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PNDT Patient No. of Male No.

of Female Husband/
Name of Clinic Address Regd.No Name Age No. of Child Child Child Father's Name

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- RAEESA SADIQUE
CLINIC 700019 24.09.2023 BATOOL 26 NIL NIL NIL RAZA

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID NABADITA
GLENEAGLES KOLKATA- UPTO- BHATTACH uday bhanu
CLINIC 700019 24.09.2023 ARYA 38 NIL NIL NIL das

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID SUBIR
GLENEAGLES KOLKATA- UPTO- SANGITA RANJAN
CLINIC 700019 24.09.2023 SEN 34 NIL NIL NIL SEN

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- NAGENDRA
CLINIC 700019 24.09.2023 SONI DEVI 25 1 NIL 1 PASWAN

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- NANCY
CLINIC 700019 24.09.2023 DAS 24 NIL NIL NIL HIRAK DAS

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID KOYEL
GLENEAGLES KOLKATA- UPTO- CHOUDHU TONMOY
CLINIC 700019 24.09.2023 RY 37 1 1 NIL GHOSH
PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- SNEHA MANISH
CLINIC 700019 24.09.2023 DUBEY 28 NIL NIL NIL OJHA

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID SOUMI
GLENEAGLES KOLKATA- UPTO- BARIK ABHIJIT
CLINIC 700019 24.09.2023 NAG 33 NIL NIL NIL NAG

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- KAMALA MIZANUR
CLINIC 700019 24.09.2023 RAHMAN 23 NIL NIL NIL RAHMAN

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID NABADITA
GLENEAGLES KOLKATA- UPTO- BHATTACH uday bhanu
CLINIC 700019 24.09.2023 ARYA 38 NIL NIL NIL das

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- RUCHITA DR. RUPAK
CLINIC 700019 24.09.2023 GUPTA 28 NIL NIL NIL KR GUPTA

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID NANAUSH QAMRU
GLENEAGLES KOLKATA- UPTO- EEN ZAMA
CLINIC 700019 24.09.2023 ZAHOOR 36 2 2 NIL KHAN

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- alauddin
CLINIC 700019 24.09.2023 NARGIS MI 37 3 1 2 middey
PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID SAJAL
GLENEAGLES KOLKATA- UPTO- MUKHERJE
CLINIC 700019 24.09.2023 TANUSHREE 39 1 NIL 1 E

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID
GLENEAGLES KOLKATA- UPTO- RAKESH
CLINIC 700019 24.09.2023 MANALI DE 30 NIL NIL NIL DEY

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20
APOLLO SARANI. 18. VALID SASMITA
GLENEAGLES KOLKATA- UPTO- MOHAPAT RATNAKAR
CLINIC 700019 24.09.2023 RA 37 1 1 NIL DHAR

PNDT/
48/1F, AMEND/
LEELA ROY KOL/713/20 PRATIM
APOLLO SARANI. 18. VALID ROY
GLENEAGLES KOLKATA- UPTO- CHOWDHU
CLINIC 700019 24.09.2023 RUKMINI M 33 NIL NIL NIL RY
Apr-21

Indication for Procedure


Referred by Address of I.M.P/WKS of Genetic pre-natal carrrid out by Regd.No. of
Address TEL No. Doctor Doctor Pregnancy History Diagnosis Doctor Name Doctor

GROWTH
SCAN DR.
3/7A 188-B, KASBA
TILJALA DR. ROAD, NOTHING IRANDATI
LANE,KOLK ANGURRU KOLKATA- SIGNIFICAN MUKHOPA 47762
ATA- 700019. 8013088615 MITA ROY 700042. 23.07.2020 T DHYAY (WBMC)

GROWTH
SCAN
62B/1 212H PICNIC
BOSEPUKUR DR. GARDEN NOTHING DR.
ROAD, KOL- ASHOKE ROAD,KOL- SIGNIFICAN PRANAB KR 48506
700042. 9874044788 BISWAS 700019. 08.08.2020 T MONDAL (WBMC)

2N
PANDITYA DR.
ROAD, SUSUPTA NOTHING DR.
KOLKATA- CHOWDHU SIGNIFICAN DATING PRANAB KR 48506
700029. 6292234060 RY AGMC 07.02.2021 T SCAN MONDAL (WBMC)

ANOMALI
SCAN DR.
DR. 24/1A,
JIT MANISHA GARCHA 1ST NOTHING IRANDATI
JHINGOI,KH BHATTACH LANE, KOL- SIGNIFICAN MUKHOPA 47762
AIRA,BIHAR 8910007258 ARYA 700019. 30.11.20 T DHYAY (WBMC)

54/3/6, DR.
ANDUL DR. M K K P C NOTHING IRANDATI
ROAD. CHAKRAB MEDICAL SIGNIFICAN DATING MUKHOPA 47762
HOWRAH 9830666647 ORTY COLLAGE 18.02.21 T SCAN DHYAY (WBMC)

45/11C, M B DR.
ROAD, NOTHING IRANDATI
BEHALA, DR. MADHU AMRI SIGNIFICAN DOPLER MUKHOPA 47762
KOL- 700060. 9831059417 DEB HOSPITALS 33 WEEKS T STUDY DHYAY (WBMC)
DATING
18, NEOGI
SCAN
PARA DR.
ROAD, 24 BASUDEB NOTHING DR.
PGS(N),7431 MUKHERJE SIGNIFICAN PRANAB KR 48506
28 9007445830 E 9830046620 13.02.2021 T MONDAL (WBMC)

