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Patient personal details:

Client Name Pramila D
ClientID 40 Age 66
Gender Female Marital Status Married
Weight 58 Height 5.3
BMI 22.4 Ideal Wt 65
Email nish19947@gmail.com Mobile 8828376769
First Consultation Date 16 May 2024 Next Review Date 20 May 2024
Record creation date 16 May 2024 ClientID 40
Address Navi Mumbai

Patient history form:

Family History mother had diabetes, IHD, Father had lung cancer. Current medication Bandy Plus, Nizonide (500), Razo (20), Ibset (5mg), thyronorm- 25 mcg,
Surgical History 2000 breast cancer- chemotherapy done. lump surgery 3 months back. Menstrual History menopause at the age of 42 yrs
Pregnancy Details 1 son normal delivery My overall health goals are: Relief from diarrhea, reduction in stomach discomfort, bloating.
Techniques I have used in the past to reach my goals: mother had diabetes, IHD, Father had lung cancer. Current medication Bandy Plus, Nizonide (500), Razo (20), Ibset (5mg), thyronorm- 25 mcg,
I am having the current weight since: 2-3 days back
Activities
Yoga nil
Cardio walking.
Training nil
Sports nil
Average Sleep
Week end
Week day 6-7 yrs
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 South Indian Diet prefrences Vegeterian
Strong likes nil Strong dislikes
Allergic food nil Sleep time
Wake up time 6.15 am
Sleep time 11.30 pm
Meal schedule 8 am - rice water, lady finger water. 9.30 am - Tea, upma, dosa, banana 11.30 am - dry fruits ( badam, walnut, pista) 1.30 pm- lunch - rice, sabji, fish curry, chicken, 5 pm - fruit, apple, mango 8.30 pm - dinner - salad- cucumber, beetroot, roti, ragi dosa,
Final Diagnosis Hypothyroidism, Hypo tension, IBS.


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