(2647,1111,'2024-02-18','follow up','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2648,2519,'2024-02-18','no menses ','','sever pCOS',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2023-10-01'),
(2649,784,'2024-02-18','gastric flu ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2650,2468,'2024-02-19','2nd day of mesnes ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-18'),
(2651,1022,'2024-02-19','feeding ','','itching ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2652,739,'2024-02-19','','','for pop ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2653,1995,'2024-02-19','7th day ','','RTC at 10 day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-13'),
(2654,2524,'2024-02-19','ask for male ','','rtc after 2 menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-18'),
(2655,2526,'2024-02-21','12th day .check fertility ','','RTC after 3 days , ,, IOL by faisl amro ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-10'),
(2656,2527,'2024-02-21','sever hiurtiusm , PCOS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2657,2528,'2024-02-21','check Fertility... !! ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-22'),
(2658,197,'2024-02-21','','','low IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-19'),
(2659,1928,'2024-02-21','post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2660,2510,'2024-02-21','Irregular Menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-21'),
(2661,1236,'2024-02-21','late menses ','','Bhcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-12'),
(2662,2500,'2024-02-21','10th ','','rtc after 3  day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2663,85,'2024-02-21','10 Th Of Menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2664,1223,'2024-02-22','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2665,2532,'2024-02-22','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-29'),
(2666,2404,'2024-02-22','2nd Day Of Menses  ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-21'),
(2667,1333,'2024-02-22','hsg polyp??','','for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2668,1999,'2024-02-22','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-03'),
(2669,1995,'2024-02-22','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2670,78,'2024-02-22','cyst , ','','no cyst. for IOO next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-15'),
(2671,2410,'2024-02-22','10th day of mense s','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2672,2193,'2024-02-22','post CS , for Thrombophilia study ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2673,2251,'2024-02-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2674,135,'2024-01-04','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2675,135,'2024-02-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-04'),
(2676,64,'2024-02-24','same ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-04'),
(2677,2438,'2024-02-24','same late menses ','','for ioo next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2678,2539,'2024-02-24','Heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2679,2526,'2024-02-24','','','single filiciles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2680,1414,'2024-02-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2681,2541,'2024-02-24','check IUD ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2682,1634,'2024-02-24','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2683,525,'2024-02-24','8 wks post delivery ','','for implanon ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2684,1149,'2024-02-24','Heavy Menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-12'),
(2685,2500,'2024-02-24','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2686,2026,'2024-02-24','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-06'),
(2687,1285,'2024-02-24','Irregular Menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2688,582,'2024-02-24','bad smell ','','for speculum next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2689,2168,'2024-02-24','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2690,1406,'2024-02-25','3rd Of Menses ','','5 cm cyst simple ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-23'),
(2691,2544,'2024-02-25','check IUD ','','small Fibroid 2 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2692,818,'2024-02-25','back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2693,2545,'2024-02-25','irrequral meses ','','ASk for Fertility,, RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-05'),
(2694,1077,'2024-02-25','ON IUD 01.01.2024','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2695,276,'2024-02-25','on IUD .iching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2696,2254,'2024-02-26','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2697,2548,'2024-02-26','2ry infertility 2yrs ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-14'),
(2698,2550,'2024-02-26','blood in urine , came for US ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2699,2314,'1969-12-31','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2700,2314,'2024-02-26','late menses ..bhcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2701,1851,'2024-02-28','for Infertility ','','for IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-26'),
(2702,2555,'2024-02-28','for Infertility ','','rTC ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2703,19,'2024-02-28','nipple Abscess  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2704,207,'2024-02-28','for IUD insertion ','','IUD applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-23'),
(2705,2556,'2024-02-28','late mesnes,, to wait ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2706,2557,'2024-02-28','itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-17'),
(2707,595,'2024-02-28','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2708,2468,'2024-02-28','11th Day Of Mesnes ','','good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2709,2558,'2024-02-28','2nd day ,, for fertility ','','5cm right cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-27'),
(2710,197,'2024-02-28','','','IUD well???',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2711,1849,'2024-02-28','post intercource bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2712,2519,'2024-02-28','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2713,2295,'2024-02-29','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-28'),
(2714,1427,'2024-02-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-03'),
(2715,2431,'2024-02-29','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-04'),
(2716,2562,'2024-02-29','ask for fertiltity ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-27'),
(2717,1238,'2024-02-29','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2718,2566,'2024-02-29','check iud','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2719,1010,'2024-02-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-27'),
(2720,2567,'2024-03-01','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-27'),
(2721,2568,'2024-03-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2722,1030,'2024-03-02','check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2723,1107,'2024-03-02','spotting , UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-08'),
(2724,2404,'2024-03-02','11th day of menses ','','for Intercourse',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2725,1381,'2024-03-02','no mense ','','wait one wk',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-29'),
(2726,269,'2024-03-02','Irregular menses post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2727,2571,'2024-03-02','check Fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-16'),
(2728,2572,'2024-03-02','honey moon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2729,1148,'2024-03-02','beast feed .. ','','Irregular menses  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2730,2575,'2024-03-03','UTI . discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-26'),
(2731,1385,'2024-03-03','no menses after abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2732,1406,'2024-03-03','10th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2733,632,'2024-03-03','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2734,632,'2024-03-03','late menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2735,2577,'2024-03-03','for Fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-08'),
(2736,209,'2024-03-03','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-15'),
(2737,1957,'2024-03-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2738,2218,'2024-03-04','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2739,2545,'2024-03-04','same Complain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2740,1633,'2024-03-04','3rd day  menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-02'),
(2741,2152,'2024-03-04','check up','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2742,753,'2024-03-04','2nd day of menses ','','Start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-03'),
(2743,753,'2024-03-04','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2744,2220,'2024-03-06','','','low AMH 0.16..advce for IVF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2745,870,'2024-03-06','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-18'),
(2746,974,'2024-03-06','11th day of menses ','','for Infertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-25'),
(2747,2590,'2024-03-06','3rd of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-04'),
(2748,2099,'2024-03-06','Smeinial analysis :two sperm !!!!','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-20'),
(2749,1069,'2024-03-06','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-29'),
(2750,668,'2024-03-06','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2751,2438,'2024-03-06','3rd day of menses ','','for IOO ,, then Seminal analysis and Hormonal ANd HCG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-04'),
(2752,1001,'2024-03-06','implanon form hebron ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2753,2594,'2024-03-07','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-01'),
(2754,2314,'2024-03-07','2nd of menses ','','FOR IOO , if failued for lab and seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-06'),
(2755,2562,'2024-03-07','10th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2756,2447,'2024-03-07','7th day of menses ','','RTC sat for ovulation observation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-01'),
(2757,2602,'2024-03-07','PCO\"S ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2758,2603,'2024-03-07','was on IUD  ,seen by wajeh , said there is sac IUD removed, but sac still ','','looks like polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-16'),
(2759,2606,'2024-03-09','Menopause ,, abnormal discharge .spotting','','thick Endometrium 15 mm  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2760,2606,'2024-03-09','','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 60-year-old, P3ïƒ¨ NVD.  Menopause since 6 yes\nComplains form post menopaused bleeding \nOn Exam \nUS scan thick endometrium 12 mm   \nAdvice Strongly for endometrial sampling \n\n                      for your kind care \n\n\n09.03.2024\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2761,2605,'2024-03-09','Discahreg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2762,2607,'2024-03-09','11th day of menses ','','for requral intercoutce .if falied to bring husband reports ,, varicoce done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-27'),
(2763,2610,'2024-03-09','on IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2764,2609,'2024-03-09','implanon removed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2765,2558,'2024-03-09','12th day of menses ','','good ovulatitis , sever certivits , for cuatry next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2766,2558,'2024-03-09','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2767,1849,'2024-03-09','4th day of menses ','','to do seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-06'),
(2768,2447,'2024-03-09','','','good  Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2769,2253,'2024-03-09','','','for IUI ,, and then IVF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-17'),
(2770,2612,'2024-03-09','irrqural menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-02'),
(2771,2613,'2024-03-09','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2772,2614,'2024-03-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-28'),
(2773,771,'2024-03-09','breast feed ,, UTI ,, Given IV ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2774,699,'2024-03-09','uti ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2775,608,'2024-03-09','Discharge, Itching  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2776,2618,'2024-03-10','1st day of menses , for Infertility ','','for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-10'),
(2777,2096,'2024-03-10','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2778,2619,'2024-03-10','check Fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-21'),
(2779,2168,'2024-03-10','No Menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2780,765,'2024-03-10','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-01'),
(2781,1229,'2024-03-11','2nd day of menses ','','Thrombophilia  not done . to do before pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-11'),
(2782,1486,'2024-03-13','4 th day ','','high Prolactin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-10'),
(2783,2500,'2024-03-13','1st day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-13'),
(2784,1664,'2024-03-13','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2785,2625,'2024-03-13','on JADELLE ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2786,85,'2024-03-13','4th Day Of Menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-10'),
(2787,1385,'2024-03-13','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-12'),
(2788,2407,'2024-03-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-21'),
(2789,1252,'2024-03-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2790,438,'2024-03-13','2rd day of menses . for fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-12'),
(2791,735,'2024-03-13','20days menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2792,1030,'2024-03-13','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2793,2410,'2024-03-13','1st day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-13'),
(2794,2606,'2024-03-16','','','E&C Done ,HPE  polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2795,2466,'2024-03-16','4th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-13'),
(2796,1143,'2024-03-16','prolonged menses ','','for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-11'),
(2797,1208,'2024-03-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-09'),
(2798,2628,'2024-03-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-22'),
(2799,2629,'2024-03-16','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2800,2495,'2024-03-16','weak Positive ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2801,2468,'2024-03-16','3rd  Day Of Mesnes ','','4 cm right cyst , no IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-14'),
(2802,2630,'2024-03-16','lower back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-26'),
(2803,207,'2024-03-16','follow up and UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2804,771,'2024-03-16','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2805,363,'2024-03-16','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2806,1633,'2024-03-16','','','ovartile given ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2807,1633,'2024-03-12','Ovulation day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2808,753,'2024-03-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2809,1632,'2024-03-16','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2810,761,'2024-03-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-16'),
(2811,2193,'2024-03-16','spotting since 6 wks ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2812,558,'2024-03-16','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-20'),
(2813,2548,'2024-03-18','3rd of Infertility ','','polyp ??? ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-16'),
(2814,1208,'2024-03-18','check ovulatiion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2815,1699,'2024-03-18','prolonged menses (12 days ) ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-07'),
(2816,2636,'2024-03-18','IUD infected ','','for removal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2817,2254,'2024-03-18','2nd day of menses ','','for labs then HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-17'),
(2818,2184,'2024-03-20','10th day of menses, for fertility ','','RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-11'),
(2819,2183,'2024-03-20','irrequral menses , on IUD since 2020','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2820,2572,'2024-03-20','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2821,1270,'2024-03-20','last Delivery 3 months . on Cerazette , Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2822,1486,'2024-03-20','','','Prolactin Today 2.63... good Ovulation  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2823,2618,'2024-03-20','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2824,1385,'2024-03-20','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2825,1229,'2024-03-20','10th day of menses ','','Thrombophilia free .. good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2826,84,'2024-03-20','late menses ','','RTC next Cycle for Infertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-05'),
(2827,86,'2024-03-20','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-08'),
(2828,505,'2024-03-20','Bhcg neg','','dont want premanour to Continue ramadan ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-29'),
(2829,45,'2024-03-20','9th day ','','RTC sat ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-12'),
(2830,2589,'2024-03-22','lower abdominal pain ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 23-year-old, Single lady   presented complains form lower abdominal pain referred to back, with vomiting for two days. \n\nOn exam\n** she on analgesia since yesterday  \nLeft iliac Tenderness, no rebound \nUS: normal size uterus, left ovary septate cyst 5.1*6 cm, right adnexa free  \n\nImpression: ovarian torsion could not role out. \n\nAdvice for diagnostic laparoscopy   as soon as possible \n                      for your kind care \n\n22.03.2024\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-22'),
(2831,2099,'2024-03-23','4th day of menses ','','low amh ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-20'),
(2832,2221,'2024-03-23','post CS wound infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2833,2500,'2024-03-23','10th day ','','RTC monday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2834,2641,'2024-03-23','lower abdominal pain','','to do LVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-13'),
(2835,2184,'2024-03-23','check ovulation ','','26 mm ,,, for requral intercoutce ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2836,2415,'2024-03-23','spotting ','','for Thrombophilia study ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-21'),
(2837,1600,'2024-03-23','breast nipple ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2838,2644,'2024-03-23','Discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-26'),
(2839,2416,'2024-03-23','post 2nd Trimester abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2840,45,'2024-03-23','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2841,2410,'2024-03-23','10th day of menses ','','RTC monday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2842,2468,'2024-03-23','10th day of menses ','','well , no cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2843,1408,'2024-03-23','post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2844,211,'2024-03-23','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2845,2647,'2024-03-24','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-10'),
(2846,2648,'2024-03-24','PCO\'S ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-17'),
(2847,2649,'2024-03-25','heavy menses with itching ','','Broken pelvic repair ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-21'),
(2848,2650,'2024-03-25','renoved ','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-20'),
(2849,2404,'2024-03-25','2nd day of menses ','','for labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-24'),
(2850,2651,'2024-03-25','late menses ..given duphastone by nadin ?','','Positive pregnancy test ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-15'),
(2851,2527,'2024-03-25','spotting ','','continue on TTT',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-22'),
(2852,597,'2024-03-25','Prolonged Menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-09'),
(2853,2500,'2024-03-25','','','Good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2854,2254,'2024-03-25','10 th days of menses ','','good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2855,2634,'2024-03-25','post abortion ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2856,2410,'2024-03-25','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2857,1620,'2024-03-25','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2858,2431,'2024-03-27','Lower Abdominal Pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2859,2655,'2024-03-27','post abortion ','','2cm RPOC ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2860,788,'2024-03-27','post abortion ','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-09'),
(2861,2659,'2024-03-27','4th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-24'),
(2862,2577,'2024-03-27','1st day of menses ','','follow up ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-27'),
(2863,632,'2024-03-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2864,558,'2024-03-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2865,2662,'2024-03-27','Discharge ,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-09'),
(2866,345,'2024-03-27','3 weeks post CS , wound infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2867,1558,'2024-03-27','3rd day of mesnes ','','start on IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-25'),
(2868,2664,'2024-03-27','was pregnant given cytotec by ilaram , ','','today good ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2869,2665,'2024-03-27','','','right Hemorrhagic Cyst 4  cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-25'),
