 TMH                                      TATA MAIN HOSPITAL                                                                                                   PRIME




                                                                                                                                          MR/22/028455
                                                                                                 UHID
                                                   Mrs Shakuntla Jain
           Patient Name                                                                             Gender                                Female
                                                   73 Y,3 M,8 D
                                                                                                                                          Routine
              Age                                                                                   Visit type
                                                   POPRefr/2023/069591
                                                                                                                                          Dr Akash Panigrahi
              Visit Id                                                                              Doctor
                                                       18-09-2023 08:00 PM
              Visit Date                                                                                                                  GENERAL CITIZEN
                                                                                                    Payer Name
                                                    ENDOCRINOLOGY AND
              Doctor Speciality
                                                   DIABETOLOGY
                                                                                                    Bill Date Time                        16-09-2023 08:39 AM
                                                   POPB/2023/092094
      Bill no
                                                   Prime
      Care Type



  Allergy                               : No Known Allergy


 Chief Complaint                        : T2DM


                                         : T2DM- 25 YR, HTN, DSPN ( DULOXETINE 30 BD )
  Clinical Findings
                                         RT DFU ( AMPUTED )
                                         WT - 56 BP- 124/70
                                         MED : GALVUS MET ( 50/500) ROSEDAY - A ( 10/75 ) ., AMLO 5 ( NOT TAKING )
                                         GLARGINE - 10 ASPART- 4-X- 4
                                          INV:
                                          CR- 0.96
                                          F- 83- 174 BF- 154- 296 LN- 188-228 DN-91-125/170


          Diagnosis                        : E11.9 Type 2 diabetes mellitus without complications


      Investigation


                                                                                                     Appointment Date           Time                laterality Remarks
          S.No.          Service Type     Service Item Name
                                          HbAlc                                                      18-09-2023                 08:31 PM
              -           Pathology
                                         Blood Urea                                                  18-09-2023                 08:31 PM
      2                   Pathology
                         Pathology       Lipid Profile Ordinary                                      18-09-2023                 08:31 PM
  3
                         Pathology       Serum Creatinine                                            18-09-2023                 08:31 PM
  4
  5                      Pathology       Complete Blood Count                                         18-09-2023                 08:31 PM

  6                      Pathology       Liver Function Test                                          18-09-2023                 08:31 PM

  7                      Pathology        TSH                                                         18-09-2023                 08:31 PM

                         Pathology       VIT B12                                                      18-09-2023                  08:31 PM

  9                      Pathology       Urine Albumin- Creatinine Ratio                              18-09-2023                 08:31 PM

  10                     Pathology       Urine Routine & Deposit                                      18-09-2023                  08:31 PM

          -              Pathology       Serum Uric Acid                                               18-09-2023


Follow-Up                               : 21-09-2023



                                                                                                                                                         Akash Paris




                                                                                                                                                      Dr Akash Panigrahi




  TMH
                                                                                                                        2023/9/20 16:02
                                                             C Road, West, Northern Town, Bistupur, Ja
                                                             Webiste: www.tatamainhospital.com

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'TATA MAIN HOSPITAL', 'clinic_pharmacy_address': 'C Road, West, Northern Town, Bistupur, Ja', 'clinic_pharmacy_city': 'Ja', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr Akash Panigrahi', 'doctor_qualifications': 'ENDOCRINOLOGY AND DIABETOLOGY', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'Mrs Shakuntla Jain'}, 'prescription_details': {'date_of_doctor_consultation': '18-09-2023'}, 'procedure': {'chief_complaints_diagnosis': 'T2DM'}, 'medicine_details': [{'medicine_name': 'GALVUS MET', 'medicine_dosage': '50/500', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'ROSEDAY - A', 'medicine_dosage': '10/75', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'AMLO 5', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'GLARGINE', 'medicine_dosage': '10', 'medicine_frequency': 'Before Dinner', 'course_duration': 'NA'}, {'medicine_name': 'ASPART-4-X-4', 'medicine_dosage': 'NA', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'HbAlc, Blood Urea, Lipid Profile Ordinary, Serum Creatinine, Complete Blood Count, Liver Function Test, TSH, VIT B12, Urine Albumin- Creatinine Ratio, Urine Routine & Deposit, Serum Uric Acid', 'procedure_request': 'NA'}}