57  years old female 
dm for the last   20  years 
htn   for the lasr   2  years 
dld 
  for the alst   few  years 
ischemci heart disease     
CABG     Before    2  months 

c cath was done and   and  showed  triple vessels  disease 
then  he was referred  to almakksed    hospital 
creatinine   4 .2    after the  cardiac cath 
he  didnot need     dialysis 

creatinine 7/2025  2,2


pln

dd   lfcl 
add 
\calcium 
creatinine   on th   whatssap    2.1 
other lasb  are okl 
medication asa 
plavic 
cocnorn  7.5 
lipon il 
add  tegretol