(2870,525,'2024-03-27','bhcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2871,58,'2024-03-27','1st day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-28'),
(2872,579,'2024-03-27','','','cyst 5 cm .. UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2873,2346,'2024-03-30','3rd day of menses ','','ask for male , to start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-28'),
(2874,2607,'2024-03-30','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-27'),
(2875,269,'2024-03-30','2nd menses in this month ','','cyst ???! ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-28'),
(2876,1385,'2024-03-30','check up','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2877,2667,'2024-03-30','late menses ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2878,2668,'2024-03-30','','','big fibriod ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2879,1304,'2024-03-30','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-24'),
(2880,2669,'2024-03-30','','','sever PCOS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-05'),
(2881,2636,'2024-03-30','prolonged menses ','','IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-21'),
(2882,413,'2024-03-30','menorrhghia ','','post  cyst ,, rupture ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-07'),
(2883,753,'2024-03-30','','','multiple Follicles of ovaries ???!!!!!',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2884,345,'2024-03-30','dressing done','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2885,86,'2024-03-30','','','UTI Improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2886,2164,'2024-03-30','3 months post abortion . 2nd day of menses ','','for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-29'),
(2887,894,'2024-03-30','post NVD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2888,1006,'2024-04-01','discharge , lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-06'),
(2889,2674,'2024-04-01','itching ','','to bring her drugs before ttt',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-31'),
(2890,168,'2024-04-01','Discharge , UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-01'),
(2891,345,'2024-04-01','Dressing Done','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2892,2675,'2024-04-01','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2893,1995,'2024-04-01','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-12'),
(2894,558,'2024-04-01','','','TVS pCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2895,2500,'2024-04-03','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2896,753,'2024-04-03','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-02'),
(2897,2680,'2024-04-03','for implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-22'),
(2898,2681,'2024-04-03','4th day of menses','','3d TVS normal  by loai ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-31'),
(2899,2644,'2024-04-03','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2900,2674,'2024-04-03','mirrina appled ','','sever ugly lesion on Vulva for report for bX ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2901,1558,'2024-04-03','10 th ','','good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2902,1796,'2024-04-03','itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-27'),
(2903,597,'2024-04-03','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2904,2686,'2024-04-03','pain , discharge ','','POC\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-25'),
(2905,165,'2024-04-04','lower pain ','','infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2906,2418,'2024-04-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2907,2346,'2024-04-06','10th day of menses ','','small Follicle\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2908,2655,'2024-04-06','','','still ???1.5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2909,269,'2024-04-06','follow up cyst ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2910,2576,'2024-04-06','3rd day of menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-04'),
(2911,1427,'2024-04-06','3rd day of menses ','','start IOO , to bring Report , new seminal Analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-04'),
(2912,2688,'2024-04-06','discharge , abnormal discharge ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-14'),
(2913,2660,'2024-04-06','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2914,2569,'2024-04-06','menses ,,, ','','still seen RPOC \'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-06'),
(2915,1777,'2024-04-06','spotting since delivery 16.01','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2916,2164,'2024-04-06','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2917,579,'2024-04-06','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2918,2618,'2024-04-06','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2919,1107,'2024-04-06','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-05'),
(2920,2659,'2024-04-06','13 th ','','post ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2921,1514,'2024-04-06','breast pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2922,1632,'2024-04-06','late menses ','','rtc after 10 days , not exam ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-01'),
(2923,58,'2024-04-06','10th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2924,2691,'2024-04-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2925,2691,'2024-04-07','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2926,2295,'2024-04-07','late menses ','','rtc next wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2927,2665,'2024-04-08','','','still cyst rtc next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2928,2346,'2024-04-08','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2929,2694,'2024-04-08','last menses , one yrs ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2930,2618,'2024-04-09','1st day of menses ','','for Hycosy (لم يحضر عى الموعد )',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-09'),
(2931,2695,'2024-04-09','','','Medical Report\nتقرير طبي\nThe above-mentioned lady 41 year, presented complain from lower abdominal pain associated with nausea since morning,\nOn analgesia since morning .\n On exam looks in pain \nAbdominal exam: tender over right fossa\nUS normal uterus, right adnexa mass 8*10 cm, cystic.\nNeed diagnostic  laparoscopy to role out ovarian torsion \n   \nThanks \n09.04.2024\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-01'),
(2932,975,'2024-04-13','late menses ,,, spotting ','','to start on celein ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-17'),
(2933,2696,'2024-04-13','late menses ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-20'),
(2934,2698,'2024-04-13','','','IUD in situ , Infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-05'),
(2935,2681,'2024-04-13','14th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2936,2699,'2024-04-13','3rd of menses,, check up ','','The above-mentioned lady, 35-year-old, P6ïƒ¨ NVD.  \nPresented today for Check up    \nUS: Normal size uterus, both adnexa free \nGiven this report upon her request \n\n                      for your kind care \n\n\n13.04.2024\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-13'),
(2937,2418,'2024-04-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2938,2700,'2024-04-13','Menopause since 8 yrs, hot  flash','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2939,2701,'2024-04-13','cystitis ','','RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-29'),
(2940,1202,'2024-04-13','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2941,103,'2024-04-13','discharge ','','IUD Removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-23'),
(2942,1486,'2024-04-13','4th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-10'),
(2943,1427,'2024-04-13','10 th day of menses ','','HSG to be Repeated ,, good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2944,2124,'2024-04-13','complete abortion ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2945,2694,'2024-04-13','','','thick Endometrium .. for E&C next month ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2946,2705,'2024-04-13','','','good ovulation , ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-26'),
(2947,1995,'2024-04-13','remove stich after BTL by Haliqa ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-09'),
(2948,213,'2024-04-13','post abortion >>!','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-04'),
(2949,1132,'2024-04-13','14th days ','','check up fertility ..her husband did Varicocele ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-31'),
(2950,1132,'2024-04-13','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2951,382,'2024-04-13','','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-10'),
(2952,1107,'2024-04-14','UTI after intercource ','','to do culture ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2953,2577,'2024-04-14','','','follow up time of intrecource ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-27'),
(2954,2295,'2024-04-14','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2955,2714,'2024-04-14','2nd day .. Infertility ','','to start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-13'),
(2956,1385,'2024-04-14','2nd day of menses ','','to start IOL ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-11'),
(2957,2119,'2024-04-14','bleeding ','','for hexacabron , and RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2958,2718,'2024-04-14','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2959,2715,'2024-04-14','male asospemina 1 million ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-07'),
(2960,1972,'2024-04-14','','','HVS swab taken (ecoli)',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2961,2221,'2024-04-14','for contraceptive ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2962,1632,'2024-04-14','','','PCO\'S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-15'),
(2963,775,'2024-04-14','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2964,1667,'2024-04-15','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2965,2587,'2024-04-15','post abortion check up ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-08'),
(2966,1141,'2024-04-15','check cyst ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-08'),
(2967,1633,'2024-04-15','ANC ','','titer 90  now 21 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(2968,2669,'2024-04-17','late menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2969,2727,'2024-04-17','ask for fertility ','','RTC next month with seminal analysis and to start on Celine',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-21'),
(2970,2119,'2024-04-17','follow up ','','bulky uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2971,2526,'2024-04-17','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2972,386,'2024-04-18','as thaer said , there is mass ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-11'),
(2973,1406,'2024-04-18','','','5 Cm Cyst Simple ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-16'),
(2974,2500,'2024-04-18','5th day of menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-14'),
(2975,2731,'2024-04-19','Infertility  ,after applied of IUD , for 1 yr','','thick Endometrium . ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-23'),
(2976,1175,'2024-04-20','4th day of menses ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 35 -year-old, G6P5+1ïƒ¨ 2nd trimester abortion at 21 wks .\nAdvice for thrombophilia study due to   2nd trimester abortion \n\n\nThanks \n  \n\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-17'),
(2977,1229,'2024-04-20','10th Day Of Menses ','','to increased IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-10'),
(2978,107,'2024-04-20','post abortion ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2979,1486,'2024-04-20','10 Th Day Of Menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2980,2665,'2024-04-20','2nd day of mense ','','well',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-19'),
(2981,1182,'2024-04-20','lower back pain','','small cyst',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2982,2735,'2024-04-20','abnormal seminal analysis ','','to Repeat seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-23'),
(2983,247,'2024-04-20','5th day of menses ','','start IOO , and celin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-16'),
(2984,2736,'2024-04-20','UTI ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 66-year-old, P9ïƒ¨ last delivery 24 yrs .  \nPresented Today complain form lower abdominal pain   .\nOn exam \nUS: bulky uterus , with multiple fibroid seen ??, adnexa free \n\nAdvice to do pelvic CT for further investigation  \n \n                      for your kind care \n\n\n20.04.2024\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2985,2737,'2024-04-20','11th of menses , ioo Started by hania masry ','','small , RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-10'),
(2986,2738,'2024-04-20','Infertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-07'),
(2987,2655,'2024-04-20','','','still for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2988,2739,'2024-04-20','Abdominal blotting ','','IBS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-11'),
(2989,2740,'2024-04-20','fibriod ,,, ??? ','','8...282',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-11'),
(2990,591,'2024-04-20','lower adominal pain, Renal Stone ?!','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2991,2602,'2024-04-20','','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-15'),
(2992,2603,'2024-04-20','lower back pain ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-08'),
(2993,579,'2024-04-20','lower left pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2994,753,'2024-04-20','20 day of menses ','','OHSS !!!!',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2995,1567,'2024-04-21','5th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-17'),
(2996,938,'2024-04-21','Postnatal visit ... IUD @11.03.2024','','IUD in Situ , right cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2997,2741,'2024-04-21','irrequral menses ,since 2 months ,was Q 6 months ','','PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2998,527,'2024-04-21','Discharge . sever itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(2999,135,'2024-04-22','spotting , multiple cyst on US ','','To Do 21 Day Progesterone ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-11'),
(3000,2572,'2024-04-22','breast mass ','','for US ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3001,2737,'2024-04-22','poor response ','','Small , RTC After 2 Days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3002,2744,'2024-04-22','fair of recurrent of Hx Of Acrania  . 10th day of menses ','','good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3003,1385,'2024-04-22','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3004,2669,'2024-04-22','3rd day of Menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-20'),
(3005,979,'2024-04-22','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-22'),
(3006,2404,'2024-04-23','2nd Day Of Menses ','','strat IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-23'),
(3007,2404,'2024-04-23','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3008,2747,'2024-04-24','on IUD since 7 yrs ','','pap smear taken .. Dermoid Cyst seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-10'),
(3009,58,'2024-04-24','1st day','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-24'),
(3010,135,'2024-04-24','follow up','','simple cyst 27 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3011,2749,'2024-04-24','to bring report ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-23'),
(3012,93,'2024-04-24','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3013,2519,'2024-04-24','no compliant on drugs ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-09'),
(3014,2751,'2024-04-24','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-06'),
(3015,2750,'2024-04-24','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3016,2753,'2024-04-27','vaginal prolapse since 2 yrs,, urine symptoms ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-05'),
(3017,2754,'2024-04-27','back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3018,247,'2024-04-27','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3019,2674,'2024-04-27','spotting ','','Reassurance ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3020,2755,'2024-04-27','17th day of menses ','','for Ovulation test then HSG ...Progesterone 30',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-11'),
(3021,1022,'2024-04-27','spotting ','','change POP ,, for OCP\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-13'),
(3022,2756,'2024-04-27','for IUD ','','IUD applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-21'),
(3023,2577,'2024-04-27','3rd day of menses ','','start IOO then HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-25'),
(3024,1987,'2024-04-27','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-12'),
(3025,808,'2024-04-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3026,1132,'2024-04-27','2nd menses ','','start IOO . then for labs and hsg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-26'),
(3027,2757,'2024-04-27','1st day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-27'),
(3028,2738,'2024-04-27','no menses ','','RTC 2nd day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3029,2697,'2024-04-27','5th day of menses ','','fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-23'),
(3030,802,'2024-04-28','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-15'),
(3031,2669,'2024-04-29','10th day of menses','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3032,2612,'2024-04-29','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-23'),
(3033,2558,'2024-04-29','','','good signs of ovulation , delay cuatary ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3034,2761,'2024-04-29','obses , 16 th day of menses ','','for weight reduction ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-14'),
(3035,1414,'2024-04-29','5th of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-25'),
(3036,1807,'2024-04-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-07'),
(3037,2758,'2024-04-30','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3038,2766,'2024-04-30','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3039,135,'2024-05-01','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3040,2686,'2024-05-01','fungal infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-24'),
(3041,2124,'2024-05-01','1st day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-01'),
(3042,2771,'2024-05-02','two menses in one month, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-01'),
(3043,2772,'2024-05-02','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-30'),
(3044,2697,'2024-05-02','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3045,2773,'2024-05-02','Honeymoon cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3046,1558,'2024-05-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3047,96,'2024-05-02','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3048,2462,'2024-05-02','وجيه اعطاها دوا للدورة وبالوليÙ ','','rtc next cycle , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-26'),
(3049,2749,'2024-05-02','10th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3050,2698,'2024-05-03','check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3051,2431,'2024-05-03','vomiting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3052,2775,'2024-05-04','check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-05'),
(3053,2767,'2024-05-04','kidney Cyst ','','offical US ,, right Kidney Cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3054,2558,'2024-05-04','','','cutary done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3055,220,'2024-05-04','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3056,2777,'2024-05-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-03'),
(3057,2749,'2024-05-04','check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3058,2602,'2024-05-04','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-02'),
(3059,2781,'2024-05-04','pco\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3060,58,'2024-05-04','10th Day ','','Good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3061,2782,'2024-05-05','3 menses in one month ','','had IVF Appointment ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-03'),
(3062,2486,'2024-05-05','IUD removed ','','want OCP\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3063,2152,'2024-05-05','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-25'),
(3064,2735,'2024-05-05','normal seminal analysis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-23'),
(3065,1132,'2024-05-05','10th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3066,1414,'2024-05-05','10th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3067,78,'2024-05-05','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3068,78,'2024-05-05','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-30'),
(3069,2785,'2024-05-06','infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-19'),
(3070,328,'2024-05-06','prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3071,2688,'2024-05-06','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3072,2618,'2024-05-06','2nd day of menses ','','heavy menses ( اعطاء موعد جديد ( ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-05'),
(3073,2732,'2024-05-06','lower Abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-15'),
(3074,1064,'2024-05-08','3rd day of menses ','','for IUI next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-06'),
(3075,1414,'2024-05-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3076,170,'2024-05-08','for IUD ','','IUD insertion ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-02'),
(3077,172,'2024-05-08','11th day of menses ','','(started IOO by Dr Ismail ) good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-28'),
(3078,2790,'2024-05-08','','','titer 886 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-20'),
(3079,2738,'2024-05-08','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-05'),
(3080,2148,'2024-05-08','lower pain','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3081,1807,'2024-05-08','2nd day ','','start ioo ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-07'),
(3082,689,'2024-05-09','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3083,2028,'2024-05-09','2nd Day Of Menses ','','for iui ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-08'),
