23-07-2025
THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR PATIENT'S PROBLEMS THROUGH SERIES OF INPUTS FROM AVAILABLE GLOBAL ONLINE COMMUNITY EXPERTS WITH AN AIM TO SOLVE THOSE PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
রোগী পুরুষ।
বয়স ৬২ বছর।
বর্তমান সমস্যা হল হঠাৎ করে তিন মাস প্রেশার বেড়ে যাচ্ছে।
রোগীর ঘাড় ও মাথার পিছন দিকটা ধরে থাকছে।
ফ্রজেন সোল্ডারও বর্তমানে হয়েছে।
কিছু বাস্তবিক কারণে হাঁটা বন্ধ ছিল বেশ কিছুদিন এবং সেই সাথে জীবনশৈলীও হয়ে পড়েছিল অনেকটাই অনিয়ন্ত্রিত। রোগীর কিছু ব্যাপারে বেশ টেনশনও ছিল যা এখনো বর্তমান।
রোগের ইতিহাস বলতে গেলে প্রোস্টেট গ্ল্যান্ডের কিছু সমস্যা ছিল যা এখনো কিছুটা আছে।
স্কিনের সমস্যাও ছিল অনেকদিন থেকে এখন অনেকটাই নিয়ন্ত্রিত।
সিঁড়ি ভেঙে তিনতলায় উঠতে গেলে হাঁপ ধরে যাচ্ছে।
চোখ জ্বালা জ্বালা ভাব আছে।
নাকের সমস্যা ছিল তবে অনেকটাই কম।
স্থানীয় ডাক্তার দেখানো হয়েছিল কিন্তু পেশেন্ট এডভোকেট জানালেন যে গ্রুপে জানিয়ে তারপর সিদ্ধান্ত নিতে।
বর্তমানে যে ওষুধ চলছে ঃ
1) Telmisartan 40mg দিনে একবার সকালে গত প্রায় আট বছর ধরে চলছে।
গত চার বছর ২০ এমজি চলছিল সম্প্রতি স্থানীয় ডাক্তারের পরামর্শে ৪০ এমজি চালু করা হয়।
2) Tamsu Hydrochloride & Finasteride Tab. 0.4 mg/5 mg রাতে একটা (গত প্রায় আট বছর থেকে)
3) Rosufit 5 (Rosuvastatin 5 mg) রাতে একটা, গত সপ্তাহ থেকে
5) Duonase Nasal Spray (SOS) Azebestine hydrochloride & Fluticasone Propionate.
রোগীর কোন নেশা নেই এবং বিগত তিন মাস আগেও যথেষ্ট ভালই ছিলেন।
[23-07-2025 09:23] PA: Meantime on the way bazar korechhi - vegetables & small fishes.
Bari phire fresh holam. Lunch korlam at around 1.15 p.m., rest korlam. Then took my evening tea with one biscuit. Enjoyed a few songs of Arijit. Went to a relative's house. Took tea (red tea without sugar). Finished dinner at 10.30 p.m. (small amount of Rice with veg curry and small fish called Bata. Went to bed at 11 p.m.
Today resumed morning walk with my friend and some others.
[23-07-2025 09.20] PA:
[23-07-2025 09:26] PPM 1: Is this BP charting taken while on BP medication?
If yes then please mention what medication and at what time was taken by the patient
[23-07-2025 09:28] PA: Yes. One Telma40 (Telmisartan 40mg) after breakfast.
[23-07-2025 10:34] PPM 1: 👆 Bortomane sthaniyo doctor ki kichu oshudh poriborton korechen?
[23-07-2025 11:10] PA2: হ্যাঁ, কিন্তু আপনাকে না দেখিয়ে খেতে চায়নি পেশেন্ট।
[23-07-2025 11:12] PA2: তবে শুধুমাত্র রসুভিট ফাইভ রাতে খাবার পর একটা করে খাচ্ছে ৮ দিন হল।
[23-07-2025 11:13] PPM 1: Jeta aage thekei khacchen taatei jodi BP ta normal thake tahole arekta add korar dorkar nao hote pare.
BP charting ta weekly janaben.
[23-07-2025 11:14] PPM 1: 👆etar baki page guno?
[23-07-2025 11:17] PPM 1: 👆 Prothom hospital tei admit hoyechilen? Tar aage Bhopal a admit honni?
