cd /home/daytona/workspace/attachments/0ceddced-9d83-4f01-b851-ba5e25c41d4e/ && …

python3 -c " from pypdf import PdfReader reader = PdfReader('/home/daytona/works…

python3 -c " import subprocess result = subprocess.run(['pdftoppm', '-r', '200',…

python3 -c " import pytesseract from PIL import Image import os pages = sorted(…

python3 -c " from PIL import Image import os img = Image.open('/tmp/rahul_page-0…

python3 -c " from PIL import Image import os # Resize to smaller for viewing im…

python3 -c " from PIL import Image import numpy as np # Check pixel values on p…

python3 -c " import pytesseract from PIL import Image, ImageEnhance, ImageFilter…

python3 -c " from PIL import Image import numpy as np # Crop to middle portion …

python3 -c " from PIL import Image import numpy as np import os for pg_num in r…

mkdir -p /home/daytona/workspace/rahul-tmt && ls /home/daytona/workspace/rahul-t…

~/rahul-tmt/generate_checklist.py

from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, HRFlowable
)
from reportlab.lib.styles import ParagraphStyle
from reportlab.lib.enums import TA_LEFT, TA_CENTER
from reportlab.platypus import KeepTogether

OUTPUT = "/home/daytona/workspace/rahul-tmt/Rahul_TMT_Lifestyle_Checklist.pdf"

doc = SimpleDocTemplate(
    OUTPUT, pagesize=A4,
    leftMargin=18*mm, rightMargin=18*mm,
    topMargin=16*mm, bottomMargin=16*mm
)

# ── Colour palette ──────────────────────────────────────────────────────────
NAVY    = colors.HexColor("#1A2E4A")
TEAL    = colors.HexColor("#1D7A8C")
MINT    = colors.HexColor("#E6F7F9")
CORAL   = colors.HexColor("#E8503A")
AMBER   = colors.HexColor("#F5A623")
LTGRAY  = colors.HexColor("#F4F6F8")
DGRAY   = colors.HexColor("#4A5568")
WHITE   = colors.white
GREEN   = colors.HexColor("#27AE60")
ORANGE  = colors.HexColor("#E67E22")
RED     = colors.HexColor("#C0392B")

# ── Styles ───────────────────────────────────────────────────────────────────
def style(name, **kw):
    return ParagraphStyle(name, **kw)

title_s   = style("title",   fontSize=22, textColor=WHITE,   fontName="Helvetica-Bold",
                  alignment=TA_CENTER, spaceAfter=2)
sub_s     = style("sub",     fontSize=10, textColor=MINT,    fontName="Helvetica",
                  alignment=TA_CENTER, spaceAfter=2)
patient_s = style("patient", fontSize=9,  textColor=MINT,    fontName="Helvetica",
                  alignment=TA_CENTER)

sec_s     = style("sec",     fontSize=12, textColor=WHITE,   fontName="Helvetica-Bold",
                  alignment=TA_LEFT, leftPadding=4)
item_s    = style("item",    fontSize=9.5,textColor=NAVY,    fontName="Helvetica",
                  leading=14, leftIndent=4)
item_bold = style("item_b",  fontSize=9.5,textColor=NAVY,    fontName="Helvetica-Bold",
                  leading=14, leftIndent=4)
note_s    = style("note",    fontSize=8,  textColor=DGRAY,   fontName="Helvetica-Oblique",
                  leading=12, leftIndent=4)
warn_s    = style("warn",    fontSize=9,  textColor=RED,     fontName="Helvetica-Bold",
                  leading=13, leftIndent=4)
footer_s  = style("footer",  fontSize=7.5,textColor=DGRAY,   fontName="Helvetica-Oblique",
                  alignment=TA_CENTER)