(3084,2772,'2024-05-09','10th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3085,2618,'2024-05-09','HSG normal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3086,2027,'2024-05-09','start IOO','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-07'),
(3087,2755,'2024-05-09','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-07'),
(3088,914,'2024-05-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3089,2633,'2024-05-09','post partum fever ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3090,2750,'2024-05-09','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3091,2790,'2024-05-11','','','titer 120 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3092,2558,'2024-05-11','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3093,2124,'2024-05-11','11th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3094,2680,'2024-05-11','','','implanon in situ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3095,103,'2024-05-11','postconital bleeding ','','on yaz ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-15'),
(3096,2793,'2024-05-11','for IUI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-09'),
(3097,761,'2024-05-11','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-15'),
(3098,2602,'2024-05-11','10th day of menses ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3099,2091,'2024-05-11','','','bhcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-03'),
(3100,1582,'2024-05-11','well ,menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3101,2747,'2024-05-12','','','The Above-Mentioned Lady, 43-Year-Old,P6+0ïƒ¨ last delivery 9 yrs ago \nUltrasound exam: show 5 cm echogenic mass on right adexa mostly Dermoid Cyst \nNeed laparoscopic Cystectomy \nThis Report Given Upon Patient Request.\n  \n24.04.2024\n\n\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3102,1427,'2024-05-12','','','HSG normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-04'),
(3103,2718,'2024-05-12','post abortion ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3104,650,'2024-05-12','no menses since delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3105,2798,'2024-05-12','lower abdominal pain ,UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-28'),
(3106,2799,'2024-05-12','ANC ','','Small sac ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-12'),
(3107,2800,'2024-05-13','flank pain ','','UTI',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-08'),
(3108,1758,'2024-05-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-30'),
(3109,2802,'2024-05-13','stop mesnes for halj','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3110,2740,'2024-05-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3111,2732,'2024-05-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3112,2800,'2024-05-14','','','same size of ovary , left torsion ?? ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3113,1064,'2024-05-14','10 th day of mesnes ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3114,1851,'2024-05-15','for IOO ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-12'),
(3115,1106,'2024-05-15','2nd day of menses ','','2ry infertility .. for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-14'),
(3116,2805,'2024-05-15','infertiltiy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3117,2806,'2024-05-15','postcoital bleeding ','','menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-26'),
(3118,655,'2024-05-15','discharge , itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-30'),
(3119,2738,'2024-05-15','11th ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3120,2807,'2024-05-15','Irregular menses (UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3121,247,'2024-05-15','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3122,2618,'2024-05-15','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3123,2735,'2024-05-15','2nd day of menses ','','to Finish 2 month of ttt, then for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-14'),
(3124,1632,'2024-05-15','check ','','improved on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-08'),
(3125,2351,'2024-05-15','still in pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3126,2351,'2024-05-15','cyst 8*7','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3127,2602,'2024-05-15','','','good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3128,2027,'2024-05-16','10 th day of menses ','','for prygynl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3129,1427,'2024-05-16','good Ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3130,2755,'2024-05-16','10th  Day Of Menses ','','good ovulation ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3131,2804,'2024-05-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3132,1807,'2024-05-16','10th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3133,2715,'2024-05-17','9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-10'),
(3134,2812,'2024-05-17','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-16'),
(3135,2028,'2024-05-18','11 th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3136,2813,'2024-05-18','discharge , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-10'),
(3137,2814,'2024-05-18','ask for fertility ','','RTC next menses , for male protocol ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-06'),
(3138,23,'2024-05-18','Intermenstrual spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-01'),
(3139,2793,'2024-05-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3140,1846,'2024-05-18','18 days post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3141,2815,'2024-05-18','9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-10'),
(3142,2738,'2024-05-18','14 th day','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3143,2816,'2024-05-18','lower abdominal pain ','','sever reverted uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-30'),
(3144,650,'2024-05-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3145,1638,'2024-05-18','for IUI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3146,1485,'2024-05-18','lower pain ,during voiding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3147,669,'2024-05-18','8 month on IUD , no menses , postcoital bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3148,1627,'2024-05-19','post IVF at 2.2024 Failed ','','for celine ,,, for three months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-08'),
(3149,558,'2024-05-19','06.05.2024','','start OCP\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-30'),
(3150,2819,'2024-05-19','lower flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3151,2822,'2024-05-20','seek Fertility .. 2nd day of menses ','','for IOO next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-19'),
(3152,2815,'2024-05-20','11th day of menses ','','PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3153,1999,'2024-05-20','for IUI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3154,164,'2024-05-20','Irregular  menses','','start IOO next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3155,1106,'2024-05-22','10th day of menses ','','',0,1,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3156,2823,'2024-05-22','3rd day of menses ','','for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-20'),
(3157,2824,'2024-05-22','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-20'),
(3158,2826,'2024-05-22','Irregular Menses ,, on yaz plus  ','',' ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-21'),
(3159,2674,'2024-05-22','Spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3160,1999,'2024-05-22','IUI done ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3161,2772,'2024-05-22','check Pregnancy ','','Negative Bhcg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3162,1670,'2024-05-22','3 months post delivery still spotting ','','BHCG nega... hperechoic shadow in uterus ..',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3163,2612,'2024-05-22','2nd day of menses for Infertility ','','start IOO , RTC day 10 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-21'),
(3164,2827,'2024-05-22','For IUD removal','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-17'),
(3165,1994,'2024-05-22','','','weak Positive ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3166,2697,'2024-05-23','start IOO ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-22'),
(3167,760,'2024-05-23','','','small cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-20'),
(3168,1132,'2024-05-23','2nd Menses ','','Start IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-22'),
(3169,975,'2024-05-23','late menese ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3170,225,'2024-05-23','discharge ..IUD removed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3171,2754,'2024-05-25','well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3172,2832,'2024-05-25','the previous one 25.03.2024','','PCO\"S .. then for fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-24'),
(3173,2831,'2024-05-25','cough','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3174,2812,'2024-05-25','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3175,1684,'2024-05-25','For IUD ','','IUD applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-18'),
(3176,2669,'2024-05-25','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3177,2254,'2024-05-25','low sperm ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-13'),
(3178,2462,'2024-05-25','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3179,1960,'2024-05-26','irregular Menses','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-20'),
(3180,448,'2024-05-26','late menses ,, Bhcg neg ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-24'),
(3181,2836,'2024-05-26','as for fertility ','','to do Follicular count يرجى التواصل معي ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-26'),
(3182,2577,'2024-05-26','3rd Day Of Menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-24'),
(3183,2827,'2024-05-26','10th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3184,2837,'2024-05-27','honeymoon cystitis ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-13'),
(3185,2618,'2024-05-27','menses pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-26'),
(3186,2839,'2024-05-27','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-03-27'),
(3187,2840,'2024-05-27','Discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-13'),
(3188,2824,'2024-05-29','11 th DAY ','','increase dose of ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3189,1289,'2024-05-29','prolonged menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3190,2800,'2024-05-29','7day post menses , follow up ','','PID Regimen ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-22'),
(3191,2823,'2024-05-29','10th day of menses ','','check ovulation after 3 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3192,2842,'2024-05-29','3rd day of mesnes ','','start IOO , RTC at day 10',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-27'),
(3193,2558,'2024-05-29','','','Cutary Done ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-13'),
(3194,247,'2024-05-29','Spotting ','','ovulation ?!',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-16'),
(3195,2241,'2024-05-29','for IUD ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3196,2827,'2024-05-29','','','good Ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3197,2835,'2024-05-30','2nd day of menses  .. inf','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-30'),
(3198,172,'2024-05-30','4TH day of mensis ','','START IOO',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-27'),
(3199,1132,'2024-05-30','10 th mensis ','','Follicles size  14 mm To rTC  after 2 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-22'),
(3200,2755,'2024-05-30','2 WKS after ovlulation ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3201,2462,'2024-05-30','3th  day mensis ','','staet too',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-28'),
(3202,2462,'2024-05-30','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3203,2697,'2024-05-30','9th ','','f',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3204,2840,'2024-05-30','SAME complain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3205,2799,'2024-05-30','minimal vaginal bleeding ','','never IUGS seen previously , Patient B-HCG done  was 19  then repeated 109 one week ago  repeated  was 102  then received Cytotec by doctor  ekram ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-12'),
(3206,842,'2024-05-31','unsure LMP . Asymptomatic ','','Thick endometrium  , no IUGS seen ,both adnexa free , no free fluid in POD  \n ,today  B-HCG titer  :462  to rTC 7-10 days for U/S  if still not complaining \n',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3207,2773,'2024-06-01','Missed period ,no pain,no bleeding , whitish vaginal discharge ','',' B-HCG titer on 1/6 : 24 ,  repeat titer after 48 hours on3/6 : 43    ,  rTC  After 10 days with good Instruction  \n Nystazole ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3208,2823,'2024-06-01','12th day of mensis ','','\nTwo  Follicles  > 18 mm ,one of them 25 mm  \n',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3209,2527,'2024-06-02','','','continue on TT   and restart yaz and follow up after one month',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3210,1972,'2024-06-02','PID  .pateint refused speculum','',' vivaxin and flagyle for 14 days , DOXAL for husband , consider to remove IUD ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3211,394,'2024-06-02','UTI ','','to do  urine culture 2 wks  after finish ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3212,2814,'2024-06-05','for male  protocol ','','instruction Given  and soda ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-05'),
(3213,1107,'2024-06-05','for check up , and seeking IOO ','','AS  Follow 10th Day Mensis  At Time Of Eid Adha .instruction given for regular intercourse , and RTC day 2 next cycle for IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-04'),
(3214,2772,'2024-06-05','10th day of  mesis ','','for check up , us : two Follicle one of them  26 mm  for To start  regular intercourse ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(3215,172,'2024-06-06','10 th menses ','','Follicle `18 mm Patient refused pregnyle , instructin given ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(3216,2462,'2024-06-06','10THS ','','Small Follicle <10 mm , for IOO next cycle ,rTC next cycle ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(3217,842,'2024-06-07','Unsure LMP . Asymptomatic ','','iUGS seen  ~5 mm , no yolk sac or fetal knob seen , RTC after 2 weeks ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3218,1199,'2024-06-08',' Left Salpingectomy  Done One Month Ago  Due To Hydrosalpinx ,her husband semen showed  moderate viscosity now on  at acetylsalicylic acid  ,patient  Received Luterazol  For 5 Days , Today 12th Mensis For Ovulation Follow Up','','\n Right ovarian follicle  20 mm  , for Pregnyl and good instruction given  \n',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(3219,1664,'2024-06-08','Irregular mensis ( had mensiss in jun,fib ,march and april ) Received yaz and premnor  ','','reassured ,rTC after 3 months ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-04'),
(3220,979,'2024-06-08','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3221,164,'2024-06-08','irregular mensis  ','','to do B-HCG , cBC and Management accordingly ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3222,2857,'2024-06-08','seeking fertility ','','for husband semen analysis if normal consider IOO next cycle ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-01-06'),
(3223,2773,'2024-06-08','vaginal Spotting ','','U/S: no sac , both adnexa free ,  repeat titer after 48 hours  and  Management accordingly ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3224,2859,'2024-06-10','vaginal discharge with itching and dysuria ,history of secondary infertilty for 5 years  , no Dyspareunia ','','UTI , husband to do semen Analysis ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-06'),
(3225,2862,'2024-06-12','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(3226,2822,'2024-06-12','For IOO , no regular intercouse ','','u/s:simple Ovarian cyst~5 cm , fro revaluation next cycle , TO bring reprot of semen analysis   and consider IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-18'),
(3227,2815,'2024-06-13','regular every  one months today day 3 mensis ','','to continue on medication and rTC next cycle ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-11'),
(3228,1633,'2024-06-13','ANC ','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3229,2173,'2024-06-22','hypomenorrhea .. bhcg ','','pco\'s ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-22'),
(3230,2715,'2024-06-22','bad result ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-07'),
(3231,2793,'2024-06-22','for IUI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-09'),
(3232,1632,'2024-06-22','spotting ','','ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-08'),
(3233,2869,'2024-06-22','low IRON, heavy menses ','','for merina ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-07'),
(3234,2870,'2024-06-22','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-20'),
(3235,19,'2024-06-22','Irregular menses , wight loss ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3236,1930,'2024-06-23','mirria applied ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3237,2872,'2024-06-23','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3238,2873,'2024-06-23','late menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3239,2735,'2024-06-23','late menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3240,2874,'2024-06-23','Menorrhagia since 3 yrs ','','bulky uterus ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3241,715,'2024-06-23','infection ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3242,699,'2024-06-23','Prolonged Menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-14'),
(3243,2324,'2024-06-23','12th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-12'),
(3244,2877,'2024-06-24','flank pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-11'),
(3245,2800,'2024-06-24','same pain ','','mirena ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3246,1486,'2024-06-26','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3247,2879,'2024-06-26','','','check Cx , then for vitmins and ATBs ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3248,2882,'2024-06-26','lower Abdominal pain , ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-07'),
(3249,382,'2024-06-26','lower Abdominal pain ','','bhcg neg . late menses , free fluid in Abdomen ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3250,1018,'2024-06-26','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3251,1018,'2024-06-26','late menses ','','Thick Endometrium to Bhcg after 1 one wks ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-17'),
(3252,2180,'2024-06-26','heavy menses ','','8 cm cyst ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-25'),
(3253,591,'2024-06-26','UTI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-03'),
(3254,1485,'2024-06-26','same complain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3255,2885,'2024-06-26','Vaginosis ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-05'),
(3256,743,'2024-06-26','ask for Fertility ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-17'),
(3257,2887,'2024-06-27','ask for Fertility\'s ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-04'),
(3258,625,'2024-06-27','post delivery ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3259,2888,'2024-06-27','ask for Fertility ','','to do seminal analysis ..RTC next cycle ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-10'),
(3260,2889,'2024-06-27','spotting after nexplanon 1 yrs ','','empty uterus ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3261,2462,'2024-06-27','3rd day of menses ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-25'),
(3262,2840,'2024-06-27','lower abdominal pain , with Discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-11'),
(3263,2028,'2024-06-29','3rd day of menses ','','for IUI',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-27'),
(3264,2890,'2024-06-29','Prolonged menses after marragie ','','13.7..168...bhcg Negative ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-16'),
(3265,2572,'2024-06-29','late and small amount of menses ','','3.5 cm left cyst , RTC at day 10 day ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-28'),
(3266,1184,'2024-06-29','3rd day of menese ','','for IOO then HSG ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-27'),
(3267,2891,'2024-06-29','lower Abdominal pain ','','abdominal wall Endometrioma ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-16'),
(3268,2254,'2024-06-29','check Ovulation ','','poor !! ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-15'),
(3269,2862,'2024-06-29','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-15'),
(3270,2669,'2024-06-29','2 days menses , day 10th of menses ','','RTC two days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-19'),
(3271,2894,'2024-06-29','on IUD since 3 yrs ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-11'),
(3272,2180,'2024-06-29','','','no cyst ,,  improved ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3273,2577,'2024-06-29','thick Endometrium ','','bhcg neg ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3274,2571,'2024-06-29','13 day of menses ','','small Follicles ., RTC after 2 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-17'),
(3275,2749,'2024-06-29','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-24'),
(3276,189,'2024-06-30','UTI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-14'),
(3277,2896,'2024-06-30','for OCP\'s ','','implanon Applied ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-23'),
(3278,2897,'2024-06-30','check up ','','left simple cyst ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3279,2735,'2024-06-30','no menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3280,2874,'2024-06-30','improved , back pain','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3281,1998,'2024-06-30','post delivery ','','UTI ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3282,2428,'2024-06-30','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-20'),
(3283,2297,'2024-07-01','for Thrombophilia study ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-21'),
(3284,2030,'2024-07-01','post CS ','','2 Units of bloods ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3285,2567,'2024-07-01','late menses ','','left cyst for tumor marker ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-11'),