[23-07-2025 12:04] PA2: এটাতে সবগুলো পেজ আছে।
[23-07-2025 12:06] PA: Hyan sudhu Narketpally te. Tar aage August 2020 theke WA er madhyome apnar songe yogayog cholechhilo.
[23-07-2025 12:19] PA: Patient ke Narketpally theke Telma20 deya hoyechhilo. Dibyi chhilen. Kintu 2023 August e retirement er por life style e byapok oniyom hoy. Hantahati pray chhiloi na. Aar ja peyechhen tai beshi kore kheyechhen. Falswarup blood pressure bere jay. Ebong sthaniya doctor er kachhe jan. Tini Telma-Beta25 sakale, sandhyay Cetanil 10mg r ratre Rusufit 5mg after dinner khete bolen. Patient sudhu Telma40mg aar Rosufit 5mg last 8 din dhore khachchhen.
[23-07-2025 12:21] PA: Patient ki abar Telma20 te fire jabe?
[23-07-2025 12:24] PPM 1 Hain
Ebong group er madhyome life style o feere paben
[23-07-2025 12:27] PA: Hyan mane back to Telma 20! Thik achhe.
[23-07-2025 12:31] PPM 1: Tarpor charting dekhe further change dorkar hole
[23-07-2025 12:33] PA: Thik achhe.
Age/Gender: 61 Years/Male 
[24-07-2025 17.55] PA: Aj dupur 1.15 nagad onek dharaner sabji (aloo, begun, kacha kola, lau, quash, patal, sosha etc.) ebong chhoto katla machh ar boroli machh diye lunch korlam. Sathe tok doi r dui tukro aam chhilo. Sob miliye ektu beshi hoye gechhilo. Report pathate deri hoye galo.
Address:
Discharge Type: Relieved
Admission Date: 23/03/2022 06:50 PM
Name of Treating Faculty
(INTERN)
(INTERN)
(INTERN)
(INTERN)
(PGY2)
(SR)
Diagnosis
SINUSITIS SECONDARY TO DNS WITH POST INFLAMMTORY DEPIGMENTATION, VITILIGO
WITH GRADE 2 PROSTATOMEGALY
Case History and Clinical Findings
A 58YR OLD M PT. C/O B/L NASAL OBSTRUCTION SINCE 3YRS. PT WAS APPARENTLY
ASYMPTOMATIC 3YRS BACK THEN HE DEVELOPED NASAL
OBSTRUCTION, WHICH WAS INCIDIOUS IN ONSET GRADUALLY PROGRESSIVE,
INTERMITTENT AND AGGRAVATED ON EXPOSURE TO COLD C/O BOUTS OF
SNEEZING ON EXPOSURE TO COLD. IT WAS AGGRAVATED ON ON EARLY MORNINGS AND RELIEVED ON MEDICATION THAT IS FLUTICOZONE.
NO H/O TRAUMA TO NOSE, BLEEDING FROM THE NOSE
NO H/O HEADACHE, FACIAL HEAVINESS, POSTNASAL DRIP
H/ O USE OF FLUTICOZONE NASAL SPRAY SINCE 2 YRS
Page-2
KIMS HOSPITALS
PAST HISTORY -
K/C/ O HTN SINCE 2 YRS AND ON MEDICATION TELMA 20MG
N/K/C/O DM, THYROID
FAMILY HISTORY -
NO SIGNIFICANT FAMILY HISTORY
DRUG HISTORY - H/ O FLUTICOZONE NASAL SPRAY
ON MEDICATION FOR HTN TELMA 20MG
PERSONAL HISTORY
DIET - MIXED
APPETITE - NORMAL
BOWEL MOVEMENTS - REGULAR
BLADDER - BPH
ADDICTIONS - NONE
GENERAL EXAMINATION: PATIENT IS CONSCIOUS, COHERRENT, CO OPERATIVE AND WELL ORIENTED TO HIS SURROUNDINGS. HE IS MODERATELY BUILT AND NOURISHED.
NO PALLOR, NO CYANOSIS, NO ICTERUS, NO LYMPHADENOPATHY.
Page-3
KIMS HOSPITALS
VITALS: TEMPERATURE: AFEBRILE.
PULSE RATE: 98 BEATS / MIN.
RESPIRATORY RATE: 19 CYCLES / MIN.
