   he need  some ophthalmic Evaluation
but he  found to have  creatinine 
DM   X 25  YEARS 
HTN   X25  YEARS 
NO IHD 

MEDICATIONS
LIPONIL  40 MG ONCE 
ASA   100 MG ONCE 
mixtard insulin 
amicor

plan 
add  calcium 
add alfacal 
add aransp 
report  was given 