(3286,1551,'2024-07-01','heavy menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3287,1998,'2024-07-01','IUD applied ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3288,597,'2024-07-01','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-06'),
(3289,2571,'2024-07-01','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3290,622,'2024-07-01','post delivery ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3291,2304,'2024-07-01','late menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-02-29'),
(3292,2202,'2024-07-01','post CS one wk ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3293,2903,'2024-07-03','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-26'),
(3294,2906,'2024-07-03','heavy menses ','','check TVS ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-02'),
(3295,1383,'2024-07-03','on IUD ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-01'),
(3296,2652,'2024-07-03','Irregular menses after abortion ','','ask for male protocol ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-29'),
(3297,695,'2024-07-03','discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-01'),
(3298,2755,'2024-07-03','3rd day of menses ','','for hsg ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-01'),
(3299,1649,'2024-07-04','post CS ','','clots in Uterus ,RTC after 10 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3300,2910,'2024-07-04','UTI , ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-23'),
(3301,2462,'2024-07-04','10th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3302,2091,'2024-07-04','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3303,2431,'2024-07-05','late menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3304,1856,'2024-07-06','for Endometrial thickness ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3305,2028,'2024-07-06','10th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3306,269,'2024-07-06','multiple menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3307,2912,'2024-07-06','breast feed , no menses since delivery 9 moths ','','PCO\'s ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3308,2915,'2024-07-06','Inguinal Hernia ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3309,2462,'2024-07-06','','','for prgnyl ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3310,699,'2024-07-06','discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3311,2572,'2024-07-07','10th day ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3312,2917,'2024-07-07','menses 3 months ,,, FSH 107... LH 43','','POF ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3313,2918,'2024-07-07','late menses ','','lt cyst 3 cm looks Hemorrhagic ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-04'),
(3314,2636,'2024-07-07','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3315,2920,'2024-07-08','Q33 days , well ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-28'),
(3316,2921,'2024-07-08','2nd day of menses for infertility','','to do AMH ,Prolactin(normal )  .. Start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-07'),
(3317,2618,'2024-07-08','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-05'),
(3318,2527,'2024-07-08','little improved ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-04'),
(3319,2897,'2024-07-08','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3320,1786,'2024-07-08','post delivery hand spasm ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3321,2924,'2024-07-08','check merina ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3322,2500,'2024-07-08','Irregular menses  ','','BHCG neg ,,,, 11.3..150',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-25'),
(3323,2567,'2024-07-10','','','left Cyst 5 cm ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3324,760,'2024-07-10','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-03'),
(3325,2324,'2024-07-10','3rd daty ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-08'),
(3326,2928,'2024-07-10','6 month Amenorrhea ','','check CX ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3327,1972,'2024-07-10','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3328,2930,'2024-07-10','lower abdominal pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-15'),
(3329,2918,'2024-07-10','2nd day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-09'),
(3330,597,'2024-07-10','','','E&C done ,,, polyp ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3331,808,'2024-07-10','','','for Dx lap then IVF ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3332,2110,'2024-07-10','Multiple time menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3333,839,'2024-07-10','unprotecd sex after miss PCOS ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3334,19,'2024-07-10','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-29'),
(3335,2815,'2024-07-11','2nd day of menses ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-10'),
(3336,2773,'2024-07-11','aborted ','','950',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3337,206,'2024-07-11','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-25'),
(3338,2933,'2024-07-11','post abortion ','','empty uterus ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3339,1574,'2024-07-11','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-09'),
(3340,2931,'2024-07-11','Irregular menses , PCO\'s ','','start ttt for 3 months ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-08'),
(3341,1632,'2024-07-11','','','start ioo ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-10'),
(3342,2935,'2024-07-11','16 day of IVF cycle ','','for Vit D 100000',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-26'),
(3343,2577,'2024-07-11','3rd Day Of Menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-09'),
(3344,2890,'2024-07-12','new menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-12'),
(3345,2680,'2024-07-13','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3346,708,'2024-07-13','sever UTI ,,, ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-25'),
(3347,1998,'2024-07-13','pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3348,2044,'2024-07-13','IUD with multiple Menses ','','IUD in situ ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3349,2937,'2024-07-13','POC\'s ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-16'),
(3350,771,'2024-07-13','UTI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-13'),
(3351,1414,'2024-07-13','to start cycle of IUI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3352,1337,'2024-07-14','post CS follow up ','','wound infected ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3353,1383,'2024-07-14','','','9.9...376...bhcg neg ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3354,2923,'2024-07-14','multiple menses ','','bulky uterus ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3355,138,'2024-07-14','check IUD ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3356,2822,'2024-07-14','to do sminal analysis , then HSG ','','still cyst ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-14'),
(3357,2620,'2024-07-14','post CS ','','follow up ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3358,2618,'2024-07-14','2nd day of menses ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-13'),
(3359,1930,'2024-07-14','check IUD','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3360,2940,'2024-07-15','3 month no menses , discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3361,2942,'2024-07-15','looks after ovulation ','','RTC next cycle .. for seminal analysis ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-03'),
(3362,2941,'2024-07-15','last menses 4 months ','','PCO;s ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3363,1427,'2024-07-15','Bhcg neg ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3364,2888,'2024-07-15','2nd day of menses ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-14'),
(3365,2944,'2024-07-15','no menses ','','ask for Fertility ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3366,1563,'2024-07-15','no menses ','','cyst left 5 cm ... breast mass ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-15'),
(3367,896,'2024-07-15','hypomenses since delivery ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3368,1336,'2024-07-15','last menses 3.2024','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3369,36,'2024-07-15','post delivery ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3370,258,'2024-07-15','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3371,2949,'2024-07-17','lower abdominal pain , itching of abdomen ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-10'),
(3372,2824,'2024-07-17','3rd day of menses ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-15'),
(3373,2921,'2024-07-17','10th day ','','for prygnyl ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3374,2891,'2024-07-17','','','Medical Report\nتقرير طبي\nThe above mention lady , 33  years  old \nComplins for mass in the abdominal wall \nAdvice for abdominal MRI or CT \n\nThanks \n17.07.2024\n\n\n\n',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3375,2827,'2024-07-17','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3376,338,'2024-07-17','3rd day ','','for Thrombophilia study ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-15'),
(3377,382,'2024-07-17','lower abominal pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3378,1974,'2024-07-17','no menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-03'),
(3379,372,'2024-07-17','increased Weight ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3380,1611,'2024-07-18','no menses since last abortion 5.2024','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3381,2918,'2024-07-18','10 th day','','well ,TVS no cyst ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3382,2951,'2024-07-18','to Remove IUD ','','ask for male ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-13'),
(3383,152,'2024-07-18','check IUD ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3384,1473,'2024-07-18','4 Months no menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3385,1921,'2024-07-20','Postnatal visit ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3386,1106,'2024-07-20','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3387,2954,'2024-07-20','right simple cyst for tumor marker ','','normal ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3388,2955,'2024-07-20','hx of ectopic Preagncny (06.2024)','','ask for Fertility, post ponded due to MTX ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-13'),
(3389,2612,'2024-07-20','','','titer 2579..followed up abortion ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3390,1873,'2024-07-20','late menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-10'),
(3391,2800,'2024-07-20','follow up merina ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3392,2957,'2024-07-20','UTI','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3393,1632,'2024-07-20','good ovulation ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3394,2815,'2024-07-20','11 th day of menses ','','for Prygnyl ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3395,2462,'2024-07-20','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3396,826,'2024-07-20','post delivery , Hemorrhoid ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3397,2951,'2024-07-21','check ovulation ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3398,2958,'2024-07-21','last menses since one yr ','','Hot flash ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3399,558,'2024-07-21','','','refuse OCP\'s ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3400,2960,'2024-07-21','1st day of menses ','','for IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-21'),
(3401,1786,'2024-07-22','','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3402,1862,'2024-07-22','','','for HSG ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-21'),
(3403,2962,'2024-07-22','Irregular menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3404,874,'2024-07-22','breast Engorgement ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3405,2964,'2024-07-24','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-23'),
(3406,2344,'2024-07-24','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-30'),
(3407,2370,'2024-07-24','late menses','','simple cyst right ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3408,2965,'2024-07-24','2nd day of menses ,,, lower abdominal pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-23'),
(3409,207,'2024-07-24','follow up ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3410,2967,'2024-07-24','lower abdominal pain ','','Medical Report\nتقرير طبي\nThe above mention lady , 25 yrs old with free past medial and surgical history \nCame complain form lower abdominal pain since yesterday \nTVS : normal size uterus , both adnexa free \nUrine analysis: B-hcg : free (no report ) \n\nReferred for  further investigation and management   \nThanks \n24.07.2024\n\n\n\n',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-30'),
(3411,2028,'2024-07-24','3rd day of menses','','wait to spontaneopus ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-22'),
(3412,2254,'2024-07-24','10th day of menses ','','good ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-15'),
(3413,2824,'2024-07-24','10 th day ','','for prygynl ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3414,2888,'2024-07-24','10 days ','','good Ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3415,225,'2024-07-24','UTI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3416,2969,'2024-07-25','Menarche since 3 yrs ,,,  irrequral ,heavy menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-24'),
(3417,2462,'2024-07-25','2nd day of menses ','','start IOO , then HSG ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-24'),
(3418,853,'2024-07-25','breast feed .. last delivery 1.2 yrs ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3419,2944,'2024-07-25','for male protocol ,, ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-24'),
(3420,2970,'2024-07-25','breastfeed .. Discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3421,2669,'2024-07-25','3rd day of menses ','','Start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-23'),
(3422,2972,'2024-07-27','ask for fertiliy ','','low AMH , for ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-25'),
(3423,1100,'2024-07-27','no menses ','','simple cyst ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3424,2973,'2024-07-27','','','iMPLANON APPLIED ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-20'),
(3425,2811,'2024-07-27','low back pain delivery 70 days ','','for IRON',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3426,2974,'2024-07-27','ask for fertility ','','high FSH , low AMH )0.127(',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-25'),
(3427,2975,'2024-07-27','on IUD 14yrs ,, Hot flsh\'s ','','IUD ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3428,2310,'2024-07-27','6 wks post delivery ','','iMPLANON APPLIED ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3429,1155,'2024-07-27','menorrghia , for merina ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-20'),
(3430,650,'2024-07-27','lower abdominal pain .. no menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3431,1028,'2024-07-28','new report given ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3432,2941,'2024-07-28','follow up ','','same plan',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-25'),
(3433,2949,'2024-07-28','UTI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3434,2977,'2024-07-28','ask for fertility ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-27'),
(3435,1062,'2024-07-28','breast mass ','','for US',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3436,2978,'2024-07-28','prolonged menses , Discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3437,1199,'2024-07-28','2nd dy , check up ,,, for IVF ','','wait to IVF ,,, next cycle ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-27'),
(3438,2942,'2024-07-29','2nd day of menses ','','For IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-28'),
(3439,2761,'2024-07-29','10th day of menses ','','RTC after 3 days for Follicular metery ,.,,, IOO next cycle ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-20'),
(3440,85,'2024-07-29','1st day of menses ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-29'),
(3441,695,'2024-07-29','UTI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3442,2983,'2024-07-31','lower Abdominal pain ','','UTI ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-29'),
(3443,2761,'2024-07-31','','','poor Ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3444,2960,'2024-07-31','11th day of menses ','','good ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3445,2985,'2024-07-31','heavy menses ','','TVS normal ,, Speculum 2 nd degree Cystocele ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-19'),
(3446,2986,'2024-07-31','after IVF collection pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-16'),
(3447,1563,'2024-08-01','11 th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-21'),
(3448,2315,'2024-08-01','check up ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-06'),
(3449,535,'2024-08-01','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-11'),
(3450,2944,'2024-08-01','9th day of menses ','','RTC after one wks , for check ovaulation ( زوجها كان مساÙر(',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3451,230,'2024-08-01','lower abdominal pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3452,328,'2024-08-03','delayed Messes','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-27'),
(3453,2669,'2024-08-03','12th day ','','small RTC after 3 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3454,2304,'2024-08-03','folow up ','','no cyst ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3455,2462,'2024-08-03','11th day of menses ','','RTC after two days .. to Confirm ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3456,2571,'2024-08-03','15th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-18'),
(3457,2962,'2024-08-03','varicouse on uterus ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3458,2992,'2024-08-04','lower abdominal pain , discharge ','','ask for fertility ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-25'),
(3459,2993,'2024-08-04','5th day of menses for infertility ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-31'),
(3460,2995,'2024-08-04','3rd day of menses ','','RTC after 10 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-02'),
(3461,2996,'2024-08-04','late menses ','','RTC after one wk, with BHCG ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-05-20'),
(3462,147,'2024-08-04','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3463,608,'2024-08-04','flank pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-10'),
(3464,2977,'2024-08-05','good ovulation ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3465,1199,'2024-08-05','check ovulation ','','RTC after 3 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3466,2999,'2024-08-05','menses pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3467,1627,'2024-08-05','no menses since last visit ','','to start IOO after Menses ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3468,2462,'2024-08-05','','','16 mm , RTC Wednesday ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3469,3000,'2024-08-05','last menses three months ','','high FSH ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3470,3000,'2024-08-05','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3471,851,'2024-08-07','on IUD since 4 months ','','remove IUD ..she start IOO alone ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-03'),
(3472,2772,'2024-08-07','22 day of menses ','','Bhcg neg',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-17'),
(3473,924,'2024-08-07','multiple menses ,, low amount ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-05'),
(3474,2462,'2024-08-07','','','22 mm for prgnyl ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3475,3003,'2024-08-07','Disuria , lower abominal pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-28'),
(3476,246,'2024-08-07','discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3477,2942,'2024-08-07','10th day of menses ','','good ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3478,2896,'2024-08-07','spotting ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3479,1056,'2024-08-07','4th day of menses for Fertility ','','simple cyst 7*5 cm , heavy smoker , for seminal analaysis',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-04'),
(3480,85,'2024-08-07','10th day of menses ','','good Ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3481,2918,'2024-08-07','2nd day for IOO ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-06'),
(3482,2652,'2024-08-07','18 th','','signs of ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-23'),
(3483,2944,'2024-08-07','check ovulation ','','seems ovulated ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3484,2468,'2024-08-07','Umbilical pain ','','RTC 2nd day for Hycoso ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-18'),
(3485,515,'2024-08-07','lower Abdominal Pain , on IUD since 1 yrs ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3486,3004,'2024-08-08','3rd day of menses ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-06'),
(3487,2168,'2024-08-08','10th day of menses ','','PCO\"S ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-30'),
(3488,2750,'2024-08-09','good weight loss ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3489,1107,'2024-08-10','no menses ','','rtc after one wks , husband had abnormal semina ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3490,2993,'2024-08-10','10th day of menses ','','good ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3491,2967,'2024-08-10','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3492,3009,'2024-08-10','lower pain ','','on iud since 6 months ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3493,3010,'2024-08-10','Menopause since 4 months ','','Medical Report\nتقرير طبي\nThe above mention lady , 51 yrs old , P 5= NVD   \nPresented today complains form lower abdominal pain since 4 months \nOn exam \nUS: normal size uterus , with huge adnexa mass 10 cm , on right size .\nNeed further management and investigation CT scan, Tumor  marker .\nThanks \n10.08.2024\n\n\n\n',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3494,3011,'2024-08-10','3rd day menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-08'),