BP: 130/80 MMHG
SPO2: 99
GRBS - 112 MG/DL
SYSTEMIC EXAMINATION:
CVS: S1S2 heard, no murmurs
RS: BAE+ NVBS+
P/A: Soft, Non-tender
CNS: NAD
DVL REFERRAL - POST INFLAMMATORY HYPERPIGMENTATION
1) PHYSIOGEL LOTION
2) TAB. DAZIT 5MG OD X 2 WEEKS
3)OINT. TACROLIMUS 0.1% OD x 2 WEEKS
4) MOISTUREX SOAP
Page-4
KIMS HOSPITALS
ENT REFERRAL - DNS, INFERIOR TURBINATE HYPERTROPHY
1) STEAM INHALATION
2) DUANASE NASAL SPRAY 2 PUFF / BD X 15 DAYS
UROLOGY REFERRAL
I/V/O - K/C/O Prostatomegaly (BPH) Since 2019
NIGHT MONITORING- NO HYPOXIC EPISODES- SNORING EPISODES +
Investigation
USG on 26/3/22:-
IMPRESSION: -
1) GRADE 1 PROSTATOMEGALY
2) WALL THICKENING OF URINARY BLADDER - 5MM
3) NO SIGNIFICANT PVR
4) TINY LEFT RENAL CALCULI
Treatment Given (Enter only Generic Name)
1) DUANASE NASAL SPRAY BD X 15 DAYS
2) TAB. TAMSILOSIN 0.4 MG
3) PHYSIOGEL LOTION
4) TAB. DAZIT 5MG OD X 2 WEEKS
5) OINT TACROLIMUS 0.1% OD X 2 WEEKS
6) MIOSTUREX SOAP
Advice at Discharge
1) DUANASE NASAL SPRAY BD X 15 DAYS
2) TAB. TAMSILOSIN 0.4 MG
3) PHYSIOGEL LOTION
4) TAB. DAZIT 5MG OD X 2 WEEKS
5) OINT TACROLIMUS 0.1% OD X 2 WEEKS
6) MIOSTUREX SOAP
Page-5
KIMS HOSPITALS
When to Obtain Urgent Care
IN CASE OF ANY EMERGENCY IMMEDIATELY CONTACT YOUR CONSULTANT DOCTOR OR ATTEND EMERGENCY DEPARTMENT.
Preventive Care
AVOID SELF MEDICATION WITHOUT DOCTORS ADVICE, DONOT MISS MEDICATIONS. In case of Emergency or to speak to your treating FACULTY or For Appointments, Please Contact:
For Treatment Enquiries Patient/Attendent Declaration: - The medicines prescribed
and the advice regarding preventive aspects of care, when and how to obtain urgent care have been
explained to me in my own language
SIGNATURE OF PATIENT /ATTENDER
SIGNATURE OF PG/INTERNEE
SIGNATURE OF ADMINISTRATOR
SIGNATURE OF FACULTY
Discharge Date
Date: 27/3/22
Ward: SS
Unit: 3
[23-07-2025 23.25] PA: Tonight's dinner taken at 10.30p.m
[24-07-2025 12.38] PA: Aaj bhor 5.30tay 10/12ta kismis, 4ta almonds ar 3ta khejur kheye hete elam. Bajar kore bari dhuke snan kore 9ta nagad muri sahojoge cha khelam. Tarpor Telma 40 1/2 nilam
PPM 1: 👍
[25-07-2025 05.49] PA: Gatokal ratre ak piece katla machh, alu seddho lau seddho, dui dharaner mix veg curry diye bhat kheyechhilam.
Aj sakal 6tay hante berolam 3ta khejur r bhejano kismis kheye.
PPM 1: 👍
[25-07-2025 09:29] PPM 1: Gotokal er proti ghontar routine ta jaante parle bhalo hoto.
Udahoronoto ekhane dekhte paren 👇
[25-07-2025 20:26] PA: Gotokal bhor 5.30 er alarm ghum bhanglo. Morning walk e jaor prastuti sere nilam.
06a.m:- Bhadradar sathe beriye porlam.
07a.m.:- nagad resting place orthat rail bridge er kachhe akta waiting place e bose 10 minutes jiriye niye abar prai 1 km hete Narayan dar cha er dokan. Chini chhara ak cup laal cha nilam. Songe minute kurir adda - bongiya samantu probhuder niye torko aar makhe modhye Bhadra dar pichhone ektu laga.
08a.m.:-Erpor totoy chore bazar - kichhu sobji ar machh kine soja bari ese snan etyadi sarlam.
