          Dr. Muktaa Kapila
                                                                  Clinic:
         MBBS, DGO. DNB ( AFMC)                                                                             Timing:
         Director & HOD                                           Shop No. F-66 & 67
  -                                                                                                         Clinic : 8:30 am 10:30am (Mon .- Sat.)
         Obstetrician & Minimal Invasive Gynecologist             Block D. Baani Square,
  --                                                                                                        Sunday Close
         Fortis Hospital Gurgaon                                  Mayfield Garden,
                                                                                                            For Appointment Call: 9910016881
                                                                  Near Hilton Hotel,
         Laparoscopic & Hysteroscopic Surgeon                                                               Fortis Hospital, Gurgaon
  --                                                              Sector 50, Gurgaon
         HMC-3583                                                                                            Jimings: 11:30 am to 2:00pm
                                                                                                            For Appointment Call: 0124-4962200




          7.12.2022
          The name of the patient Manisha Sharma 28 years old
          complaining of pain abdomen often on since 2 months
          Had laparoscopy for ectopic pregnancy on 18th October
          22 and rt salpingostomy done
          History of loose motions on 30th November
          On Pv examination uterus anteverted
          normal size non tender pod tender


          Menstrual history
          5/30
         Dysmenorrhoea on d2and3
         On tablet familon for the past 2 months
         TVS done on 14th November 2022 uterus normal right
         ovary 6.3 cc left ovary 7.9 cc and a cyst seen 8.9 mm
         close to left ovary
         25.1.23
         Was put on Dinoget for endometriosis was feeling fine
        but completing of pain for the past 5 to 6 days
        Lmp 16.12.22
        On examination PB uterus retroverted normal
        pod not tender
        per abdomen tenderness in epigastric
        treatment tablet Pan 40 once a day for 5 days half an
        hour before breakfast
       Wants to conceive the test to be done
       CBC tsh vitamin B12 Vitamin D3 beta hcg




 stop dinogest
  start tablet flovite 5 mg once a day
 21st April 23 UPT positive G2 A1
 Imp 12th March 23
                                                                                           4.5.23 usa for cardiac
 expected date of delivery 19th December 23
 period of gestation 5.4 weeks on Ultrasound done
                                                                                                                          actily (Conited
 today 5.1 weeks feetal pole not clear
 advise to repeat ultrasound after 2 week
 tablet folvite 5 mg once a day for 1 month we

emergency medicine list to be collected
Review with report




                                                                                   Dr Muktaa Kapila
                                                                                   DGO. DNB.(AFMC)
                                                                                    Director Obs & Gynae
                                                                                    Fortis Gurgaon
                                                                                       Regn. No. 3583

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