# ── Helpers ──────────────────────────────────────────────────────────────────
def checkbox(text, bold=False):
    st = item_bold if bold else item_s
    return Paragraph(f"<font color='#1D7A8C'>&#9744;</font>  {text}", st)

def bullet(text):
    return Paragraph(f"<font color='#1D7A8C'>&#9654;</font>  {text}", item_s)

def note(text):
    return Paragraph(f"<i>{text}</i>", note_s)

def warning(text):
    return Paragraph(f"&#9888;  {text}", warn_s)

def section_header(label, color=TEAL):
    data = [[Paragraph(label, sec_s)]]
    t = Table(data, colWidths=[174*mm])
    t.setStyle(TableStyle([
        ("BACKGROUND", (0,0), (-1,-1), color),
        ("TOPPADDING",    (0,0), (-1,-1), 5),
        ("BOTTOMPADDING", (0,0), (-1,-1), 5),
        ("LEFTPADDING",   (0,0), (-1,-1), 8),
        ("ROUNDEDCORNERS", [4,4,4,4]),
    ]))
    return t

def two_col_row(left_items, right_items):
    """Render two-column checklist side by side."""
    def col(items):
        paras = [Spacer(1, 2)]
        for it in items:
            paras.append(checkbox(it))
            paras.append(Spacer(1, 3))
        return paras

    data = [[col(left_items), col(right_items)]]
    t = Table(data, colWidths=[85*mm, 85*mm])
    t.setStyle(TableStyle([
        ("VALIGN",        (0,0), (-1,-1), "TOP"),
        ("LEFTPADDING",   (0,0), (-1,-1), 4),
        ("RIGHTPADDING",  (0,0), (-1,-1), 4),
        ("TOPPADDING",    (0,0), (-1,-1), 2),
        ("BOTTOMPADDING", (0,0), (-1,-1), 2),
        ("BACKGROUND",    (0,0), (-1,-1), LTGRAY),
    ]))
    return t

def info_box(items, bg=MINT):
    """Compact info box with bullet points."""
    paras = [Spacer(1,2)]
    for it in items:
        paras.append(bullet(it))
        paras.append(Spacer(1, 2))
    data = [[paras]]
    t = Table(data, colWidths=[174*mm])
    t.setStyle(TableStyle([
        ("BACKGROUND",    (0,0), (-1,-1), bg),
        ("TOPPADDING",    (0,0), (-1,-1), 6),
        ("BOTTOMPADDING", (0,0), (-1,-1), 6),
        ("LEFTPADDING",   (0,0), (-1,-1), 8),
        ("RIGHTPADDING",  (0,0), (-1,-1), 8),
        ("BOX",           (0,0), (-1,-1), 0.5, TEAL),
    ]))
    return t

# ── Cover Banner ─────────────────────────────────────────────────────────────
def banner():
    data = [[
        Paragraph("POST-TMT LIFESTYLE MODIFICATION CHECKLIST", title_s),
        Paragraph("Personalised for Cardiac Risk Management", sub_s),
        Paragraph("Patient: Mr. Rahul Chavhan  |  Age: 41 yrs / Male  |  Date: May 23, 2026", patient_s),
        Paragraph("Platina Heart Hospital, Nagpur  |  Dr. Pramod Mundra, MD, DM (Cardiology)", patient_s),
    ]]
    t = Table(data, colWidths=[174*mm])
    t.setStyle(TableStyle([
        ("BACKGROUND", (0,0), (-1,-1), NAVY),
        ("TOPPADDING",    (0,0), (-1,-1), 12),
        ("BOTTOMPADDING", (0,0), (-1,-1), 12),
        ("LEFTPADDING",   (0,0), (-1,-1), 10),
        ("RIGHTPADDING",  (0,0), (-1,-1), 10),
    ]))
    return t

