🩺 Record Detail
Patient Info
Name: Unknown
Age: Unknown
Date: 2025-09-25 11:31:04
Transcript
Doctor: Patient Rohit is a case of CAD with a history of diabetes mellitus since last 5 years, currently taking Ecosprin and Telmekind, advised for taking the same medicine for another 1 month, continue monitor blood pressure and sugar and exercise daily and have a morning and evening walk for atleast 20 minutes, follow up after 1 month along with the recommendation.
Clinical Notes
Allergies
No significant allergy history.
Chief Complaints / HOPI / Examination
- Coronary Artery Disease (CAD)
- History of diabetes mellitus for 5 years
Provisional Diagnosis/Diagnosis:
- Coronary Artery Disease (CAD)
- Diabetes Mellitus
Investigations / Medication Advised
Laboratory:
- Monitor blood pressure
- Monitor blood sugar
Medication
| Sr. | Drug Name | Route | Dose | Frequency | Duration | Remarks |
|---|---|---|---|---|---|---|
| 1 | Ecosprin | Oral | - | - | 1 month | - |
| 2 | Telmekind | Oral | - | - | 1 month | - |
Advice / Follow-Up
- Exercise daily
- Morning and evening walk for at least 20 minutes
- Follow up after 1 month