Visit Summary
Salah Ahmed · HEX_PAT_000115 · OPD encounter, 12 Mar 2026
Visit overview
PhysicianDr. Sharma Koppula — Rheumatology follow-up
Visit typeOPD consultation
Duration22 minutes
Chief complaintJoint pain and morning stiffness
Vitals recordedTemp 98.6°F · BP 138/88 · HR 88 bpm
Diagnoses this visit
Suspected early inflammatory arthritis
M06.9
New
Hypertensive heart disease
I11.9
Ongoing
Type 2 diabetes mellitus
E11.9
Ongoing
Orders placed
Rheumatoid factor + anti-CCP panel
Lab order · pending sample collection
Rheumatology referral
Internal referral · to be scheduled
Instructions for the patient
Continue home blood pressure monitoring twice daily. Recheck HbA1c in 4 weeks. Attend rheumatology referral once scheduled — labs should be completed beforehand.
Avoid ibuprofen and other NSAIDs (documented gastritis reaction). Use paracetamol for pain as prescribed.
Follow-up
Next visitIn 2 weeks, or sooner if symptoms worsen
WithDr. Sharma Koppula / Rheumatology
Billing snapshot
Consultation fee₹800
Lab order (pending)₹1,850
InsuranceStar Health — pre-auth not required
View full bill →