# ── TMT Result Summary Strip ──────────────────────────────────────────────────
def result_strip():
    boxes = [
        ("TMT RESULT", "NEGATIVE ✓", GREEN),
        ("MAX METs", "10.21 (Excellent)", GREEN),
        ("MAX HR", "112 bpm (62.6%)", AMBER),
        ("BP at Rest", "120/80 mmHg", AMBER),
        ("LVH Found", "YES - Monitor", ORANGE),
        ("IHD Detected", "None", GREEN),
    ]
    header_row = [Paragraph(f"<font color='white'><b>{h}</b></font>",
                             style(f"rs_h_{i}", fontSize=8, textColor=WHITE,
                                   fontName="Helvetica-Bold", alignment=TA_CENTER))
                  for i, (h, _, _) in enumerate(boxes)]
    val_row    = [Paragraph(f"<b>{v}</b>",
                             style(f"rs_v_{i}", fontSize=8.5, textColor=c,
                                   fontName="Helvetica-Bold", alignment=TA_CENTER))
                  for i, (_, v, c) in enumerate(boxes)]

    t = Table([header_row, val_row], colWidths=[29*mm]*6)
    t.setStyle(TableStyle([
        ("BACKGROUND",    (0,0), (-1,0), NAVY),
        ("BACKGROUND",    (0,1), (-1,1), LTGRAY),
        ("TOPPADDING",    (0,0), (-1,-1), 4),
        ("BOTTOMPADDING", (0,0), (-1,-1), 4),
        ("ALIGN",         (0,0), (-1,-1), "CENTER"),
        ("VALIGN",        (0,0), (-1,-1), "MIDDLE"),
        ("BOX",           (0,0), (-1,-1), 0.8, TEAL),
        ("INNERGRID",     (0,0), (-1,-1), 0.4, colors.HexColor("#BDC3C7")),
    ]))
    return t

# ── Build Story ───────────────────────────────────────────────────────────────
story = []

story.append(banner())
story.append(Spacer(1, 5*mm))
story.append(result_strip())
story.append(Spacer(1, 4*mm))

# ── 1. Blood Pressure Management ─────────────────────────────────────────────
story.append(section_header("1.  BLOOD PRESSURE MANAGEMENT   (Priority #1)"))
story.append(Spacer(1, 2))
story.append(two_col_row(
    [
        "Check BP every morning before eating/medication",
        "Keep a written BP log (date, time, reading)",
        "Target BP: below 130/80 mmHg",
        "Take BP medicines at same time daily",
        "Never skip antihypertensive dose",
    ],
    [
        "Reduce salt: max 5 g (1 teaspoon) per day",
        "Avoid pickles, papads, processed/packaged food",
        "Limit soy sauce, ketchup, namkeen snacks",
        "Show BP diary to doctor at every visit",
        "Inform doctor if BP > 160/100 on 2 readings",
    ]
))
story.append(Spacer(1, 1))
story.append(note("Why: LVH (Left Ventricular Hypertrophy) found on ECG means your heart wall is already thickening due to high BP. Controlling BP prevents further thickening and reduces stroke/heart attack risk."))
story.append(Spacer(1, 4))

# ── 2. Exercise & Physical Activity ──────────────────────────────────────────
story.append(section_header("2.  EXERCISE & PHYSICAL ACTIVITY"))
story.append(Spacer(1, 2))
story.append(two_col_row(
    [
        "Walk briskly 30-45 min, 5 days per week",
        "Start slow (15 min) and increase gradually",
        "Warm up 5 min before and cool down 5 min after",
        "Aim to reach mild-to-moderate breathlessness",
        "Cycling or swimming are excellent alternatives",
        "Do light stretching / yoga 10 min daily",
    ],
    [
        "Avoid sudden intense exercise without warm-up",
        "Stop if chest pain, severe breathlessness, or dizziness",
        "Avoid exercise immediately after heavy meals",
        "Exercise in cool environment (avoid midday heat)",
        "Wear comfortable, supportive footwear",
        "Build up to 150 min moderate exercise/week",
    ]
))
story.append(Spacer(1, 1))
story.append(note("Why: Your TMT showed 10.21 METs - excellent fitness. Maintaining this with regular aerobic exercise keeps cardiac function strong. Leg pain stopped your test (not heart) - strengthening leg muscles will improve endurance."))
story.append(Spacer(1, 4))