(3495,379,'2024-08-10','dischrage ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3496,1998,'2024-08-10','IUD removed ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3497,2577,'2024-08-10','3rd day of menses ','','start ioo, next time with injection ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-08'),
(3498,1492,'2024-08-11','itching , lower pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3499,3016,'2024-08-11','2nd day of menses ','','sings of pco\'s ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-10'),
(3500,2949,'2024-08-11','UTI ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3501,2702,'2024-08-11','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3502,3017,'2024-08-11','5th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-06'),
(3503,2995,'2024-08-11','','','poor ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3504,29,'2024-08-11','suspected PID ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-28'),
(3505,2193,'2024-08-11','3rd day of menses ','','start IOO .. ask for male ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-09'),
(3506,1507,'2024-08-12','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3507,2152,'2024-08-12','9th day on menses ','','good Follicle',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-04'),
(3508,2993,'2024-08-12','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3509,246,'2024-08-12','1st day ','','start IOO ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-12'),
(3510,1647,'2024-08-12','UTI ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-29'),
(3511,2410,'2024-08-12','lower pain ','','Hemorrhagic cyst ,, 6 cm 12..175',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-11'),
(3512,1862,'2024-08-12','discharge ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3513,2301,'2024-08-12','lower Abdominal and breast pain ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-27'),
(3514,2935,'2024-08-12','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-08'),
(3515,2985,'2024-08-14','TVS Dr loai ','','advice for merina  ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3516,1649,'2024-08-14','','','niche with clots in cavity not for IUD ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3517,3020,'2024-08-14','','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-25'),
(3518,3021,'2024-08-14','3rd US done , PCO\"S . Acute RVU ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-15'),
(3519,1107,'2024-08-14','2nd day of menses ','','Sign of pcos ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-13'),
(3520,2393,'2024-08-14','thick Endometrial > polyp???! ','','RTC after 10 days ,,, ask for fertility ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-23'),
(3521,2121,'2024-08-14','post NVD ,,, ','','well ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3522,3023,'2024-08-14','on IUD since 6 month , Heavy menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3523,2468,'2024-08-14','3rd day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-12'),
(3524,2468,'2024-08-14','10th day of menses ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3525,170,'2024-08-14','spotting ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3526,3011,'2024-08-14','','','',1,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3527,2918,'2024-08-15','10th day ','','RTC after 2 days ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3528,3004,'2024-08-15','10th day of menses ','','RTC sat ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3529,1627,'2024-08-15','2nd day ','','start IOO , then Hysteroscopy and Scratch ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-14'),
(3530,3024,'2024-08-15','Irregular menses  ','','for labs next cycle ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-08'),
(3531,1056,'2024-08-15','','','bad seminal analysis ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3532,2410,'2024-08-15','','','same ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3533,2918,'2024-08-16','12th day ','','good Ovulation ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3534,2629,'2024-08-16','prolonged menses ,, thick to remove IUD ','','thick about mirnea ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-01'),
(3535,3004,'2024-08-17','','','RTC monday ',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3536,3001,'2024-08-17','no menses since 6 month (breast feed ) ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3537,1160,'2024-08-17','no menses since 6 month (breast feed ) ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3538,2750,'2024-08-17','pelvic MRI normal ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3539,1930,'2024-08-17','check ','','',0,4,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3540,3031,'2024-08-17','last menses ,, 6 months ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3541,1006,'2024-08-17','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3542,1006,'2024-08-17','no menses ','','advice to get pregnant ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-26'),
(3543,2484,'2024-08-18','ask for fertility ','','RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-21'),
(3544,3032,'2024-08-18','discharge , itching , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-04'),
(3545,2428,'2024-08-18','after abortion folllow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3546,2038,'2024-08-18','6 wks post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3547,2652,'2024-08-18','2nd day ','','start new IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-17'),
(3548,2307,'2024-08-18','Irregular menses ','','for premanour ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3549,2935,'2024-08-18','11 th day of menses ','','small Follicles ,,, RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3550,877,'2024-08-18','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-20'),
(3551,2193,'2024-08-18','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3552,2995,'2024-08-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3553,931,'2024-08-19','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3554,209,'2024-08-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3555,1636,'2024-08-19','post delivery check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3556,2468,'2024-08-21','hYcosy WITH DR LOAI ','','rt blocked ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3557,3011,'2024-08-21','fetal gyna ','','3rd Vaginal exam(thick Endometrium ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3558,2761,'2024-08-21','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3559,3004,'2024-08-21','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3560,3035,'2024-08-21','','','ttt PCOS then IOL ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-19'),
(3561,2992,'2024-08-21','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-20'),
(3562,2695,'2024-08-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-21'),
(3563,2567,'2024-08-21','pain ','','6 cm cyst with tyberculation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3564,2935,'2024-08-21','','','10 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3565,246,'2024-08-21','10th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3566,3038,'2024-08-21','still spotting since injection ','','hexcabron ,,,, advice for Mirina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3567,463,'2024-08-22','Sever UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3568,1632,'2024-08-22','not pregnant ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-06'),
(3569,2800,'2024-08-22','spotting','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3570,1660,'2024-08-22','IUD applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3571,3041,'2024-08-22','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-09'),
(3572,1649,'2024-08-24','Implanon applied ','','13.2..309..Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3573,1627,'2024-08-24','10 th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3574,1974,'2024-08-24','prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3575,3044,'2024-08-24','irrequral menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-15'),
(3576,3046,'2024-08-25','ask for Fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3577,2669,'2024-08-25','3rd day , heavy ','','post ponded ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-23'),
(3578,509,'2024-08-25','on merina ,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3579,3047,'2024-08-25','post partum stomach pain ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3580,3048,'2024-08-25','7th day of menses','','left cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-19'),
(3581,153,'2024-08-25','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3582,1640,'2024-08-25','','','Medical Report\nتقرير طبي\nThe above mention lady , 33 yrs old , P 2+0ïƒ¨ NVD  \nComplains form irregular vaginal bleeding since last delivery \nNeed to do Diagnostic E&C \n\nThanks \n25.08.2024\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3583,3049,'2024-08-25','','','for TVS next time ,,, looks cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3584,2935,'2024-08-25','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3585,2761,'2024-08-25','3rd day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-23'),
(3586,3032,'2024-08-26','still have infection','','deco tab ,, mycoten HC ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3587,3050,'2024-08-26','lower pain ','','simple cyst ,, IUS in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-09'),
(3588,3051,'2024-08-26','check IUD since 11 yrs ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-25'),
(3589,528,'2024-08-26','post delivery 7 days ','','no RPOC ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3590,1627,'2024-08-26','12 th ','','one Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3591,1244,'2024-08-26','3rd day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-24'),
(3592,2652,'2024-08-26','10th day of menses ','','low sperm count ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3593,2965,'2024-08-28','improved check up ','','9.2..203',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-20'),
(3594,2254,'2024-08-28','19th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-10'),
(3595,1413,'2024-08-28','PCOS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3596,3056,'2024-08-28','late menses , next wks wedding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-06'),
(3597,1578,'2024-08-28','10th day of menses ','','discharge ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-19'),
(3598,394,'2024-08-28','Dizziness ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3599,1574,'2024-08-29','multiple menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3600,2557,'2024-08-29','hypomenorrhea ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3601,107,'2024-08-29','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-27'),
(3602,2548,'2024-08-29','8th ','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-22'),
(3603,2912,'2024-08-29','ask for pregnany ','','stop brest feed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3604,3052,'2024-08-11','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3605,3052,'2024-08-29','Discharge.. Abscess  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-09'),
(3606,2992,'2024-08-30','11 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3607,2302,'2024-08-31','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3608,1064,'2024-08-31','3rd day of menses ','','for IUI next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-29'),
(3609,3063,'2024-08-31','bulky heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3610,2310,'2024-08-31','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3611,1333,'2024-08-31','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-30'),
(3612,2393,'2024-09-01','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3613,2013,'2024-09-01','seen by ikram sac seen ','','BHCg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3614,1865,'2024-09-01','two weeks post CS ','','free Urine analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3615,2761,'2024-08-31','10th ','','small ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3616,2761,'2024-09-02','','','10 mm  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3617,1582,'2024-09-02','3rd day of Menes ','','start on ocp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-30'),
(3618,3068,'2024-09-02','pronged menses 15days ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-18'),
(3619,1244,'2024-09-02','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3620,2999,'2024-09-02','flank pain ','','server UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3621,3038,'2024-09-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3622,338,'2024-09-02','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-06'),
(3623,3070,'2024-09-04','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3624,3071,'2024-09-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3625,1374,'2024-09-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3626,3072,'2024-09-04','scar pain after lifting heavy','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3627,3074,'2024-09-04','3 menses in one month ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-23'),
(3628,405,'2024-09-04','check up IUD . Spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3629,2548,'2024-09-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-22'),
(3630,2941,'2024-09-05','2nd day of menses follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-04'),
(3631,3066,'2024-09-05','acne , hotflshes ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3632,2761,'2024-09-05','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3633,3075,'2024-09-05','13th day of menses ','','Ovulation\'s seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-24'),
(3634,2577,'2024-09-05','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3635,3079,'2024-09-07','9th day of menses ','','problems in thyroid , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-30'),
(3636,1064,'2024-09-07','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3637,2935,'2024-09-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3638,1199,'2024-09-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-01'),
(3639,2669,'2024-09-07','16th day ','','TVS 20 mm ... if no pregnancy for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3640,2749,'2024-09-07','DX lap by Dr immad , (blocked right tube , otherwise normal )','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-18'),
(3641,3082,'2024-09-07','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-21'),
(3642,489,'2024-09-07','Discharge ,','','IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-01'),
(3643,3084,'2024-09-07','postmenopausal bleeding ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 65-year-old, widow .\nG7P7ïƒ¨ last 27 yrs ago \nMenopause since 10 yrs. \nShe complains form postmenopausal bleeding .\n\nUS : bulky uterus \n\nNeed Diagnostic E&C  \n   \n07.09.2024\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3644,3085,'2024-09-07','honey moon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-01'),
(3645,935,'2024-09-07','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-24'),
(3646,3024,'2024-09-07','2nd day , normal hormoal profile ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-06'),
(3647,3011,'2024-09-07','2nd day of menses ','','Thickness ,, 7 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-06'),
(3648,2782,'2024-09-08','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-05'),
(3649,3086,'2024-09-08','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-26'),
(3650,3087,'2024-09-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-11'),
(3651,1030,'2024-09-08','Lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3652,3032,'2024-09-09','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3653,1064,'2024-09-09','12 th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3654,3038,'2024-09-09','for mernia ','','BHCG negative ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3655,1333,'2024-09-09','11th day of menese ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3656,2302,'2024-09-09','','','حوسة الاربعين ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3657,3017,'2024-09-09','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-08'),
(3658,208,'2024-09-11','IUD removed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3659,3089,'2024-09-11','2nd day of menses ,, Ask for fertility ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-10'),
(3660,2894,'2024-09-11','low back pain ','','well , IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3661,2844,'2024-09-11','infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3662,2572,'2024-09-11','late menses 15 days ','','pco\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3663,3068,'2024-09-11','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3664,2949,'2024-09-12','late menses ,, 10 days ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-12'),
(3665,1333,'2024-09-12','13 th ','','sings of ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3666,3016,'2024-09-12','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-07'),
(3667,2088,'2024-09-12','follow up , check sminal analysis , ','','breast exam well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3668,3004,'2024-09-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3669,2712,'2024-09-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3670,2618,'2024-09-12','pregnant ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3671,3094,'2024-09-14','to bring husband ','','well exam ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-13'),
(3672,2307,'2024-09-14','polyp ','','for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3673,650,'2024-09-14','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-04'),
(3674,2669,'2024-09-14','23th ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3675,3084,'2024-09-14','','','small Endocervical polyp ,, E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3676,2193,'2024-09-14','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-11'),
(3677,2935,'2024-09-14','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3678,2815,'2024-09-15','15th day of menses ','','for 21 Progesterone\'s (low progestron at 21th ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-03'),
(3679,808,'2024-09-15','7 mm ET ','','check her labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-13'),
(3680,3099,'2024-09-15','8th of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-08'),
(3681,120,'2024-09-16','free fluid in POD ','','11.4...272.... BHCG neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3682,3102,'2024-09-16','3rd day of menses ','','to bring labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-14'),
(3683,246,'2024-09-16','5th day of menses ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-12'),
(3684,1107,'2024-09-18','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3685,1414,'2024-09-18','thick about estrogen ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3686,1343,'2024-09-18','post delivery , no breast feed , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3687,2977,'2024-08-16','ask Fertility\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3688,2806,'2024-09-18','3rd day of menses ','','iOO once and Failed …',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-16'),
(3689,1249,'2024-09-18','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-30'),
(3690,3089,'2024-09-19','10 days of menses ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3691,3108,'2024-09-19','ask for fertility ','','to do labs and RTC at 10th day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-14'),
(3692,1627,'2024-09-19','7th day of menses ','','For DX Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-13'),
(3693,3017,'2024-09-19','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3694,3099,'2024-09-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3695,100,'2024-09-20','on IUD ','','breast  fibroadenoma ... for Mamograph ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3696,3109,'2024-09-21','2nd day of menses ','','ask for male , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-20'),
(3697,1100,'2024-09-21','seen by dr Omar Halyga on yasmin for 3 months ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3698,489,'2024-09-21','muscle pain ','','breast ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3699,3102,'2024-09-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3700,725,'2024-09-21','multiple menses, sever UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-15'),
(3701,2935,'2024-09-21','late menses , BHCg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3702,2395,'2024-09-21','ask for fertiltiy ','','to wait her husband to back , awy for two months شاورما ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-08'),
(3703,23,'2024-09-21','On IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-08'),
(3704,2891,'2024-09-21','for Endometrioma ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3705,3063,'2024-09-21','','','E&C HPE well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3706,3089,'2024-09-21','','','for prygnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3707,3110,'2024-09-21','check Pregnancy  after urine analysis ','','BHGC titer 1.9',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3708,1719,'2024-09-21','late manes m followed up by asharf ','','thick Endarterium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3709,3111,'2024-09-22','on IUD (dr ikram ) since 05.09.2024','','heavy menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-01'),
(3710,509,'2024-09-22','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3711,784,'2024-09-22','lower Abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-29'),
(3712,808,'2024-09-22','','','for operation ( 4 k) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3713,763,'2024-09-22','lower back ','','ask for fertility RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-17'),
(3714,2193,'2024-09-22','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3715,2168,'2024-09-22','small amount of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-19'),
(3716,3048,'2024-09-23','3rd day of menses ( for fertility ) ','','to bring husband to discuss sperm  report ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-21'),
