65    year old male pt 
not  known to have  dm 
htn    for  the last 5  years 
stone  former
echo showed  ejection  frqaction    60%
bilateral renal stone

suspected polycycstic kidney disease 
chronic kidney dsiease  with base line  1,6 
multiple   renal  stone  removeal  and  lithotripsy 

presented with  crea    2m7   16   9  2025
2.6    22-9-2025

medications 
atenolol  100 mg once 
diovan  160 mg 
exforg   160/5
xatral  10 