                   RAMESH                                    Dr.Ramesh Cardiac and Multispeciality Hospital Pvt.Ltd.
                                                               Collector Difice Road, Beside Hiedu College Grounds, Guntur - 522004
                   HOSPITALS
                                                                                Phone/Fax : (0863) - 2377777/2377799
                                                              Email : info@rameshhospitals.com, Website : www.rameshhospitals.com

                                                                     Patient Assessment Report


       Patient Details

        Name                    Mrs. Bharathi Gubill                                                                                   UMR No.         GN-170201187
        Gender / Age            Femalo / /48Y-6M-21D                                                                                   Mobile No       9:33838625
        Doctor's Name /         Dr.Shubha Katta                                                                                        Visit No.       GN-C230901244
        Clinic Name             General Medicine and Diabetology ]
        Address                 Pedakocamagundla, Karempudi                                                                            Visit Date.     07-Sep-2023 10:45

       Diagnosis


       Provisional             DIABETES MELLITUS
       Diagnosis /
       Reason for            HYPOTHYROIDISM
       Visit



       Patient History

          of Complaints        CAME GENERAL HEALTH CHECKUP

                               NO SPECIFIC COMPLAINTS

                               6.9.23
                               FBS-166
                               PPBS-302
                               T4-16.7
                               TSH-2.0
   Past                        DIABETIC-3 YEARS.
   Medical/Surgical            HYPOTHYROID + ON 125 MCG THYRONORM.
   History
                               SIP- TUBECTOMY

                               F/H/O HTN-CAD +DM +
                               NO FIHIO MALIGNANCY
   Examination                 CNS-NAD

   Drug History                ON 125 MCG THYRONORM
                               AND OHA'S-NO DETAILS

   Physical Examination


   Height (cms) : 147               Weight (kg) : 80        BMI (kg/m2) : 36.95          32 St (reml ig) :160 / 70         Pulse (min) : 112
  SPO2 (LI) 0): 96
  Chi

  Medications(Rx)                                                                      (S-Schedule Drug, H-Medicalion History,I-Inside Medicalion, O-Outside Medication)


               S.No Medication Name                                                                      Frequency          Days      Qty      AF/BF     Instruction
               1         TRIVOLIB FORTE-1 TABLET                                                         1.0                          120      BF
                                                                                                                            60                           oral
                         (GLIMEPIRIDE . METFORMIN + VOGLIBOSE)

         S    2          THYRONORM 150MCG TABLET                                                        1-0-0               60        60       BF        oral
                         THYROXINE SODIUM-15DNCG)


Recommendations


Plan Of Management               MEDICAL MANAGEMENT

Physical Activity               DAILY WALKING FOR 45 MINS

Diet                            STRICT DIABETIC DIET.
                                AVOID FRUITS, TUBERS, SUGAR, JAGGERY, OILY AND FRIED FOODS

                                REVIEW SOS OR AFTER 2 MONTHS WITH FBS AND PPBS,HBA1C,LIPID PROFILE
Advice

Review Date                     Nov 6, 2023 . 09:10

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