🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-09-19 08:04:06
Transcript
Doctor: Patient Rahul is a case of acute febrile illness and pregnant diabetes since last 5 years. History of present illness, Diabetic since last 5 years. Case of CAD since last 3 years. Investigations advised. CBC, LFT, KFT. Instructions. Do not skip medicines. Walk brisk daily. Exercise daily. Follow up after 30 days. Medicines. Telmavati. Moxiforce CB650. Azithrax 500. All the medicines are prescribed 4 times daily for 30 days. Follow up after 30 days.
Clinical Notes
Allergies
No significant allergy history.
Chief Complaints / HOPI / Examination
- Acute febrile illness
- Pregnant diabetes for 5 years
- Diabetic for 5 years
- Case of CAD for 3 years
Provisional Diagnosis/Diagnosis:
- NA
Investigations / Medication Advised
Laboratory:
- CBC
- LFT
- KFT
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Telmavati | Oral | - | QID (four times daily) | 30 days | - |
| 2 | Moxiforce CB650 | Oral | - | QID (four times daily) | 30 days | - |
| 3 | Azithrax 500 | Oral | - | QID (four times daily) | 30 days | - |
Advice / Follow-Up
- Do not skip medicines
- Walk briskly daily
- Exercise daily
- Follow up after 30 days