       7/22/23, 11:37 AM
                                                                                                                        9/10/8, Feeder Road, Belgharia, Kolkata- 70005%
           FETAL MULTISPECIALITY CENTRE                                                                      T : 033 2564 3737/38, M : 70443 15126 / 85850 93426

                     A Unit of Fetal Imaging Institute Pvt. Ltd.




                                                                                                                                                  FIOPD/23-24/02295
                                                                                                                   OPD ID :
           Consultant Doctor: Dr.SHILPI MUKHERJEE
                                                                                                                   Consultation                   22.07.2023
          MBBS (GOLD MEDALIST), MS (G & O), MRCOG (I)
                                                                                                                   Date :
          Regn No: MCI 25106                                                                                                                      CHITRA BOTHRA
                                                                                                                   Patient Name :
         Mob: 9883221234
                                                                                                                                                  34 yr(s) 6 mth(s) 8
        Department: GYNAECOLOGY & OBSTETRICS                                                                       Age & Gender :
                                                                                                                                                  days/Female

                                                                                                                   Phone :                        9748644307

                                                                                                                   Visit No :
                                                                                                                                                  -

        LMP                                   Weight:                                                               BP:                                  Oedema (Y/N)
                                                                              Pulse:

       C/O                                                                                                                        ADVICE

                                                 Poto                         5 mnths
                                                                      MF.


                                                                                           PDG: 5+4
                                                LMP: 13/6/23
       Menstrual History :


                                                  MHI!
                                                                                                                                        adv.

                                                  UPT: + me at home.

       Obstetric History :
                                                 EDD: 20/3/24                                               usa to confini



                                                                                                           pregnancy
                                                40. Nousca,
      Past History :
                                                                   Vomiting

F/H0- DM, hch (mahn)
                                                                                                                                      ABD-Rh
                                                                                                  , Bid-
                                    · P/H/O- Ch. pao
                                                                                                                        -
                                                           measles
     Allergic To :
                                         DE
                                                                                                                        - HPLC for That
                                                     HA: 50 kg
                                                                                                                                PPBS. (75 im glue)
                                                                                                                    -

                                               BP- 100/70 MHg
     Family History

                                                                                                              -             TSH Ty.


                                                                                                                            18 HIV/ HBS Ag / anti Hev


   Clinical Findings :                 , QRS-L
                                                                                                                              VARL.




                                                                                   · Tab. Trafolic -0


                                                                                                                  - 1 tab esper cent
PLEASE BRING THIS PRESCRIPTION ON EACH VISIT
FOR APPOINTMENT CALL - 7044315126/ 8585093426
                                                                                                                                        Signature of Consultant



                E : fetalmultispecialitycentre@gmail.com | web : www.fetalimaginginstitute.com

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