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7 NOVA IVE OPD Booklet NOVA IVF Fertility OUT PATIENT DEPERTMENT AMAT 160. Swett. (Name) eas (008: J |Q /]Q9] ) Mata Sats: Cc OPD CONSENT Swati Res erebyauorie POH... HV... orbisher ascites for my medal condtion o ask me any orallthe relevant medical history inch tests inthe best interest of my health. rap assure hiner that wile operate tounderg any test diagnose ct, vsaon oy oth him/her that | shall not suppress any colton or Facts fox 1 complaints that he/she suggests tome so assure ents may ee ise to untoward elects incudng serous complication, | hereby ae voluntarily to take such risk for my health benefits, lading persnal uestion, to examine me and to donecessar er form of management best suitable 1m bim/her. understand that for my pe tw sanerasr herent sereene penn SUSHRG. Al swe Sienahi._Rep- oa: 1§[ 3] 8093. Te: Qe Mei na eye) 2 a toy (ober! , a e/a at Mink Powe, nove male 7 a) E ST. Plow SF ea Bebullig of EIB. -€ eo. ta. el ae @ (ee Ht ple tubal clippty ii | of pee |i ° g hae Gils prey 3 Or 4 f mee dy bor fo aberpt. a AMH ii MI : i y q ae U. MEDICATION : 2, ADV y ® i Ws, Sect ke "J 7~ NOVA IVE FERTILITY Plom + caxion — juulabion atfa[ 23 forodally ) ( pest oertre plus Got fab Lehweol (9p | job abler clinner x 5 days c277sf3 aah) > Net TS 3 alk} rs ( bilicdeely) ro : ) se: ean mre pase Chaat, ch intee ered _&.hmH ™ | ast—ook oft ode. pp ore 7 3 Aides —aluls pdr Next TVS ee ouula bor owt gules NOVA FERTILITY EAST PRIVATE LIMITED NOVI Fino sop Heathae Phat ints) Noval e in, U9S00OWBZO14PTC201609 3 nnabbeh istered office: Acropolis Mall, 8th Floor, besiet Dimes Roee/t Reidange Main Road Kelata = 700107 - qoll-free no: 1800 313 5677 NOVA NETWORK Te wwwnovaivfertitycom —E:Info@novaltfertityin Eastem India: Kolkata, Siliguri, Patna, Ranchi, Dhaka tanchi, Bangladesh) — Mas Sovastiba Pay’ 7. NOVA IVE Plom - Oren fh oS OW Raorstening cycle bls (4 be © Alliclea in Plo - | & fillies ne ele pet WS on y/y/r3 [cre ly be dove ) Tb prodin | feb rege porn Y rn Ht Mis. Surat ko Roy Pla: Oueslon cdjuulabln Nene Morttoring yee (Dre) a on a ® Sold (Oe a: a fon K ow @ yo NOVA IVF FERTILITY: [38 Uttam Kumar Sarani, Kol saonn ye ee 2a\ulrs . aay | bj Bit Plas an (WF. Dog 5 dunce x faliiswmge. 300 Iu lc, | ote pam fodey 224 23. « aal4l23 frajy - 24|4] ol} VOM. a\ruf Wvem.astu an, aa \4 25) ser ate (23 jonan a Set [tab ace i r (oa. 90 IT tteab dovly Offer & Ws smu On 26 “ea og VA IVF FER Seine et a ae pacers if NOVA NETWORK Toll-free no: 1800 313 5677 Easter India: Kolkata, Siiguri, Patna, Ranchi, Dhaka Gangladest) W. wwwnovaivifertility.com E: info@novaivttertilityin _Mas. Swestile AU NOVA IVE plams Soup pur 2614/23" pdu. Coot Rj folliewge (300) © bef pur as) cfoat Bay Cobsebx (0 i 6 fiom erly oz] josi2sar Bam * Report fo NIFE om 04 @> I) Bit Pousurge 500 sic T 2\05 Tu, IveEM 45 \\M Ty Cetttourx 0-25 S\C * Blood kor Sou estradiol, SSLUM PrOgestu1onz, LH © 09054 23 ~Iu ovi bteelle (50 mn Decapeplyt oa (& [or\os | en Lupnids Qwk V . Blood kor LH, BAC on 03\09 » HUSQaUid Wil qe yaw sample on 04|0S MBs. Sunacika hey OO 7~ NOVA IVE Paw. Shok fab Visance (3¥) 13)<]23 | Feb doily of Bade. % 3 ret. ( Mog Juve | July, Avg ) —= 1% dese: fay 2alodor (3.6 \Se) r3)s on OAV a ty) tA 167K “Papeat ae, » Adter 0% cys - taptat yl a > Affer UP ches rect BP vised [VS + at oboP p23 ctort Trews cnmcene (seer) | eb offer real € cov 1 saohof 1 qh 3T PRIVATE LIMITED iy NOVA FERTILITY, EAST Ete uted NOVAIVE FERTILITY ermyggo00WB20HPYC2O1E09 [3B Uttam Kumar Sarai, Kolkata 7000) Office: Acropolis Mall, 8th Floor, idanga Main Road, Kolkata - 700107 vfree no: 1800 313 5677 NOVA NETWORK Toll-free tertility.com _ E: info@novaivffertiity.in Easter India: Kolkata, Siliguri, Patna, Ranchi, Dhaka (Bangladesh)

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