9a.m:- amar patent jolkhabar i.e. 1/2 bati muri samanyo tel, golmarich r 5ta kath badam diye khelam. Songe boro cup e laal
cha.
11.30 a.m. kichhu Grocery item kine anlam.
Lunch nite 1.15 pm hoye galo. You Tube e Akta cinemar kichhu clip dekhte² 3ta baje. Abar berolam Bank er kaaj chhilo.
4.30pm.:- bari phire fresh hoye laal cha "kichhu na" sahojoge. Ektu bishram.
6.30 to 8p.m Tabla rewaj korlam. 8.30e atmiyar odhik dada-boudir bari adda dilam 10 pm obdi. Bari ese kabar garom kore 10.35 nagad noisho bhoj sesh korlam. Kichhukshan Malday barir sobar sathe kotha holo.
11.30:- bichhanay gelam, kintu "tini" (ghum) dekha diyao soriya jaitechhilen. Obosheshe hoyto sare 12ta nagad ghumiye pori.
Morning walk er aage o pore sokal 9.30 porjonto oi ak routine.
Aj sokal e jolkhabar kheye 45 minute ghumiye nilam. Tarpor 11.15te akta kala kheye kaje baire gelam.
12.30 e bari phiri.
01p.m nagad lunch e boslam. (Chhobi attached).
2.15: ghumiye porechhi.
4.30p.m - boi patro jhara jhari korlam.
5p.m :- sudhui laal cha nilam
06p.m :- Reyaz e boslam 7.30 porjonto.
Tel chhara bhaja badam diye dui muth muri khelam. Akhon ektu cha khabo. 10.30 dinner nebo.
[25-07-2025 22:03] PA: Dinner ta early 6:00 PM shesh kore nile bhalo hoi. Amra sobai tai kori
[25-07-2025 23:02] PA: Kintu amar pokshe khub asubidha hoye jabe.
[26-07-2025 07:34] PPM 1: Shobar pokkhei tai mone hoi kintu obosheshe abar shob thik hoye jai
[26-07-2025 18:20] PA: Aaj 26th July 2025: (5.30 : Alarm ghum bhangalo. Hot seat (Toilet) e boslam. Not satisfactory. Mukh dhuye bhejano r khejur mukhe poore thik at 06a.m beriye porlam
Morning walk e. Aaj besh bhalo hanta holo. Akjon sathir hantte kom kosto hoyechhe. Rail bridge pounchhe ektu bishram.
07a.m - Abar 1km hente Naran dar dokan. 1/2 lt. Jol paan. Lal cha songe thik ak muthor kom chaal bhaja. Bhalo laglo na.
08a.m :- Toto dhore bari. Akta kola khelam. Snan sere nilam.
08.50a.m:-
Aj sokaleo jolkhabar e muri khelam bhejano 4ta almonds, 5/6 ta china badam, golmrich gunro diye.
10a.m:- Reyaz e boslam.
12.30 pm:- Lunch e boslam. (Chhobi attached). Mone holo bhater poriman aro komate hobe. Maldar barite obosyo ato poriman sobji
pete osubidha achhe.
Erpor kichhukshon Chorer Panchali (sangbad patra) te chokh bulalam.
02p.m:- You Tube e Sehnai r Sitar jugolbondi sunlam.
ghumiye porechhi.
03 to 4.30p.m :- Ghoom.
5p.m :- ak cup, sudhui ak cup laal cha pan.
Abar reyaz gelam ektu puse diye report pathalam.
[28-07-2025 13:06] PA: Aaj 27th July 2025: (5.25 : Alarm chharai ghum bhanglo. Hot seat (Toilet) e boslam. Not satisfactory. Mukh dhuye bhejano kismis r khejur mukhe poore thik 06a.m nagad brishtir modhyei beriye porlam. Kichhuta eganor por brishti bere galo. Bhagyis juto change kore sandak pore niye chhilam. Trousers pray purotai bhije galo. Aaj partner chharai aktana khub bhalo hanta holo. Rail bridge pounchhe ektu bishram.
07a.m - Abar 1km hente Naran dar dokan. 1/2 lt. Jol paan. Lal cha paan.
08a.m :- Toto dhore bari. Snanta sere nilam. Akta kola khelam
08.50a.m:-
Aj sokaleo jolkhabar e muri khelam bhejano 5ta almonds, 5/6 ta china badam, golmrich gunro diye. Anandabazar dekha holo.
110a.m:- Reyaz e boslam.