(3717,218,'2024-09-23','check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3718,2894,'2024-09-23','remove IUD ','','IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-12'),
(3719,2557,'2024-09-23','Hypomenorrhea ','','normal hormonal profile to start on OCp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-22'),
(3720,2799,'2024-09-23','on IUD .. 01.08.2024','','IUD ,, in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3721,3117,'2024-09-24','3rd day of menses ask for twins ','','ask for male twins ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-22'),
(3722,3119,'2024-09-24','late menses, ovarian cyst ','','check POF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-15'),
(3723,1930,'2024-09-25','lower abdominal pain ','','free fluid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-30'),
(3724,3121,'2024-09-25','10th day of menses ','','RTC fater two days for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-16'),
(3725,3121,'2024-09-25','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3726,3108,'2024-09-25','12 th day of Mesne ','','check ovulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3727,1022,'2024-09-25','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3728,597,'2024-09-25','still Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-17'),
(3729,3102,'2024-09-25','10Ùا ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3730,2328,'2024-09-26','lower flank pain ','','Endometriosis ,,, adhesions ???! ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-26'),
(3731,2180,'2024-09-26','heavy menses ,, ask for Fertility\'s ','','to bring seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(3732,2180,'2024-09-26','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3733,3075,'2024-09-26','2nd of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(3734,2806,'2024-09-26','good ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3735,3123,'2024-09-26','sever Dysmenorrhea ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-11'),
(3736,1673,'2024-09-26','2nd day of menses ','','ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(3737,2669,'2024-09-26','2nd day ... heavy menses ','','for Hysocy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(3738,3052,'2024-09-26','still Abscess ','','hidradenitis suppurativa',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3739,3104,'2024-09-27','infertility ','','to do Thrombophilia study ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-20'),
(3740,3109,'2024-09-28','9th day of menses ','','good ovulation  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3741,2346,'2024-09-28','Irregular menses .,,, hormonal profile normal ,, CMV igG postive ','','after abortion 19.05..... rt hemaorrage cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-13'),
(3742,3029,'2024-09-28','','','small cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-13'),
(3743,1199,'2024-09-28','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3744,2218,'2024-09-28','incontenice ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3745,3104,'2024-09-28','report ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 31 -year-old, G2P1+1ïƒ¨ 2nd trimester abortion at 15 wks .\nAdvice for thrombophilia study due to   2nd trimester abortion \n\n\nThanks \n  \n\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3746,277,'2024-09-28','lower Abdominal pain ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-02'),
(3747,597,'2024-09-28','','','for OCp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3748,2548,'2024-09-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3749,3108,'2024-09-29','','','poor Ovulation  for IOO next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3750,1111,'2024-09-29','on IUD since 3/2024','','Irregular menses ... IUD in situ , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-25'),
(3751,2668,'2024-09-30','Post TAH','','hot flash',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3752,120,'2024-09-30','check up ','','ask for mirna ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-24'),
(3753,3126,'2024-09-30','2nd day infertility ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-29'),
(3754,1262,'2024-09-30','late menses ','','Bhcg Neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-15'),
(3755,3127,'2024-09-30','prolonged menses ','','Ask for Fertility\'s , RTC next menses',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-18'),
(3756,509,'2024-09-30','re-applied new merina ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3757,784,'2024-09-30','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-29'),
(3758,2669,'2024-10-02','hycosy ','','both blocked for lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3759,3104,'2024-10-02','13 th days of mense ','','good Ovulation for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3760,3089,'2024-10-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3761,328,'2024-10-02','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3762,2646,'2024-10-02','follow up After CS','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3763,3017,'2024-10-03','26th day of menses ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3764,2837,'2024-10-03','multiple menses ','','RTC next cycle , suspected polyp ?! not said ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-28'),
(3765,1414,'2024-10-03','14 days of estrogen ','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3766,3132,'2024-10-03','heavy menses ,with abdominal pain ','','for TVS after menses ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-01'),
(3767,3134,'2024-10-03','POF , since 10 yrs , vaginal bleeding ','','Medical Report\nتقرير طبي\nThe above mention lady , 45 yrs old, with history of premature ovarian failure ?! \nMenopause since 10 yrs. .\nShe presented complains form vaginal bleeding, \nUS show thick endometrium \nNeed for Diagnostic E&C , for endometrial sampling \n\n\nThanks \n03.10.2024\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3768,1064,'2024-10-05','3rd day of menses ','','start IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-03'),
(3769,3117,'2024-10-02','10th day ','','small ,,,, RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3770,3117,'2024-10-05','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3771,12,'2024-10-05','for implanon ','','applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3772,2180,'2024-10-05','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3773,1199,'2024-10-05','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3774,3089,'2024-10-05','','','bhcg Positive titer 58',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3775,535,'2024-10-05','','','RTC for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-08'),
(3776,3075,'2024-10-05','11th ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3777,558,'2024-10-05','5th day , spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-30'),
(3778,2894,'2024-10-06','suspected pregnancy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3779,3139,'2024-10-06','chronic cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-18'),
(3780,1574,'2024-10-06','','','to start on microgionon ...11.8....222',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3781,515,'2024-10-06','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3782,1022,'2024-10-07','post abotion ','','start on yasmin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3783,3140,'2024-10-07','late menses','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-20'),
(3784,2003,'2024-10-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3785,2815,'2024-10-07','1st day of menses ','','sun 27 /10 ( progesteron ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-07'),
(3786,346,'2024-10-09','late menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3787,3126,'2024-10-09','10th days ','','small Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3788,412,'2024-10-09','3 months no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3789,2655,'2024-10-09','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-07-01'),
(3790,3142,'2024-10-09','ask for fertility ','','rt ovarian cyst, RTC after 2 days for Check Ovulation\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-20'),
(3791,3017,'2024-10-09','3rd day of menses ','','to Repeat AMH ,, to do  HSG,,, AMH 6... Prolactin 21',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-07'),
(3792,3143,'2024-10-09','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-08-31'),
(3793,83,'2024-10-09','ask for male ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-04'),
(3794,2611,'2024-10-09','stish removal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3795,170,'2024-10-09','expulsion of IUD','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3796,2548,'2024-10-09','Dx lap & hystecopy , normal ,small adhesions ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3797,1632,'2024-10-09','','','start on celein',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-08'),
(3798,1426,'2024-10-10','for IUD application ','','applied , check well next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-07'),
(3799,2837,'2024-10-10','','','thck endomtrium (الزوج غائب لمعالجة البطانه قبل عودته ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3800,3145,'2024-10-10','TSH 6 low  vit D ','','polyp , ???! male Azoospermia  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-20'),
(3801,3145,'2024-10-10','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3802,185,'2024-10-10','post delivery .. infected Episiotomy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3803,1719,'2024-10-10','no menses ','','start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3804,1043,'2024-10-10','UTI','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3805,1345,'2024-10-10','start IOO','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-06'),
(3806,3146,'2024-10-12','6th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-07'),
(3807,3147,'2024-10-12','hsg not done , ','','21th day of menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-22'),
(3808,3148,'2024-10-12','divorced , heavy menses,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3809,1952,'2024-10-12','to follow up with aref and do thrmbophilia ','','RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3810,3149,'2024-10-12','12th day of menses ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-30'),
(3811,725,'2024-10-12','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3812,2912,'2024-10-12','breast stoped ','','given cabergoline ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3813,3150,'2024-10-12','lower abdominal pain UTI','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-01'),
(3814,1821,'2024-10-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-11'),
(3815,2837,'2024-10-13','16th ','','next time to do Saline test  polyp?',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3816,1930,'2024-10-13','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-05'),
(3817,1064,'2024-10-14','','','IUI done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3818,3146,'2024-10-16','12th day ','','after two do',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3819,1060,'2024-10-16','heavy menses ','','BHcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3820,1952,'2024-10-16','2nd day of Menes ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-15'),
(3821,3109,'2024-10-16','bhcg neg','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-20'),
(3822,2996,'2024-10-16','  late menses ( BHCG neg ) ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-03'),
(3823,3156,'2024-10-16','breast pain ,, vaginal discherge ','','well IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-01'),
(3824,3021,'2024-10-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-08'),
(3825,3140,'2024-10-16','5th day of menses ','','for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-12'),
(3826,1408,'2024-10-16','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(3827,3159,'2024-10-16','honeymoon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3828,3160,'2024-10-16','bad oudr vaginal discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-01'),
(3829,383,'2024-10-17','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-05'),
(3830,2815,'2024-10-17','10th days of menses ','','poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3831,1653,'2024-10-17','infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-16'),
(3832,517,'2024-10-17','sever UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3833,3161,'2024-10-19','18th day of menses ','','previous AMH 0.06 for new AMH (1.16)  . bicornuate uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-02'),
(3834,3162,'2024-10-19','','','bhcg neg ,, urine UTI ,, hgb 10..254',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-15'),
(3835,2037,'2024-10-19','post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3836,3146,'2024-10-19','','','good Ovulation ,. start IOO next time , smeinal analysis ,.HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3837,3079,'2024-10-19','5th day ','','TSH 0.032',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-15'),
(3838,3163,'2024-10-19','honeymoon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(3839,1495,'2024-10-19','6th day of menses ','','postcoital bleeding ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-14'),
(3840,2395,'2024-10-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3841,2611,'2024-10-19','breast ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3842,3126,'2024-10-19','20th day ','','OHSS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3843,938,'2024-10-19','check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3844,3165,'2024-10-19','lower abdominal pain honeymoon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-03'),
(3845,2815,'2024-10-20','TVS ','','sing ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3846,247,'2024-10-20','Adenomyosis ??','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3847,608,'2024-10-20','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-11'),
(3848,3167,'2024-10-20','honeymoon cysists ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-14'),
(3849,3029,'2024-10-21','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-20'),
(3850,3161,'2024-10-21','21th day of menses ','','AMH 0.36.. normal midlutral progesteron Level ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3851,2508,'2024-10-21','Post Partum follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-13'),
(3852,558,'2024-10-21','flu like symptoms ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3853,3140,'2024-10-21','10th day of menses ','','small Follicle\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3854,1768,'2024-10-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-04-30'),
(3855,3171,'2024-10-22','16th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-07'),
(3856,3172,'2024-10-22','implanon Applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3857,3174,'2024-10-23','14th day of menses ','','RTC 2nd day .. for Hormonal profile next time .. seminal analyssi ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-10'),
(3858,3175,'2024-10-23','6th day of Menses ','','sings of PCO\"s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-17'),
(3859,2821,'2024-10-23','still menses ','','12.5...288',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3860,3178,'2024-10-23','heavy menses after 6 months of ssecation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3861,3180,'2024-10-23','honeymoon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-03'),
(3862,361,'2024-10-23','hot flashes ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3863,3181,'2024-10-23','late mense','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-10'),
(3864,1627,'2024-10-23','still no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3865,538,'2024-10-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3866,3140,'2024-10-23','','','14 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3867,1495,'2024-10-23','10th day ,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3868,968,'2024-10-23',' heavy menses ','','heavy menses seen by asharf ... for E&C ,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-11'),
(3869,1148,'2024-10-23','retroverted uterus , dymenorrhea ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-07'),
(3870,3153,'2024-10-23','2nd day of menses ','','thin Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-22'),
(3871,3079,'2024-10-24','10th day of menses , check ovulation ','','12 mm lt foliciles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3872,3182,'2024-10-24','honeymoon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-08'),
(3873,1414,'2024-10-24','2nd day of menses ','','5 mm ET ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-23'),
(3874,211,'2024-10-24','late menses ','','thick Endometrium..ask for IUI after HSG  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-17'),
(3875,3109,'2024-10-26','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-25'),
(3876,650,'2024-10-26','breast pain ','','Engorgement ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-22'),
(3877,3145,'2024-10-26','9th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-18'),
(3878,3188,'2024-10-26','ask for fertility ','','refer to IVF center ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-08'),
(3879,3117,'2024-10-26','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-24'),
(3880,1337,'2024-10-26','started on IOO,, 9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-18'),
(3881,685,'2024-10-26','5th day of menses .. lower abdominal pain ','','pCOS',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-22'),
(3882,3187,'2024-10-26','lower abdominal pain , 5months of amnohrea','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3883,638,'2024-10-26','spotting after IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3884,3189,'2024-10-26','lower abdominal pain . sever UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-24'),
(3885,2912,'2024-10-26','stii no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3886,202,'2024-10-26','2nd day of menses ','','ask for IUI .. for Hormonal profile , semial analysis , HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-25'),
(3887,874,'2024-10-26','UTI , discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-13'),
(3888,2310,'2024-10-26','postcoital bleeding','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3889,2672,'2024-10-27','postnatal visit ','','ask for IOO (no breast Feed) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3890,2815,'2024-10-27','','','midlutal progesteron 3.9..for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3891,3107,'2024-10-27','LAT EMENSES ','','RTC after 6 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-26'),
(3892,3192,'2024-10-27','9th day of menses ','','ask for pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-19'),
(3893,2553,'2024-10-27','hotflashes , flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3894,1468,'2024-10-27','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3895,2524,'2024-10-27','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3896,3193,'2024-10-28','lower abdominal pain .. UTI ','','was on IV reocephin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-21'),
(3897,3079,'2024-10-28','14th ','','20 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3898,67,'2024-10-28','13th day of menses , Check ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-16'),
(3899,3189,'2024-10-28','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3900,2690,'2024-10-28','breastfeed .. scanty menses ','','reassurance ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-05'),
(3901,1337,'2024-10-28','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3902,2646,'2024-10-28','dysuria ,, flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3903,597,'2024-10-28','','','to stat on microgynon ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3904,874,'2024-10-28','15th days of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3905,3194,'2024-10-30','1st day of menses ','','for Hycosy next wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-30'),
(3906,2548,'2024-10-30','5th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-26'),
(3907,1627,'2024-10-30','still no menses ','','to do Bhcg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3908,3195,'2024-10-30','lower abdominal pain , discharge ','','like like PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-30'),
(3909,2183,'2024-10-31','no menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-30'),
(3910,3108,'2024-10-31','no menses till now ','','thin Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3911,2918,'2024-10-31','thick Endometrium ','','simple cyst ??! not seen on TVS (not tell ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-28'),
(3912,2837,'2024-10-31','7th day of menses ','','sline teste ?!! no polyp seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-25'),
(3913,2111,'2024-10-31','Irregular bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3914,3181,'2024-10-31','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-30'),
(3915,2894,'2024-10-31','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3916,2287,'2024-10-31','post DJ ','','removed after delivery ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3917,1952,'2024-10-31','17 th day ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3918,1807,'2024-11-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-31'),
(3919,3146,'2024-11-02','3rd day of menses ','','for IOO, seminal analysis',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-31'),
(3920,1048,'2024-11-02','discharge , pain , spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-13'),
(3921,3182,'2024-11-02','Heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-31'),
(3922,12,'2024-11-02','IUD applied ','','Implanon not Suitable  for her ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3923,3197,'2024-11-02','late menses ','','BHCG neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-01'),
(3924,3117,'2024-11-02','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3925,708,'2024-11-02','late menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(3926,3198,'2024-11-02','12 days post delivery ','','4 cm RPOC ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3927,3095,'2024-11-02','post abortion , want to go omrah ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3928,3199,'2024-11-02','bad oder after intercource ','','vagnosis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-15'),
