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Patient personal details:

Client Name Mrs Rina Kohli
ClientID 18 Age 52
Gender Female Marital Status Married
Weight 80 Height 170
BMI 33.4 Ideal Wt 60
Email kohli.rina@gmail.com Mobile 9820074625
First Consultation Date 25 March 2022 Next Review Date 04 April 2022
Record creation date 25 March 2022 ClientID 18
Address mumbai

Patient history form:

Family History father is hypertensive and cancer, mother is diabetic… Current medication amlodguard 2.5 gm
Surgical History nil Menstrual History Regular cycle of 30 days , sometimes heavy flow ( menopausal)
Pregnancy Details nil My overall health goals are: weight loss
Techniques I have used in the past to reach my goals: father is hypertensive and cancer, mother is diabetic… Current medication amlodguard 2.5 gm
I am having the current weight since: since an year
Activities
Yoga occasionaly
Cardio walking
Training nil
Sports nil
Average Sleep
Week end
Week day 7-8 hrs
Do you associate any digestive symptoms with eating certain foods? No
Do you have regular bowel movement? Yes
Have you made any recent changes your diet for any reason? Yes
Culture punjabi Diet prefrences non veg
Strong likes 2 glasses of wine daily Strong dislikes
Allergic food nil Sleep time
Wake up time 6.30 am
Sleep time 10 am
Meal schedule 9 am - kadha, capachhino coffee small cup snack - papaya lunch - salad, 2 pm - coffee , date dinner - khichdi, sandwitches , salads,
Final Diagnosis Overweight , HTN


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