                                               MGM HOSPITAL & RESEARCH CENTRE
                                              IA. CBD. Belapur, Navi Mumbai - 400 614 | Tel No 022-15142400 01/03. 2758 1060/61/62/63                  S & A Euro Cent



            Patient Name                                        OUT PATIENT ASSESSMENT RECORD
                                       : VIDYA S
          s/w. or.
                                   :
          Mother Name                                                                          Age/Gender
                                  :                                                                                29Y(s)/Female
          address                                                                              Occupation                                        UMR NO           : CBD21007931
                                  : NO - 269,SECTOR - 10, KHARGHAR                                                : Not Specified
                                                                                               Martial Status                                    Reg. Date         : 28-JUL-2021
                                                                                                                  : Married
                                                                                               Mobile No                                          Religion    : Not Specified
                                                                                                                  : 9940404472
                                                                                                                                                  Nationality: Indian                   7
                                                                                               Ref By.
                                                                                                                   WALKIN
                                                                                                                   ..
          Consultation.No : OP62606                                                                                                         Patient Type : General
                                                                                                                                            Visit Type         : Normal
         Consultant. Name : ALPANA GUPTA KHARE
                79
         pulse:         BP1 0655 Temp:                                                                   Consultation.Date : 08-Sep-2023 07:58:28PM
                                                                     Wt: 6º Ht: 154                                        Dept : GYNAECOLOGY
        Complaints: Ce PIL IFIND                                                              Resp:                   Location :              5800-99

                                                                                                                                                 Treatment
       History :-
                                                   LeB-1 ym 2 months


                                LMP = 24/7/2023                                                                              Tab Dominate 10mg
     Clinical Notes: EDD = 01/05/2024


                                                                                                                                                                       × 25 day
                M/H = Regular
                                                                                                                          Tab Ondenn Mouing

   Diagnosis :- Wielo hypothyroidism
                                                                                                                                                                                205.0

                                          on tab. 25 mg oncedaily                                                            Tab ATURENPOD
                                                                                                                                                                      pourom

             NOWO AMINTNIPSA Iding
  When to report immediately: auteurs in post
                     NO Llo                                                                                                  Tab Folate -9 our

                                                                                                                                                                   daily
                                               DIE-Ge good
                                    T                                                                                                                                      × 30 days
When to report next day :- so lin ho paller
                                                                    QUINTAD
                                                         P/A- et-



        · Olla V. CBC                                       Selve R-G Ca

                                v. TF.T                      · user early pregnancy
                                                                                ccand
                                  HPLC                                                                                          DR. AI PANA GUPTA KHARE
ow-up Date :-                                                                                                                                      DGO OBGY
Appointment Contact :                                                                                       For Emergency CoRE : No. 2018062976

e : If there are any side effects with the medicine, stop the medicine and report Immediately to the hospital.
                                                                                                                                    O mgmcbd                 f mgm hospital cbd
admin@mgmhospitalcbd.com [3 www.mgmhospitalcbd.com                                                           mgmcbd

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                                                                                        OP62606
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