This is an online e log book to discuss our patient’s de- identified health data shared after taking his/her/guardian’s signed informed consent. Here we discuss our individual patient’s problems through series of inputs from available global online community of experts with an aim to solve those patient’s clinical problems with collective current best evidence based inputs. This e-log book reflects my patient centered online portfolio and your valuable inputs on the comments is welcome.” a29yr old Female ,who is an homemaker has come to tha OPD with the cheif complains of ✓B/L knee joint pains since 10months ✓pigmentation on the face ,neck ,upper part of chest and on back since 10months HOPI there are 2 members in the family lives with an avg income of 500/day daily routine ` wakes up at 5 o'clock ,offers her prayers and sleeps. then wakes up at 7:30 Am ,freshes up ,drinks tea and bread & she does the household works viz.cooking,washing clothes etc., eats every meal with her