(3929,1784,'2024-10-26','post 3rd degree tear ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3930,1784,'2024-11-02','very well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3931,1414,'2024-11-02','11 th day','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3932,202,'2024-11-02','9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3933,202,'2024-11-02','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3934,202,'2024-11-02','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3935,2732,'2024-11-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3936,3048,'2024-11-03','UTI . lower Abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-21'),
(3937,2837,'2024-11-03','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3938,36,'2024-11-03','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3939,784,'2024-11-03','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3940,3117,'2024-11-04','12th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3941,3109,'2024-11-04','11th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3942,2162,'2024-11-04','for contraceptive ','','implanon applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3943,489,'2024-11-04','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-26'),
(3944,3174,'2024-11-04','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-03'),
(3945,579,'2024-11-04','cough ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3946,116,'2024-11-04','Multiple menses ','','PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-27'),
(3947,3204,'2024-11-06','2nd day of menses .. lower abdominal pain','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-05'),
(3948,3192,'2024-11-07','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-06'),
(3949,3205,'2024-11-06','PCO\"S sever ','','for hormonal profile ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3950,3194,'2024-11-06','8th day of menses ','','hycosy done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3951,3194,'2024-11-06','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3952,3194,'2024-11-06',' Hysterosalpingo-Contrast Sonography (HyCoSy) Report - Three Dimensional transvaginal Ultrasound examination revealed: * A anteverted Normal shaped (No Mullerian anomalies) mobile uterus with a corpus measuring 54 mm (L) x 31mm (T) x 40 mm (AP) with a volume of 35.1 mL. * The endometrium appears intact with a thickness of 6 mm (both layers). * The cervix appears normal with a length of 32 mm. * The right ovary is visible with smooth outline and with polycystic in appearance ≥10 mL or >20 (2-9mm follicles) with a volume of 9.6mL. * The left ovary is visible with smooth outline and with good AFC ( 5- 8 ) with normal morphology with a volume of 6 mL. - Transvaginal ultrasound exanimation with HyCoSy - Contrast Sonography showing : * Good cavity expansion with media instillation showing no filling defect. * right  tubes are patent and contrast seen in pelvis. * NO spillage seen form left side    - Best wishes, 06.11.2024','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3953,818,'2024-11-06','heavy discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-07'),
(3954,1414,'2024-11-06','15th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3955,2805,'2024-11-06','','','For HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-02'),
(3956,3127,'2024-11-06','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-03'),
(3957,3171,'2024-11-07','3rd day of menses ','','HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-05'),
(3958,747,'2024-11-07','23.09.2024 post Delivery ','','implanon applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3959,747,'2024-11-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3960,3209,'2024-11-07','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-29'),
(3961,3181,'2024-11-08','11th day of menses ','','after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3962,1414,'2024-11-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3963,1414,'2024-11-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3964,3126,'2024-11-09','8th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-02'),
(3965,1719,'2024-11-09','17th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-18'),
(3966,3215,'2024-11-09','Check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-14'),
(3967,2655,'2024-11-09','','','for OCP;s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3968,1622,'2024-11-09','weight 44','','to start on vitmins ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-02'),
(3969,1122,'2024-11-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-01'),
(3970,1627,'2024-11-09','no menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3971,3102,'2024-11-09','9th day of menses ','','Left blocked ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-01'),
(3972,3102,'2024-11-09','','',' Hysterosalpingo-Contrast Sonography (HyCoSy) Report - Three Dimensional transvaginal Ultrasound examination revealed: * A anteverted Normal shaped (No Mullerian anomalies) mobile uterus with a corpus measuring 54 mm (L) x 31mm (T) x 40 mm (AP) with a volume of 35.1 mL. * The endometrium appears intact with a thickness of 6 mm (both layers). * The cervix appears normal with a length of 32 mm. * The right ovary is visible with smooth outline and with polycystic in appearance ≥10 mL or >20 (2-9mm follicles) with a volume of 9.6mL. * The left ovary is visible with smooth outline and with good AFC ( 5- 8 ) with normal morphology with a volume of 6 mL. - Transvaginal ultrasound exanimation with HyCoSy - Contrast Sonography showing : * Good cavity expansion with media instillation showing no filling defect. * right  tubes are patent and contrast seen in pelvis. * NO spillage seen form left side    - Best wishes, 08.11.2024',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3973,3216,'2024-11-10','Irregular menses ,, increased weight , and hair  growth ','','TSH normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-02'),
(3974,1426,'2024-11-10','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3975,3217,'2024-11-10','heavy menses ','','ON iud since 11 y ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-08'),
(3976,3219,'2024-11-10','5th day of menses ','','ask for fertility .. start ON IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-06'),
(3977,1468,'2024-11-10','breastfeeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-01'),
(3978,3220,'2024-11-10','for IVF for male selection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-09'),
(3979,1318,'2024-11-10','Discharge ,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-15'),
(3980,202,'2024-11-07','HSG done Normal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3981,202,'2024-11-10','17 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3982,3181,'2024-11-11','13th days of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3983,2476,'2024-11-11','post abortion,, ','','13 mm , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-08'),
(3984,3126,'2024-11-11','10th day','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3985,3221,'2024-11-11','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3986,870,'2024-11-11','post natal visit (15 days )','','two days after delivery , torsion ,, done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3987,3222,'2024-11-11','post coital bleeding ','','no active bleeding ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-20'),
(3988,2805,'2024-11-11','11 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3989,509,'2024-11-11','discharge ','','collection ,,, in lower Segment ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3990,743,'2024-11-11','14th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-29'),
(3991,2732,'2024-11-11','2nd day of menses ','','for Hycosy ...',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-10'),
(3992,3056,'2024-11-13','cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-06'),
(3993,185,'2024-11-13','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3994,3225,'2024-11-13','heavy menses ','','adenomyosis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-20'),
(3995,853,'2024-11-13','19th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-29'),
(3996,3228,'2024-11-14','post partum Contraceptive ','','for implanon ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3997,3171,'2024-11-14','10 th day (hycosy ) ','','not well done for Repeat after 3 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3998,3038,'2024-11-14','follow up mernia ','','well',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(3999,3231,'2024-11-14','ask for pregnancy ','','good ovulation , cycle every 2 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-17'),
(4000,743,'2024-11-14','16 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4001,3174,'2024-11-14','11th day ','','to repate prgeseron 21 (23.11.2024)',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4002,3233,'2024-11-14','','','for hycosy next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-10'),
(4003,3235,'2024-11-14','itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4004,3234,'2024-11-14','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-06'),
(4005,3236,'2024-11-14','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4006,954,'2024-11-14','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-06'),
(4007,1430,'2024-11-14','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-01'),
(4008,3171,'2024-11-16','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4009,2949,'2024-11-16','Irregular menses ','','Adenomyosis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-03'),
(4010,3237,'2024-11-16','seek fertility ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-07'),
(4011,3174,'2024-11-16','','','low AMH 0.5',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4012,3239,'2024-11-16','lower abdominal and back pain ','','IUD removed ,, Titled ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4013,3240,'2024-11-16','heavy menses ','','small Fibroids post Myomectomy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4014,2599,'2024-11-16','post CS follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4015,2599,'2024-11-16','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4016,3241,'2024-11-16','heavy menses , 2nd menses in this month 1st /11.. and now ','','rt Hemorrhagic cyst , 6*6*6 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-16'),
(4017,3108,'2024-11-16','1st day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-16'),
(4018,3244,'2024-11-16','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4019,2912,'2024-11-16','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-13'),
(4020,3246,'2024-11-17','2nd day of menses ,, previous 4 months ','','Q 3-4 months menses .. RTC after menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-16'),
(4021,2404,'2024-11-17','2nd day of menses ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-16'),
(4022,3079,'2024-11-17','2nd day ','','Start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-16'),
(4023,3247,'2024-11-17','PCO\"S ','','to start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-02'),
(4024,3248,'2024-11-17','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-27'),
(4025,3249,'2024-11-17','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-08'),
(4026,3250,'2024-11-17','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-10'),
(4027,3216,'2024-11-17','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4028,3251,'2024-11-17','on micoginon ','','every thing ok ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-03'),
(4029,3252,'2024-11-17','','','right simple cyst 5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-11'),
(4030,2935,'2024-11-17','','','AMH 0.28 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-03'),
(4031,908,'2024-11-17','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-07'),
(4032,3003,'2024-11-18','late menses , lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-21'),
(4033,3254,'2024-11-18','lower abdominal pain /heavy menses ','','BHCG neg , hgg 11 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-26'),
(4034,3225,'2024-11-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4035,170,'2024-10-10','implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4036,170,'2024-11-18','','','Heavy menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4037,3255,'2024-11-18','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-31'),
(4038,2328,'2024-11-18','Still in pain','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4039,3198,'2024-11-18','Improved','','empty ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4040,3237,'2024-11-20','14th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4041,1072,'2024-11-20','post delivery . lower pain  ','','on IUD .. adenomysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-28'),
(4042,3256,'2024-11-20','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4043,3257,'2024-11-20','seek fertiltiy ','','for labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-17'),
(4044,3194,'2024-11-20','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-29'),
(4045,3259,'2024-11-20','painfull menses ','','rt cyst ??!',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-19'),
(4046,2732,'2024-11-20','for hycosy ','','not well done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4047,3261,'2024-11-20','PCO\'s ','','to start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-24'),
(4048,3262,'2024-11-21','breast feed ','','found to cyst during renal US , now free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4049,3044,'2024-11-21','PCO\"s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4050,3268,'2024-11-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-07'),
(4051,1473,'2024-11-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-08'),
(4052,3233,'2024-11-21','hycosy done ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4053,2750,'2024-11-22','well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4054,3270,'2024-11-23','itching , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-30'),
(4055,12,'2024-11-23','check up IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4056,3271,'2024-11-23','on merina ','','ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4057,665,'2024-11-23','12th day of menses . Discharge . UTI ','','Negative protine',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-12'),
(4058,2577,'2024-11-23','PCOs','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-20'),
(4059,3075,'2024-11-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4060,178,'2024-11-23','breastfeed ','','check up ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4061,1414,'2024-11-23','check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4062,3275,'2024-11-23','seek Fertility ','','for lab at 2nd day , for HSG , to bring seminal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-08'),
(4063,2912,'2024-11-23','10day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4064,3276,'2024-11-24','grade 3 cytocele ','','\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4065,3277,'2024-11-24','lower abdominal pain , last menses 6 months ','','check uterus with loai ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4066,1184,'2024-11-24','multiple menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-20'),
(4067,2995,'2024-11-24','no menses since 4 ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4068,1473,'2024-11-24','check ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4069,853,'2024-11-24','','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-20'),
(4070,3278,'2024-11-24','Irregular menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4071,2935,'2024-11-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4072,1484,'2024-11-25','8 month post CS ,  leg pain ','','refer to ortho ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4073,2404,'2024-11-25','signs of PCO\'s ','','start celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4074,3279,'2024-11-25','Discharge , UTI ,, itching . 13th days of menses ','','vaginosis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-13'),
(4075,3280,'2024-11-25','seek fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-17'),
(4076,3245,'2024-11-25','','','high FSH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-06-15'),
(4077,2924,'2024-11-25','Check merina ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4078,3282,'2024-11-25','post Mensural bleeding ','','for bx',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4079,2912,'2024-11-25','','','weak ovulation  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4080,3283,'2024-11-25','3rd day of menses.. normal hormonal profile ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-22'),
(4081,3284,'2024-11-25','ask for fertility ','','for lab , bring HSg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-25'),
(4082,1807,'2024-11-25','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4083,3257,'2024-11-26','10th day of menses ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4084,3278,'2024-11-27','seen by loai','','multiple fibriod, niche , bulky uteurs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4085,3060,'2024-11-27','lower abdominal pain ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-06'),
(4086,3277,'2024-11-27','','','high FSH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4087,3246,'2024-11-27','12 th of menses seek fertility ','','RTC after two days sunday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4088,874,'2024-11-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-07'),
(4089,896,'2024-11-27','5th day of menses . ask fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-23'),
(4090,1574,'2024-11-27','','','implanon removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4091,1627,'2024-11-27','start IOO  at 19.11.2024..10th day of menses ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-18'),
(4092,3079,'2024-11-28','good ovulation ','','pregnyl given ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4093,3287,'2024-11-28','seek fertiltiy ','','intramural Fibroid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-24'),
(4094,3282,'2024-11-29','in samou , pipple taken ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4095,3292,'2024-11-29','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-25'),
(4096,3095,'2024-11-30','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4097,1974,'2024-11-30','late menses ','','to start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-21'),
(4098,3139,'2024-11-30','','','for cyctecomy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4099,1807,'2024-11-30','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-27'),
(4100,3295,'2024-11-30','check fertility ','','pco\'s .. to start on celine',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-15'),
(4101,3297,'2024-11-30','Honey moon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-10'),
(4102,2650,'2024-11-30','ask for fertility , 3rd day of menses ','','start IOO for2 cycle , then for full labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-27'),
(4103,3241,'2024-11-30','','','left dermoid ???!!!!!! 3 cm RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4104,853,'2024-11-30','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4105,1627,'2024-11-30','FOLLOW UP ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4106,2527,'2024-11-30','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-04'),
(4107,3233,'2024-11-30','UTI','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4108,185,'2024-11-30','mammary gland ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4109,787,'2024-11-30','scar pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-01'),
(4110,3050,'2024-12-01','low pain ','','cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-13'),
(4111,3246,'2024-12-01','','','good ovulation single Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4112,3299,'2024-12-01','menpuse ,, flank pain','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4113,3300,'2024-12-01','flank pain ','','normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4114,1077,'2024-12-01','breast feed ..','','IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4115,3247,'2024-12-01','','','premaour ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4116,1981,'2024-12-01','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-30'),
(4117,535,'2024-12-01','flank pain , discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-13'),
(4118,3301,'2024-12-01','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-03'),
(4119,3259,'2024-12-01','sever UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4120,3283,'2024-12-02','10 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4121,853,'2024-12-02','12 day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4122,3305,'2024-12-02','13days of menses ,, Irregular  menses .. hormonal profile ','','know case of PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-19'),
(4123,3128,'2024-12-04','5th day ,, follow up ..ask for male ','','thick about male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-30'),
(4124,1627,'2024-12-04','','','next time start more induction ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4125,958,'2024-12-04','follow up after mirror Syndrome ,','','still enlarged ovaries ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4126,3307,'2024-12-04','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-17'),
(4127,1632,'2024-12-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-06'),
(4128,3308,'2024-12-04','16 yr Menopause  . check up ','','intramural  Fibroid , Asymptomatic ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4129,3283,'2024-12-04','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4130,3171,'2024-12-05','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-04'),
(4131,1460,'2024-12-05','6 month IUD ... Prolonged menses ','','check scar Endometriosis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4132,3312,'2024-12-05','vaginal bleeding after menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-25'),
(4133,1145,'2024-12-05','two menses after delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4134,78,'2024-12-05','late menses ','','for labs , hsg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-30'),
(4135,3233,'2024-12-05','1st day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-05'),
