Name:  Doctor: null M.No: null
Slide 1
  • Glucose Tolerance (GTT)
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    Fasting Glucose (FBS)
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    Post Prandial Glucose (PPB)
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    HbA1C
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    Lipid Profile
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    Serum Creatinine
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    *Click on the relevant box to view the detailed graph
     
  • Personal Details

     Name

     M.No

    null

     Age

    48 Years

     Date Of Birth

    01/01/1970

     Gender

    Male

     Occupation

     First Visit Date

     Last Visit Date

  • Medical History

    Age

    : 48

    Height

    : Cm

    Weight

    :

    Blood Pressure

    :

    Diabetic Type

    :

    Diabetic Duration

    :

    Diabetic Age Onset

    :

    Diabetic Date Onset

    :

    Diabetic Treatment

    :

    Diet

    :

    Oral Drug

    :

    Insulin

    :

  • Lab Test Results

    Lab Test Date Lab Test Name Lab Result
  • Other Results

    Eye Examination

    Last Advice Date

    -

    Rental Remarks

    -

    VL Remarks

    -

    Inv Remarks

    -

    Diagnosis Remarks

    -

    Diagnosis Remarks1

    -

    Diagnosis Remarks2

    -

    Treat Remarks

    -

    General Remarks

    -

    Foot Sensation

    Last Advice Date

    -

    Advice

    -

    Advise

    -

    Foot Pressure

    Last Advice Date

    -

    Result

    -

    Advice

    -

    Bio Thesiometry

    Last Advice Date

    -

    Great toe Right

    -

    Great toe Left

    -

    Remarks

    -

    Chest X-Ray

    Last Advice Date

    -

    Technical Impression

    -

    Technical Advice

    -

    ECG

    Last Advice Date

    -

    ECG Remarks

    -

    ECG Result

    -

    DOPPLER

    Last Advice Date

    -

    Ab Index Left

    -

    Ab Index Right

    -

    Remarks

    -

    ECHO

    Last Advice Date

    -

    Remarks

    -

    Remarks1

    -

    Abdomen Scan

    Last Advice Date

    -

    Impression

    -

  • Diabetes Self Monitoring

    From: To:
    From: To:
  • Exercise

    Last Advice Date Exercise Duration Advice Given
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    Last Review date Improvement Advice
    No records to display

  • Diet

    Search
    Last Advice Date -
    Calories -
    Protein Restriction -
    Protein Type -
    Salt Restriction -
    Potassium Restriction -
    Fluid Restriction -
    Cholesterol Restriction -
    Diet Advice
    -
  • Visit History

  • Email