2.00 pm:- khub kachhei param atmiya saman dada-boudir okhane Lunch korte boslam. Aaj kochi pantha chhilo menu te. Akta rsogolla diye tok doi niyechhi (Chhobi attached). Khaoar por jomiye lomba adda
5.30p.m :- ak cup laal cha pan.
7 p.m:- Bari phire
Abar reyaz e boslam.
8.30pm:- duijon mastermoshai elen.
10p.m :- Alap seshe dinner sarte chole gelam sei dadar bari. Khelam ~ olpo bhat, alu-kochur dalna r tangra machher halka jhol. Kichhukshan golpo kore bari phire elam.
11.30 p.m:- ghumiye porlam.
[28-07-2025 13:49] PA: Aaj 28th July 2025: (04.46 : washroom theke phire bichhanay gelam thiki kintu ghum ar elona. Mukh dhuye Hot seat (Toilet) e boslam. Jathariti Not satisfactory. Mukh dhuye bhejano kismis r 03ta khejur mukhe poore 06.20a.m e beriye porlam. Aajke aktana khub bhalo hanta holo na. 7.30 nagad Rail bridge pounchhe ektu bishram.
Abar 1km hente Naran dar dokan. 1/2 lt. Jol paan. Lal cha paan.
08a.m :- Toto dhore bari. Snan sere nilam. Akta kala khelam
08.50a.m:-
Aj sokaleo jolkhabar e muri khelam bhejano 5ta almonds, 5/6 ta china badam, golmrich gunro diye. Anandabazar dekha holo.
10.30a.m:- Reyaz e boslam.
12.30 pm:- Lunch korte boslam. (Chhobi attached).
2p.m:- Tok doi r 1/2 aam khelam.
[28-07-2025 13:58] PA: Oi patra theke Gatokal dui tukro aloo r chhoto chhoto 5 tukro panthar mangso niyechhilam. Pressure cooker e siddha kora hot.
[28-07-2025 14:01] PA: Bikal 3tay drive kore Toofanganj jabo. Mathabhanga back korte 9ta beje jabe.
PPM 1: 👍
[29-07-2025 10:01] PA: Contd. Report of 28th:-
Reached Toofanganj at around 5.30p.m. Took afternoon tea.
7 p.m:- aloor dom diye majhari size er 1.1/2 khana parotha, ichchhe na thakleo, sobar onurodhe khetei holo. Songe akta rasogolla r kalakand. Kichhu pore abar laal cha.
7.45:- Mtb.r uddesye start korlam. Khanik badei amar gala-r kachhta ektu samanya tok r halka book jwala suru holo. Garir Besh kichhuta jol khelam. Ektu relieved laglo.
[29-07-2025 10:07] PPM 1: 7:45 sounds like reflux
[29-07-2025 10:15] PA: ... halka sweating hoyechhilo. Oboseshe 9.45 p.m nagad bari pounchhe gelam. Abar jol khelam. Washroom theke phire better laglo. Rate r kichhu khaini. Akta Tamsulosin-finesteride (urimax-F) kheye ghumiye porlam.
[29-07-2025 10:17] PPM 1: The cause of the 7:45 event is well illustrated in the 7:00 PM event
[29-07-2025 10:26] PA: Aaj 29/07/2025:-
06 a.m.:-
Last night ghum bhaloi holo. Arektu ichchha chilo ghumanor. Kintu dolchhara hobar bhoye bichhana chhere fresh hoye beriye porlam.
Ager routine wise hanta sesh kore bari phire elam. Tarpor snan ityadi sere cha-muri khete² chorer panchalitao dekhe nilam. Oh, akta paka kolao kheyechhi.
Reyaz e boste giye dekhlam report lekha hoyni. Aaj B.P.Chart ready kore ratre pThabo. Last night BP chhilo 149/79 - 74.
[29-07-2025 10:33] PA: Probably moida r sweets ekhane culprit. Should have taken the curry with muri. Dekhechhi luchi/paratha 100%atta diye banale khaoar por kono samasya hoy na.
[29-07-2025 11:21] PA: One thing more I forgot to mention. I have been facing a problem of going to toilet for 02 to 04 times every day. Seems bowels will be cleared, but doesn't happen likely so though there is a tremendous pressure of the work to be done immediately. Sometime it is quite okay.
[29-07-2025 12:04] PPM 1: Sounds like an overactive bladder.
