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Patient personal details:

Client Name	Ashwini Patil
ClientID	59	Age	45
Gender	Female	Marital Status	Married
Weight	62	Height	4.9
BMI	29.4	Ideal Wt	55
Email	aaspatil23@gmail.com	Mobile	9821105103
First Consultation Date	19 August 2026	Next Review Date	26 August 2026
Record creation date	19 August 2026	ClientID	59
Address	Dombivali

Patient history form:

Family History

Father is diabetic, B.P,

Current medication

nil

Surgical History

C- section

Menstrual History

Last Periods in April. Menopasue phase.

Pregnancy Details

Nil

My overall health goals are:

Loose weight

Techniques I have used in the past to reach my goals:

Father is diabetic, B.P,

Current medication

nil

I am having the current weight since:

Since 8- 9 months

Activities

Yoga	Nil
Cardio	Nil
Training	Nil
Sports	Nil

Average Sleep

Week end
Week day	6-7 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?	No

Culture

Maharashtrian

Diet prefrences

Veg

Strong likes

Nil

Strong dislikes

Allergic food

Nil

Sleep time

Wake up time	7.30 am
Sleep time	11.30 pm

Meal schedule

7.30 am - Alma power + water 10.00 am - Poha, dosa, Ghawne, Upma 2.30 pm - Jowar Bhakri, bhaji, 3.30 - sleep 5.30- 6.00pm Green tea/ Black coffee 10.00 pm dinner - Soup, Oats khichdi, dosa, dhokla, No fruit intake

Final Diagnosis

Diabetes, Obesity Grade 2, Hypothyroidism, frozen Shoulder

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