# ── 3. Diet & Nutrition ───────────────────────────────────────────────────────
story.append(section_header("3.  DIET & NUTRITION", color=colors.HexColor("#1A6B4A")))
story.append(Spacer(1, 2))

# Eat / Avoid table
eat_items = [
    ("INCLUDE MORE", "#27AE60",
     ["Fresh fruits: apple, guava, pomegranate, citrus",
      "Vegetables: leafy greens, tomato, brinjal, lauki",
      "Whole grains: jowar, bajra, brown rice, oats",
      "Lean protein: dal, sprouts, tofu, fish (2x/week)",
      "Low-fat dairy: buttermilk, skimmed milk, curd",
      "Nuts (small handful): walnuts, almonds, flaxseeds",
      "Olive/mustard oil - 3-4 tsp/day only"]),
    ("REDUCE / AVOID", "#C0392B",
     ["Fried foods: vada, puri, bhajia, samosa",
      "Refined carbs: white bread, maida products",
      "Red meat: mutton, beef, processed meat",
      "Full-fat dairy: cream, paneer, ghee (limit)",
      "Sugary drinks: cola, packaged juices, energy drinks",
      "Alcohol: limit to 1 drink/day maximum",
      "Trans fats: vanaspati, dalda, bakery biscuits"]),
]

col_data = []
for title, col_hex, items in eat_items:
    col = [Paragraph(f"<b><font color='{col_hex}'>{title}</font></b>",
                     style("et", fontSize=9, fontName="Helvetica-Bold", alignment=TA_CENTER))]
    for it in items:
        col.append(Paragraph(f"  {'+ ' if col_hex=='#27AE60' else '- '}{it}", item_s))
    col_data.append(col)

t = Table([col_data], colWidths=[85*mm, 85*mm])
t.setStyle(TableStyle([
    ("VALIGN",        (0,0), (-1,-1), "TOP"),
    ("TOPPADDING",    (0,0), (-1,-1), 6),
    ("BOTTOMPADDING", (0,0), (-1,-1), 4),
    ("LEFTPADDING",   (0,0), (-1,-1), 6),
    ("BACKGROUND",    (0,0), (0,0), colors.HexColor("#EAFAF1")),
    ("BACKGROUND",    (1,0), (1,0), colors.HexColor("#FDEDEC")),
    ("BOX",           (0,0), (0,0), 0.5, GREEN),
    ("BOX",           (1,0), (1,0), 0.5, RED),
]))
story.append(t)
story.append(Spacer(1, 1))
story.append(note("Why: A heart-healthy DASH/Mediterranean-style diet lowers BP, reduces LDL cholesterol, and prevents plaque buildup in coronary arteries. Your weight (58 kg) is healthy - focus on quality, not restriction."))
story.append(Spacer(1, 4))

# ── 4. Stress & Sleep ─────────────────────────────────────────────────────────
story.append(section_header("4.  STRESS MANAGEMENT & SLEEP", color=colors.HexColor("#5B2C8D")))
story.append(Spacer(1, 2))
story.append(two_col_row(
    [
        "Sleep 7-8 hours every night (fixed schedule)",
        "Avoid screens 1 hour before bedtime",
        "Practice deep breathing: 10 min daily",
        "Pranayama or meditation: 15 min morning",
        "Spend time outdoors / in nature daily",
    ],
    [
        "Identify and reduce key work/home stressors",
        "Take short breaks every 1-2 hours at work",
        "Avoid arguments and emotional outbursts",
        "Talk to family/friends - social support matters",
        "If anxiety persists, discuss with your doctor",
    ]
))
story.append(Spacer(1, 1))
story.append(note("Why: Chronic stress raises cortisol, spikes BP, and increases risk of arrhythmias. Poor sleep worsens hypertension. Both are modifiable risk factors for heart disease."))
story.append(Spacer(1, 4))