I'm assuming that the patient is passing a normal volume of urine output daily
[29-07-2025 12:20] PA: Yes, daily urine output is normal. But the frequency is after every 02 hours in the day time. And once in the sleeping hours at night mainly at around 4/5a.m.
[29-07-2025 12:22] PPM 1: And does the stream of urine also come like a thread, very thin stream? Does the urine fall near?
[29-07-2025 12:33] PA: Flow is normal and easy.
[29-07-2025 13:27] PA: Forgot to mention that sometimes last 2 to 3 drops of urine even
fall on the trousers while course of urination is likely to be completed.
These droppings occur when there is tremendous unbearable pressure for release of urine. Otherwise it's okay.
[29-07-2025 16:57] PPM 1: This sounds normal because of the bulbocavernosus muscle
[29-07-2025 17:16] PA: Continued:- (29/07)
12 noon: 6/7 qua kanthal
12.30a.m: - lunch ready. Forgot to take photo of the dish. Aajker menu :
1. Jhinga, alu diye chholar dal
2. Alu-peper dalna
3. Alu-sqash
4. Kankrol bhaja
5. Ak pc. Pabda machh
6. Ak pc. ilish machh
7. Bhat kom kore
8. Amer chaatni
9. Lebu
[29-07-2025 17:19] PA: 👆Contd.
2p.m: -01pc aam khelam
5p.m:- ak cup laal cha
[30-07-2025 00:18] PA: 29.07.2025 evening:
At around 6 p.m ektu uneasy feel korchhilam. Ghonta dhore B.P. Chart toiri hochchhe. Kintu B.P.tao barchhe.
Bujhte parchhi je, aaj ei samasyatar janya bhul khabar nirbachan dayee. Buk jwala korchhe, kan matha alpa garam hoye galo. dekha jak ki hoy. Samne sara raat achhe
[30-07-2025 00:20] PA: 👆of 29.07.2025
[30-07-2025 04:13] 67M PA: https://www.facebook.com/share/r/18GES3cF1K/
[30-07-2025 08:58] PPM 1: BP 'r kono oshudh khacchilen?
[30-07-2025 09:01] PA: Sakale akta kore TELMISARTAN-20 khachchhi.
[30-07-2025 09:13] PA: Aj sakal theke amader dui chest er majhe je gorto mato achhe tar thik dui angul upore harer upor ektu chap dile light pain hochchhe. Morning walk er samay temonta bojha jayni.
Last night dinner e khub olpo millet rice (Sama rice) bivinno sobji fele kheyechhi. Ghum aste khub deri holo. Eta factor noy. Kintu khub aswasti hochchhilo bole akta Rabiprazole 40 kheyechhilam. [Bhoye]
[30-07-2025 09:36] PPM 1: Rabeprazole bhoi peye khawar hoito dorkar nei keno ki ota kokhonoi pran rokkha korena. Khele borong side effect er bhoi thakte pare
[30-07-2025 09:37] PPM 1: BP chart a aei information ta time somet otyonto joruri
[30-07-2025 09:38] PPM 1: Harer pain ta costochondritis mone hocche. Again doesn't appear to be a cardiac pain
[30-07-2025 09:38] PPM 1: However to be sure if the pain is non cardiac or not a local clinical examination is necessary by a local doctor
[30-07-2025 10:09] PA: Thik achhe
[30-07-2025 10:11] PA: Etao jana hoye galo.
[30-07-2025 10:24] PA: Eta angul diye harta tiple tobei byathar anubhuti hocchhe. Otherwise bazarer bag carry / long walking e kono problem hoyni.
[30-07-2025 11:37] PPM 1: More suggestive of costochondritis
[30-07-2025 23.16] PA: Tonight's Dinner
[30-07-2025 23:18] PA: Aaj 30th July 2025:-
Sudhu dinner er chhobi pathalam. Lunch eo same menu songe mung daal r chalkumrar akta tarkari. Seshe tok doi.
Aaj khub bhalo achhi.
B. P. Chart aajo ready kore pathalam.
[31-07-2025 09:53] PPM 1: Well done chart 👏👏
[31-07-2025 09:54] PA: Thank you Sir.
[31-07-2025 22.42] PA: Is it acceptable
[01-08-2025 09:12] PPM 1: Yes very well done 👏
[01-08-2025 09:14] PA: Thank you very much.
[02-08-2025 10:28] PA: Feeling sorry for the delay
[02-08-2025 10:33] PPM 1: 👏
No comments:
Post a Comment