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Patient Guide
Academics
Contact Us

Consultation

Age of Wife

Age of Husband

Trying to Conceive For (Years)

Have You Conceived Before?

Yes No

If Conceived Before, How Long Back Was This?

Are Your Menstrual Cycles Regular?

Regular Irregular

What is your husband’s semen test report?

Not Done Abnormal Normal

Do you have any specific complaints?

None Pelvic pain White discharge Pain in menses Pain during intercourse Other

Are you on any medication?

Diabetes Hypertension Thyroid Depression Other

Have you taken any treatment for infertility?

No Follicular study IUI IVF

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Email

Consultation Report

Age of Wife:
Answer:
Explanation:

Age of Husband:
Answer:
Explanation:

Trying to Conceive For:
Answer: years
Explanation:

Previously Conceived:
Answer:
Explanation:

Menstrual Cycle:
Answer:
Explanation:

Semen Test:
Answer:
Explanation:

Complaints:
Answer:
Explanation:

Medications:
Answer:
Explanation:

Previous Treatment:
Answer:
Explanation:

Best IVF Center in Mumbai, Jilla IVF has 25 years of experience and we have given more than 10,000 couples the joy of a complete family.

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Your Name

Phone No

Jilla Hospital-Mumbai

Jilla IVF Center,202 Crystal Point Above Star Bazaar,Near DN Nagar Metro Station,Exit Number 3 Link Road,Andheri West 400053

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Aurangabad

84, Motiwala Nagar, Central Naka Road, Aurangabad,
Maharashtra

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Attention

Please note that Sex selection is strictly prohibited in India and Jilla Hospital strictly discourages any inquiries to this effect. Jilla Hospital adheres to all government guidelines for the same and is in accordance with the PcPNDT act.

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