# ── 5. Smoking & Substances ───────────────────────────────────────────────────
story.append(section_header("5.  SMOKING, TOBACCO & ALCOHOL", color=colors.HexColor("#7D3C0F")))
story.append(Spacer(1, 2))
story.append(info_box([
    "If you smoke - QUIT immediately. Smoking doubles the risk of heart attack even with a negative TMT.",
    "If you use tobacco (gutka, paan, khaini) - stop completely. Nicotine raises BP and causes artery spasm.",
    "Alcohol: if consumed, limit to 1 small drink (30 ml spirit / 150 ml wine) per day - no binge drinking.",
    "Avoid second-hand smoke environments (smoky rooms, vehicles).",
    "If quitting is difficult, ask your doctor about nicotine replacement therapy.",
], bg=colors.HexColor("#FEF9E7")))
story.append(Spacer(1, 4))

# ── 6. Weight & Metabolic ─────────────────────────────────────────────────────
story.append(section_header("6.  WEIGHT & METABOLIC MONITORING"))
story.append(Spacer(1, 2))
story.append(two_col_row(
    [
        "Weigh yourself weekly (same time, same clothes)",
        "Current BMI: 22.4 - maintain in 18.5-24.9 range",
        "Waist circumference: keep below 90 cm (men)",
        "Fasting blood sugar test: every 6 months",
        "Lipid profile (cholesterol): every 6-12 months",
    ],
    [
        "HbA1c test: annually (rule out hidden diabetes)",
        "Kidney function (creatinine, urine): annually",
        "Thyroid (TSH): if fatigue or weight gain noticed",
        "If BMI rises above 25, review diet with doctor",
        "No crash dieting - lose weight gradually if needed",
    ]
))
story.append(Spacer(1, 1))
story.append(note("Why: Your risk factors include hypertension, age, and male sex. Diabetes and high cholesterol are additive risks. Early detection through regular blood tests allows timely treatment."))
story.append(Spacer(1, 4))

# ── 7. Medications & Medical Follow-up ───────────────────────────────────────
story.append(section_header("7.  MEDICATIONS & MEDICAL FOLLOW-UP", color=CORAL))
story.append(Spacer(1, 2))
story.append(two_col_row(
    [
        "Take all prescribed medicines without fail",
        "Never stop BP medicines without doctor advice",
        "Carry a medicine list / prescription at all times",
        "Report side effects immediately to your doctor",
        "Repeat TMT: as advised (typically every 1-2 years)",
    ],
    [
        "Echocardiogram: to assess LVH - ask your doctor",
        "Visit cardiologist every 3-6 months initially",
        "Annual full cardiac check-up thereafter",
        "Emergency: go to hospital if chest pain at rest",
        "Keep emergency contact (hospital) saved in phone",
    ]
))
story.append(Spacer(1, 4))

# ── 8. Warning Signs ─────────────────────────────────────────────────────────
story.append(section_header("8.  WARNING SIGNS - GO TO HOSPITAL IMMEDIATELY", color=CORAL))
story.append(Spacer(1, 2))
warn_data = [
    [warning("Chest pain, pressure, or tightness at rest or during activity"),
     warning("Sudden shortness of breath without exertion")],
    [warning("Pain radiating to left arm, jaw, neck, or back"),
     warning("Palpitations: fast, irregular, or pounding heartbeat")],
    [warning("Sudden dizziness, lightheadedness, or fainting"),
     warning("Severe headache with very high BP (> 180/110)")],
]
wt = Table(warn_data, colWidths=[87*mm, 87*mm])
wt.setStyle(TableStyle([
    ("BACKGROUND",    (0,0), (-1,-1), colors.HexColor("#FDEDEC")),
    ("TOPPADDING",    (0,0), (-1,-1), 5),
    ("BOTTOMPADDING", (0,0), (-1,-1), 5),
    ("LEFTPADDING",   (0,0), (-1,-1), 6),
    ("BOX",           (0,0), (-1,-1), 0.8, RED),
    ("INNERGRID",     (0,0), (-1,-1), 0.3, colors.HexColor("#F1948A")),
]))
story.append(wt)
story.append(Spacer(1, 4))

