🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-09-19 07:38:49
Transcript
Doctor: Patient is a case of febrile illness having diabetes since last five years. Doctor: History of present illness, diabetic since last five years, acute case of C.A.D. Doctor: Medication Telma-40, Roosevelt-60 Moxibust C.V. 650, twice daily. Doctor: Ask to follow up after 30 days. Doctor: Instructions, walk briskly for 30 minutes. Doctor: Do not skip medicines, exercise daily.
Clinical Notes
Allergies
No significant allergy history.
Chief Complaints / HOPI / Examination
- Febrile illness
- Diabetes since last five years
- Acute case of Coronary Artery Disease (C.A.D.)
Provisional Diagnosis/Diagnosis:
- Febrile illness
- Diabetes
- Coronary Artery Disease (C.A.D.)
Investigations / Medication Advised
Laboratory:
- NA
Radiology:
- NA
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Telma-40 | Oral | - | - | - | - |
| 2 | Roosevelt-60 | Oral | - | - | - | - |
| 3 | Moxibust C.V. 650 | Oral | - | Twice daily | - | - |
Advice / Follow-Up
- Walk briskly for 30 minutes
- Do not skip medicines
- Exercise daily
- Follow up after 30 days