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Here is a clear summary of the medical prescription/consultation receipt:
Consultation Receipt Summary
Date: 22 July 2026
Doctor: Dr. Javid Ahmad Sofi
Facility: Baramulla, Jammu and Kashmir
Consultation Fee: ₹10.00
Receptionist: Nawaz Ahmad
Patient Details
| Field | Details |
|---|---|
| Name | [Partial] ...Ahmad Baba, Jahangir |
| Age/Gender | 50-year-old Male |
| ABHA ID | 61-8663-1135-1886 |
Medical History / Chief Complaints (Handwritten)
| Abbreviation | Meaning |
|---|---|
| HTN | Hypertension (High blood pressure) |
| T2DM > 8 yr | Type 2 Diabetes Mellitus for more than 8 years |
| on OAD | Currently on Oral Antidiabetic Drugs |
| Hypothyroid on L-T4 ~100 mcg | Hypothyroidism treated with Levothyroxine 100 micrograms daily |
Investigations Ordered / Results
- UACR (+) - Urine Albumin-to-Creatinine Ratio test ordered/positive (circled, indicating likely diabetic nephropathy screening or early kidney involvement)
- UACR: 133.40 mg/g - Result noted on left side, indicating moderately elevated albuminuria (normal < 30 mg/g; 30-300 = microalbuminuria/Stage A2)
Current Medications Noted
- OAD - Oral antidiabetic drugs (unspecified)
- L-T4 ~100 mcg - Levothyroxine for hypothyroidism
- Partial note at bottom: "...diet" (likely dietary advice - diabetic/low-salt diet)
Clinical Interpretation
This 50-year-old male with a complex background of hypertension, longstanding Type 2 diabetes (>8 years), and hypothyroidism is being evaluated for diabetic kidney disease (nephropathy). His UACR of 133.40 mg/g falls in the moderately increased albuminuria range (Stage A2: 30-300 mg/g), which is consistent with early diabetic nephropathy and is a significant risk factor for cardiovascular disease and progressive kidney decline.
The doctor has circled "UACR +" to flag this finding and is likely recommending further management including tighter glycemic and blood pressure control, and possibly an ACE inhibitor or ARB to protect kidney function.
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