# ── Daily Habit Tracker ───────────────────────────────────────────────────────
story.append(section_header("9.  DAILY HABIT TRACKER  (Tick each day)", color=colors.HexColor("#2C3E50")))
story.append(Spacer(1, 2))

habits = [
    "Morning BP check + log",
    "30 min brisk walk / exercise",
    "8 glasses of water (2 litres)",
    "Heart-healthy meals (no fried food)",
    "10 min meditation / deep breathing",
    "Medicines taken on time",
    "7-8 hours sleep",
    "No tobacco / alcohol today",
]
days = ["Mon", "Tue", "Wed", "Thu", "Fri", "Sat", "Sun"]

header = [Paragraph(f"<b><font color='white'>Habit</font></b>",
                     style("th", fontSize=8, fontName="Helvetica-Bold",
                           textColor=WHITE, alignment=TA_CENTER))]
for d in days:
    header.append(Paragraph(f"<b><font color='white'>{d}</font></b>",
                              style(f"td_{d}", fontSize=8, fontName="Helvetica-Bold",
                                    textColor=WHITE, alignment=TA_CENTER)))

rows = [header]
for h in habits:
    row = [Paragraph(h, style("hb", fontSize=8, fontName="Helvetica", textColor=NAVY))]
    for _ in days:
        row.append(Paragraph("&#9744;", style("cb", fontSize=10, textColor=TEAL,
                                               alignment=TA_CENTER)))
    rows.append(row)

tracker = Table(rows, colWidths=[70*mm] + [15*mm]*7)
tracker.setStyle(TableStyle([
    ("BACKGROUND",    (0,0), (-1,0), NAVY),
    ("BACKGROUND",    (0,1), (-1,1), LTGRAY),
    ("BACKGROUND",    (0,2), (-1,2), WHITE),
    ("BACKGROUND",    (0,3), (-1,3), LTGRAY),
    ("BACKGROUND",    (0,4), (-1,4), WHITE),
    ("BACKGROUND",    (0,5), (-1,5), LTGRAY),
    ("BACKGROUND",    (0,6), (-1,6), WHITE),
    ("BACKGROUND",    (0,7), (-1,7), LTGRAY),
    ("BACKGROUND",    (0,8), (-1,8), WHITE),
    ("TOPPADDING",    (0,0), (-1,-1), 4),
    ("BOTTOMPADDING", (0,0), (-1,-1), 4),
    ("LEFTPADDING",   (0,0), (0,-1), 6),
    ("ALIGN",         (1,0), (-1,-1), "CENTER"),
    ("VALIGN",        (0,0), (-1,-1), "MIDDLE"),
    ("BOX",           (0,0), (-1,-1), 0.8, TEAL),
    ("INNERGRID",     (0,0), (-1,-1), 0.3, colors.HexColor("#BDC3C7")),
]))
story.append(tracker)
story.append(Spacer(1, 6))

# ── Footer ───────────────────────────────────────────────────────────────────
story.append(HRFlowable(width="100%", thickness=0.5, color=TEAL))
story.append(Spacer(1, 3))
story.append(Paragraph(
    "This checklist is personalised based on Rahul Chavhan's TMT report (May 23, 2026). "
    "It is an educational guide and does not replace medical advice. "
    "Always follow your cardiologist's specific instructions.  |  "
    "Platina Heart Hospital, Nagpur  |  Dr. Pramod Mundra, MD, DM (Cardiology)",
    footer_s))

# ── Build ─────────────────────────────────────────────────────────────────────
doc.build(story)
print(f"PDF saved to: {OUTPUT}")

python3 /home/daytona/workspace/rahul-tmt/generate_checklist.py 2>&1

ls -lh /home/daytona/workspace/rahul-tmt/Rahul_TMT_Lifestyle_Checklist.pdf

python3 -c " from pypdf import PdfReader r = PdfReader('/home/daytona/workspace/…

pdftoppm -r 150 /home/daytona/workspace/rahul-tmt/Rahul_TMT_Lifestyle_Checklist.…