DATING
SCAN DR.
36, 11B DOVER
PANDITYA DR. LANE, NOTHING IRANDATI
ROAD, KOL- SOUMENDR KOLKATA- SIGNIFICAN MUKHOPA 47762
700036. 9830012923 A KONAR 700029. 01.03.2021 T DHYAY (WBMC)

ANOMALI
K F MEDICAL
SCAN
CENTRE 8/30,
96, DIGHIR FERN ROAD, NOTHING DR.
PAR ROAD, DR. A KOLKATA- SIGNIFICAN PRANAB KR 48506
KOL- 700048. 9038520578 NISTER 700019. 03.12.20 T MONDAL (WBMC)

GROWTH
SCAN DR.
62B/1 212H PICNIC
BOSEPUKUR DR. GARDEN NOTHING IRANDATI
ROAD, KOL- ASHOKE ROAD,KOL- SIGNIFICAN MUKHOPA 47762
700042. 9874044788 BISWAS 700019. 08.08.2020 T DHYAY (WBMC)

LIQURE
VOLUME &
GROWTH
33/4A, DR. G
SCAN
S BOSE NOTHING DR.
ROAD, KOL- DR. R SIGNIFICAN PRANAB KR 48506
39. 8240066107 GUPTA AGMC 22.09.20 T MONDAL (WBMC)

DATING
NEW BASTI
SCAN
LICHU DR.
BAGAN,D S SUBHRA NOTHING DR. SAMIR
LANE,HOW GHOSH BHAGURATHI SIGNIFICAN CHAKRABO 38391
RAH 8240348250 PAUL NEOTIA 18.02.2021 T RTY (WBMC)

DATING
LASKAR
SCAN
PARA, 48, GARIAHAR
NATIBPUR, ROAD, FIRST NOTHING DR. SAMIR
DOMJUR STREE FLOOR, KOL- SIGNIFICAN CHAKRABO 38391
HOWRAH. 7980524716 CLINIC, 700019. 18.02.21 T RTY (WBMC)
W2CCR
BUILDING
DATING
NO-3,FLAT
SCAN
NO-10,
PHASE-4B,
GOLF DR.
GREEN, SUSUPTA NOTHING DR.
KOLKATA- CHOWDHU SIGNIFICAN PRANAB KR 48506
700095. 9560635491 RY AGMC 19.01.21 T MONDAL (WBMC)

DATING
SCAN DR.
5/20, JATIN
DAS DR. R G STONE NOTHING IRANDATI
NAGAR,KO SUDESHNA HOSPITAL, SIGNIFICAN MUKHOPA 47762
L- 700056. 9836822557 SAHA DHAKURIA 12.02.21 T DHYAY (WBMC)

DATING
SCAN
36B,
PANDITYAR NOTHING DR.
OAD, KOL- SIGNIFICAN PRANAB KR 48506
700029. 9903344007 DR. S DAS NA 15.03.21 T MONDAL (WBMC)

LIQURE
VOLUME &
GROWTH
11, SUREN
SCAN
TAGORE DR. MOU NOTHING DR.
ROAD, KOL- CHATTERJE SIGNIFICAN PRANAB KR 48506
700019. 9007846111 E 9831168668 27.09.20 T MONDAL (WBMC)
RESULT OF DATE OF
INVASIVE ANY LAB.TEST RESULT OF USG CONSENT (in Result of Test
Non Invasive (WITH COMPLICATI RECOMENDE PRE-NATAL Normal/Abnor DATE OF case of Conveyed A)
(with reason) REASON) ON D DIAGNOSIS mal PROCEDURE invasive) To whom

GYNECOLO
NA NA NO NO NORMAL NORMAL 01.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 05.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 09.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 12.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 13.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 13.04.2021 NA GIST
GYNECOLO
NA NA NO NO NORMAL NORMAL 14.04.21 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 16.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 16.04.21 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 17.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 17.04.2021 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 20.04.21 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 20.04.21 NA GIST
GYNECOLO
NA NA NO NO NORMAL NORMAL 20.04.21 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 21.04.21 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 22.04.21 NA GIST

GYNECOLO
NA NA NO NO NORMAL NORMAL 27.04.21 NA GIST
Sign & Decl.
DATE OF Regd.No. of Decl. of Doctor/Person
CONVEY OF WAS MTP DATE OF Radio/Gyn/Dir Preg.Women( conducting
RESULT ADVICED MTP IF DONE eector(Y/N) Y/N) USG(Y/N)

01.04.2021 NA NA YES YES YES

05.04.2021 NA NA YES YES YES

09.04.2021 NA NA YES YES YES

12.04.2021 NA NA YES YES YES

13.04.2021 NA NA YES YES YES

13.04.2021 NA NA YES YES YES


14.04.21 NA NA YES YES YES

16.04.2021 NA NA YES YES YES

16.4.21 NA NA YES YES YES

17.04.2021 NA NA YES YES YES

17.04.2021 NA NA YES YES YES

20.4.21 NA NA YES YES YES

20.4.21 NA NA YES YES YES


20.4.21 NA NA YES YES YES

21.04.21 NA NA YES YES YES

22.04.21 NA NA YES YES YES

27.04.21 NA NA YES YES YES

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