - 30 ····
          4)      TAB. NICARDIA RETARD 20MG
                  TABLET *
                 Composition                : NIFEDIPIKE 20 MG
                 Timing                      : 1 TAB - ······ ···· ····· ····

           Advice:
           ······· ···· ····· ···· ·········· ······.

           ····· : FREE TFT Next Visit

           ·········: 29 days (04-May-2023 - Thursday)




                                                                                                                                                  Dr. Sachin Vibhandik
                       Stop Tabricomercazole.                                                                                                     MBBS MD MEDICINE

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Vista Clinic', 'clinic_pharmacy_address': '109, First Floor, Roongta Bella Vista, Near Bhujbal Farm, Govind Nagar Corner, Mumbai-Agra Road, Nashik-09', 'clinic_pharmacy_city': 'Nashik', 'clinic_pharmacy_pincode': '09'}, 'doctor_details': {'doctor_name': 'Dr. Sachin Vibhandik', 'doctor_qualifications': 'MBBS, MD Medicine', 'doctor_registration_number': '2005010009'}, 'patient_details': {'patient_name': 'Mrs.Usha Sanjay Dabholkar', 'patient_age': '59', 'patient_gender': 'Female'}, 'prescription_details': {'date_of_doctor_consultation': '05-Apr-2023'}, 'procedure': {'chief_complaints_diagnosis': 'FOLLOW UP', 'medical_history': 'K/C/O DM WITH HTN WITH HYPERTHYROIDISM WITH MORBID OBESITY WITH OSA', 'vitals': {'blood_pressure': '180/80 mmHg', 'pulse_rate': '84 bpm', 'weight': '73.0 kg', 'spo2': '98%', 'random_blood_sugar': '103 mg/dL'}, 'physical_examination': 'B/L MINIMAL PITTING PEDAL EDEMA +', 'notes': 'FBS = 85 ; TSH = 44.6', 'diagnosis': 'DM WITH HTN WITH HYPOTHYROIDISM WITH MORBID OBESITY WITH OS', 'specialization': 'Consultant Physician, Diabetologist & Intensivist'}, 'medicine_details': [{'medicine_name': 'TAB. DAMITA M 10/1000 MG', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'नाश्ता आधी - दररोज - 30 दिवस', 'course_duration': 'NA'}, {'medicine_name': 'TAB. TELVAS 3D 80MG', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'नाश्ता आधी - दररोज - 30 दिवस', 'course_duration': 'NA'}, {'medicine_name': 'TAB. RABEZ 20MG', 'medicine_dosage': '1-0-0', 'medicine_frequency': 'नाश्ता आधी - दररोज - 30 दिवस', 'course_duration': 'NA'}, {'medicine_name': 'TAB. NICARDIA RETARD 20MG', 'medicine_dosage': '0-0-1', 'medicine_frequency': 'जेवणानंतर - दररोज - 30 दिवस', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'FREE TFT', 'procedure_request': 'Next Visit: 29 days (04-May-2023 - Thursday)'}}