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Patient personal details:

Client Name Gomati Chavan
ClientID 54 Age 50
Gender Female Marital Status Married
Weight 79.4 Height 152
BMI 34.2 Ideal Wt 55
Email chavangayatri@gmail.com Mobile 9892954638
First Consultation Date 07 November 2025 Next Review Date 14 November 2025
Record creation date 07 November 2025 ClientID 54
Address THANE

Patient history form:

Family History Mother- Diabetes Current medication For Diabetes- tablets 3 times a day
Surgical History NIL Menstrual History Menopause
Pregnancy Details C section delivery, 2 kids My overall health goals are: To reduce weight, control diabetes
Techniques I have used in the past to reach my goals: Mother- Diabetes Current medication For Diabetes- tablets 3 times a day
I am having the current weight since: 1 year
Activities
Yoga NO
Cardio NO
Training NO
Sports NO
Average Sleep
Week end
Week day 6-7 hours
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? No
Culture Maharashtrian Diet prefrences Non veg
Strong likes Don't like milk and milk products Strong dislikes
Allergic food NO Sleep time
Wake up time 7.30
Sleep time 12.30
Meal schedule 7.30am -wake up 10.30- 2.30 In pre school 6.30- 8.30 In pre school( alternate days)
Final Diagnosis OBESITY GRADE-1, DIABETES


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