66   years old male patient 
Known to have  hypertension   for the last  25  years 
july last year  e    found to have  rise in creatinine   it was  1.4 mg /dl 
and Since  then   it  is  1-  1,5 mg mg/dl\

he was   doing well

plan 
add  exforg 
carvidelol  
repeat  labs   after  2 weeks and  send  ot  through wahtasap 
