                      Fortis MEMORIAL


                  RESEARCH INSTITUTE
                                                                                                                                         FORTIS MEMORIAL RESEARCH INSTITUTE
                                        GURUGRAM                                                                                         Sector 44 (Opp. HUDA City Centre Metro
                                                                                                                                         Station), Gurugram 122 002, Haryana (India)
                                                                                                                                         Tel        : +91 124 496 2200
                                                                                                                                         Fax          .91 124 716 2200
                                                                                                                                                      ·91 124 496 2222
                                                                                                                                         Emergency .91 124 421 3333                    Sh
                                                                                                                                         Ambulance: 105010
                                                                                                                                         Email
                                                            DEPARTMENT OF OBSTETRICS AND GYNAECOLOGY                                     Websla T www.fmri.in
r.
              Dr. Mamta Pattnayak
IBE
            MBBS, MD - Obstetrics & Gynecology
eni                                                                                         Patient's Name:
           Senior Consultant, FMRI, Gurgaon                                                                                   SHAiliTa Mathur
ap:
           Laparoscopic & Hysteroscopy Surgeon,
bs         Obstetrician                                                                     UID: 12658585
                                                                                                                                       Date: 19/08/23
Rep        Reproductive health and infertility specialist
DM         DMC No - 33936
                                                                                            Age:               31                     _Sex:          F
           Tel No. - 9899961519
Tel
           drmamta10@gmail.com
drr                                                                                         Weight: 48-3109 BP: 95/61 Brug

           Rakhi Mathur
          Coordinator
          Ph.No: 7503231913
                                                                                              primpraida Pos= 14wald

         Symptoms:


                                                                                       MY1 og FLUARIX TETRA 10

         Obstetric History:
                                                                                                                              Iam 10 days

                          Pornograrch

                                  ML . 5mm
                                                                                        2. TAB LIVOSAN OMados
         Menstrual History:

                                                                                                                                                            430d
                     LWP-10/5/2023                                                                                  al dire


                                    spontanen coup-                                3. TABUM 2 tas SOS taken
       Past & Family History:


                       Falhar HIN


                                                                                     4. TAB ECOSPHIIN 150mg
      Examination Findings:                                                                                                    Ital omadlaxgod

          .      Breast

                                                                                     5. US propres for betal
         · P/A

                                   Ut/you sn
                                                                                                                      In placenta localisation
                                               FHST
        · P/S


                                                                                        6                             12 D- PAIN 60G
       · P/V

                                                                                                                              neurby one x 6 cm
                                                                          NABH
Investigatori Mamata Pattnayak
                                                                                                                                                  for months or
                         MBBS, MD (Obs. & Gynae.)
                                                                   |A unit of FORTIS HOSPITALS LIMITED
               Senior Consultant-ObstetciasnicevEscorts Heart Institute and Research Centre, Okhla Road, New Delhi-110 025 (India)
                Fortis Memorial Researdel: +81-11-2682 5000, Fax: +91-11-4162 8435, CIN: U93000DI2009PLC222166
                Sector-44, Gurugram-122002, Haryana                              PAN No. AABCF3718N
                             Regn. No. HMC-8774

{'clinic_pharmacy_details': {'clinic_pharmacy_name': 'Fortis MEMORIAL RESEARCH INSTITUTE', 'clinic_pharmacy_address': 'Sector 44 (Opp. HUDA City Centre Metro Station), Gurugram 122 002, Haryana (India)', 'clinic_pharmacy_city': 'GURUGRAM', 'clinic_pharmacy_pincode': 'NA'}, 'doctor_details': {'doctor_name': 'Dr. Mamta Pattnayak', 'doctor_qualifications': 'MBBS, MD - Obstetrics & Gynecology', 'doctor_registration_number': 'NA'}, 'patient_details': {'patient_name': 'SHAILIKA MATHUR'}, 'prescription_details': {'date_of_doctor_consultation': '19/08/23'}, 'procedure': {'chief_complaints_diagnosis': 'MY1 og FLUARIX TETRA 10'}, 'medicine_details': [{'medicine_name': 'TAB LIVOSAN OMADOS', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'TABUM', 'medicine_dosage': '2 tas SOS', 'medicine_frequency': 'NA', 'course_duration': 'NA'}, {'medicine_name': 'ECOSPHIIN 150mg', 'medicine_dosage': '1-0-1', 'medicine_frequency': 'NA', 'course_duration': 'NA'}], 'lab_test_details': {'lab_test_names': 'NA', 'procedure_request': 'NA'}}