(4136,3284,'2024-12-05','10th day of menses ','','13 mm , rtc after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4137,1201,'2024-12-06','ask for ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4138,3095,'2024-12-07','no menses','','want  to get pregnant ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4139,1784,'2024-12-07','follow up ','','remove long Stitch. ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4140,3284,'2024-12-07','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4141,3315,'2024-12-07','seek fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-28'),
(4142,3316,'2024-12-07','2nd day of menses ,,, Hypomenorrhea ','','for HVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-06'),
(4143,2974,'2024-12-07','','','AMH 0.225',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-22'),
(4144,1772,'2024-12-07','lower abdominal pain Prior to menses ','','suspected polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-06'),
(4145,2735,'2024-12-07','3rd day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-05'),
(4146,2650,'2024-12-07','11th day of menses ','','good Ovulation  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4147,1627,'2024-12-07','','','better ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4148,3317,'2024-12-07','4th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-04'),
(4149,3319,'2024-12-07','no menses ','','bhcg negative ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4150,1414,'2024-12-07','no menses ','','start on progesteron ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4151,934,'2024-12-07','2nd day of menses','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-06'),
(4152,1807,'2024-12-07','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4153,3206,'2024-12-08','normal hormonal profile ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-08'),
(4154,3219,'2024-12-08','4th day of menses','','start IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-06'),
(4155,3322,'2024-12-08','2month post delivery , Prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4156,2837,'2024-12-08','discharge ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-20'),
(4157,3323,'2024-12-08','heavy menses  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4158,2646,'2024-12-08','Dizziness , ','','refer to ENT ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-30'),
(4159,3321,'2024-12-08','POCs','','By TVS , PCOS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4160,3325,'2024-12-08','spotting . lower Abdominal pain  ','','IUD on situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-30'),
(4161,1721,'2024-12-08','late menses ','','bhcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-07'),
(4162,1473,'2024-12-08','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-06'),
(4163,814,'2024-12-08','10th day ask for male ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4164,3194,'2024-12-09','11th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4165,2974,'2024-12-09','','','think about IVF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4166,3326,'2024-12-09','want IOO ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-08'),
(4167,3327,'2024-12-09','on IUD , ask for Fertility\'s ','','ask for male protocol ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4168,3182,'2024-12-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4169,42,'2024-12-09','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-22'),
(4170,3315,'2024-12-09','12rth day of menses ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4171,1807,'2024-12-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4172,3305,'2024-12-09','seminal analysis : 3.5 miill ..10% motil ,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4173,1507,'2024-12-09','post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4174,3330,'2024-12-11','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-04'),
(4175,2038,'2024-12-11','post falldown bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-13'),
(4176,3332,'2024-12-11','check fertility .. 9th day ','','ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-05'),
(4177,3194,'2024-12-11','follow up ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4178,2611,'2024-12-11','for OCPS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4179,327,'2024-12-11','pain during menses ','','check uterus well after menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-11'),
(4180,558,'2024-12-11','','','start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-02'),
(4181,3315,'2024-12-11','14 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4182,1674,'2024-12-11','IUD removed 3 months .. lower abdominal pain ','','check ovulation after two wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-30'),
(4183,2862,'2024-12-11','21th of menses ','','to impove seminal analysis , then for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-20'),
(4184,3219,'2024-12-11','husband imptotance for IUI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4185,2935,'2024-12-11','8th day ','','simple cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-04'),
(4186,116,'2024-12-11','improved ','','think about IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-25'),
(4187,2639,'2024-12-11','4 month post delivery ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4188,3247,'2024-12-12','2nd day of menses ','','Continue on celeine',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-11'),
(4189,1074,'2024-12-12','TSH .0.7','','late menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-27'),
(4190,3335,'2024-12-12','late menses ','','start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-25'),
(4191,2665,'2024-12-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4192,3336,'2024-12-12','8th day . ask for Fertility\'s ','','check ovualtion ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-05'),
(4193,3338,'2024-12-12','looks hemorrgic cyst ','','hg 14',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-01'),
(4194,3171,'2024-12-14','','','for prygnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4195,2949,'2024-12-14','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4196,3146,'2024-12-14','14th day of menses ','','rt side 10 mm ,,, left cyst 3 cm , simple ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-30'),
(4197,3332,'2024-12-14','','','small Follicles , thin Endometrium, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4198,3339,'2024-12-14','to remove IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-07'),
(4199,3343,'2024-12-14','lower abdominal pain . ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-05'),
(4200,1674,'2024-12-14','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4201,2735,'2024-12-14','10th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4202,3233,'2024-12-14','10th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4203,1413,'2024-12-14','3rd day of menses ','','check ovulation , improved on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-12'),
(4204,3050,'2024-12-15','removed IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4205,1908,'2024-12-15','improved ,,, for 1 yr then heavy menses ','','rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-27'),
(4206,1017,'2024-12-15','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-01'),
(4207,3334,'2024-12-15','post abortion follow up ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4208,2122,'2024-12-15','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-10'),
(4209,1495,'2024-12-15','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-13'),
(4210,3347,'2024-12-15','on IUD since 10 yrs ','','last Hba1c 10 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4211,3332,'2024-12-16','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4212,1976,'2024-12-16','5th day of menses ','','for ioo, ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-12'),
(4213,3348,'2024-12-16','5th day of menses ,ask for fertiltiy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-12'),
(4214,168,'2024-12-16','Discharge , UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-01'),
(4215,2735,'2024-12-16','12th day ','','13 mm , both ovaries ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4216,698,'2024-12-16','lower abdominal pain , Urine cx free ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-28'),
(4217,3219,'2024-12-16','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4218,934,'2024-12-16','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4219,2571,'2024-12-16','14th day of menses ','','4th day , think about celein ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-03'),
(4220,3350,'2024-12-17','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-15'),
(4221,3146,'2024-12-18','19th day of menses ','','still ,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4222,1026,'2024-12-18','on  IUD ,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4223,3326,'2024-12-18','','','well ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4224,327,'2024-12-18','','','TVS well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4225,2815,'2024-12-18','Hycosy ','','\nHysterosalpingo-Contrast Sonography (HyCoSy) Report\n- Three Dimensional transvaginal Ultrasound examination revealed:\n* A anteverted Normal shaped (No Mullerian anomalies) mobile uterus with a corpus measuring 54 mm (L) x 31mm (T) x 40 mm (AP) with a volume of 35.1 mL.\n* The endometrium appears intact with a thickness of 6 mm (both layers).\n* The cervix appears normal with a length of 32 mm.\n* The right ovary is visible with smooth outline and with polycystic in appearance ≥10 mL or >20 (2-9mm follicles) with a volume of 9.6mL.\n* The left ovary is visible with smooth outline and with good AFC ( 5- 8 ) with normal morphology with a volume of 6 mL.\n- Transvaginal ultrasound exanimation with HyCoSy - Contrast Sonography showing :\n* Good cavity expansion with media instillation showing no filling defect.\n* Both   tubes are patent and contrast seen in pelvis.\n\n\n\n- Best wishes,\n18.12.2024\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4226,791,'2024-12-18','Hypomenorrhea ','','for TVS 18 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-11'),
(4227,3079,'2024-12-18','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-16'),
(4228,3353,'2024-12-18','4th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-15'),
(4229,3354,'2024-12-18','post coital bleeding ','','cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-07'),
(4230,3167,'2024-12-18','7th day of menses , Hypomenorrhea ','','PCO\'s 0',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-12'),
(4231,1052,'2024-12-18','umblical infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4232,3279,'2024-12-18','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-10'),
(4233,1043,'2024-12-18','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-19'),
(4234,1446,'2024-12-18','','','check up mernina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4235,3355,'2024-12-18','2ry infertility ','','PCOC\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-01'),
(4236,929,'2024-12-18','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-10-29'),
(4237,929,'2024-12-18','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4238,1473,'2024-12-18','13th day of menses  ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4239,2805,'2024-12-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4240,645,'2024-12-18','bartholin abcess removal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4241,3024,'2024-12-19','still no Improvement ','','start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-09'),
(4242,2395,'2024-12-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4243,3356,'2024-12-19','seek Fertility  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-08'),
(4244,2008,'2024-12-19','','','bhsg postive ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-07'),
(4245,2935,'2024-12-19','ANOTHER menses ','','RTC after 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-17'),
(4246,3108,'2024-12-19','','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4247,2837,'2024-12-19','2nd day of menses ','','husband away ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-19'),
(4248,3350,'2024-12-19','3rd day of menses ','','start IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4249,3095,'2024-12-19','3rd day of menses','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-17'),
(4250,3359,'2024-12-19','','','TVS : intramural Fibroid , 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-11'),
(4251,3021,'2024-12-21','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-05'),
(4252,2404,'2024-12-21','','','advice for weight reduction  ..start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-20'),
(4253,3326,'2024-12-21','ecoli-esbl ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4254,3180,'2024-12-21','late menses ','','Bhcg Positive ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-23'),
(4255,3362,'2024-12-21','hot flashs ','','high fsh , Repeat ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-01'),
(4256,3363,'2024-12-21','post-implanon bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4257,1208,'2024-12-21','OHSS syndrome ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4258,3316,'2024-12-21','16 th day of menses ','','poor ovulation, HVS taken , contune on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4259,2735,'2024-12-21','','','poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4260,1145,'2024-12-21','multiple menses ','','start OCPS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4261,3364,'2024-12-21','abdomen pain ','','Rupture right cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-25'),
(4262,1784,'2024-12-21','','','remove long Stitch. check PR next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4263,2977,'2024-12-21','14th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-07'),
(4264,2571,'2024-12-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4265,3356,'2024-12-21','14th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4266,3252,'2024-12-21','','','same right simple cyst 5 cm . start OCP\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-14'),
(4267,3366,'2024-12-21','Q 28 days , ','','PCos ,, start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-30'),
(4268,1435,'2024-12-21','on microginon','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4269,3369,'2024-12-22','3rd day of menses ','','review HSG , and check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-20'),
(4270,1976,'2024-12-22','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4271,3372,'2024-12-22','check fertility ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-08'),
(4272,3348,'2024-12-22','11th day of menses ','','good ovulation , RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4273,2392,'2024-12-22','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-20'),
(4274,2646,'2024-12-22','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4275,306,'2024-12-23','late menses ','','PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4276,870,'2024-12-23','post natal visit ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4277,2735,'2024-12-23','','','poor ovulation not for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4278,1495,'2024-12-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4279,3252,'2024-12-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4280,747,'2024-12-23','implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4281,3095,'2024-12-23','7 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4282,1976,'2024-12-25','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4283,3377,'2024-12-25','ask for fertility ','','Medical Report\nتقرير طبي\nThe above mention lady , 36 yrs old , P 4+1ïƒ¨ NVD .\nHx of congenital disease in 3 of her children  \nWas on contraceptive \nAsk for pregnancy \nAdvice strongly for PGD and IVF \n\nThanks \n25.12.2024\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-10'),
(4284,3372,'2024-12-25','18th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4285,3379,'2024-12-25','pcos ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-08'),
(4286,665,'2024-12-25','UTI , seek fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-10'),
(4287,665,'2024-12-25','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4288,2609,'2024-12-26','ask for pregnancy ','','RTC at day 2 for labs and IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-03'),
(4289,2395,'2024-12-26','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4290,3350,'2024-12-26','11th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4291,1495,'2024-12-26','','','good ovulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4292,3383,'2024-12-26','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-12'),
(4293,2008,'2024-12-26','','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4294,2008,'2024-12-26','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4295,3382,'2024-12-26','2 cm Fibroid ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-23'),
(4296,645,'2024-12-26','well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4297,853,'2024-12-26','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-19'),
(4298,3284,'2024-12-26','3rd of menses','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-24'),
(4299,3384,'2024-12-28','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-27'),
(4300,2438,'2024-12-28','late menses (advice for HSG after 2 IOO)','','left side Hemorrhagic cyst 4 cm , PCOS',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-18'),
(4301,3390,'2024-12-28','discharge, UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-01'),
(4302,3283,'2024-12-28','5th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-24'),
(4303,2404,'2024-12-29','','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4304,2392,'2024-12-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4305,1632,'2024-12-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4306,3393,'2024-12-29','PCO\"S ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4307,3394,'2024-12-29','seek fertility','','left ovary Endometrioma , 4*4 cm , for lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-30'),
(4308,3395,'2024-12-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-18'),
(4309,3396,'2024-12-29','','','pco\'s start on celein ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-16'),
(4310,645,'2024-12-29','','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4311,3350,'2024-12-29','','','well',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4312,3095,'2024-12-29','','','for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4313,3369,'2024-12-30','11 th day of menses ','','good ovulation ... ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4314,2609,'2024-12-30','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-29'),
(4315,3397,'2024-12-30','late menses ','','ohss',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-17'),
(4316,3398,'2024-12-30','Irregular menses ','','ask for Fertility\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-25'),
(4317,3400,'2024-12-30','late menses for Omarah ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-01'),
(4318,807,'2024-12-30','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-23'),
(4319,1719,'2024-12-30','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4320,3280,'2024-12-30','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-12'),
(4321,2328,'2025-01-01','lower abdominal pain ','','by Dr Loai : hemaorrghic , endomterioma ??1 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-12'),
(4322,1772,'2025-01-01','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-31'),
(4323,2404,'2025-01-01','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4324,1223,'2025-01-01','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4325,3404,'2025-01-01','prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-02'),
(4326,3405,'2025-01-01','seek Fertility  ','','for scrotal US , AMH, hSG',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-22'),
(4327,3402,'2025-01-01','flank pain ','','given Fluid improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4328,3407,'2025-01-01','spotting , 13th day of menses ','','to strt on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-20'),
(4329,1674,'2025-01-01','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4330,3390,'2025-01-01','improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4331,3146,'2025-01-02','1St day of menses ','','left cyst 3 cm , simple ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4332,258,'2025-01-02','prolonged menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-17'),
(4333,3409,'2025-01-02','2nd day of menses ','','to do AMH , HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-01'),
(4334,3171,'2025-01-02','1st day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4335,3233,'2025-01-02','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-31'),
(4336,3036,'2025-01-02','2nd menses in same month ','','RTC after Finish menses to do TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4337,2254,'2025-01-02','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-08'),
(4338,3355,'2025-01-02','1st day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4339,3412,'2025-01-03','many menses ','','start hexacabron ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4340,2307,'2025-01-04','still menses ','','stop',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-13'),
(4341,3305,'2025-01-04','follow up ','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-18'),
(4342,3415,'2025-01-04','hemaorrge after aIUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4343,3108,'2025-01-04','3rd day , on whatsapp','','stat ioo ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4344,3297,'2025-01-04','post coital bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-10'),
(4345,2761,'2025-01-04','late menses , BHCG neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-25'),
(4346,3382,'2025-01-04','13 day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4347,2577,'2025-01-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-26'),
(4348,3283,'2025-01-04','12th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4349,910,'2025-01-05','hemorrhoids','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4350,3416,'2025-01-05','seek fertility ','','smeinal analysis ( husband had Pituitary adenoma done surgery ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-28'),
(4351,3417,'2025-01-05','discharge . ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-19'),
(4352,3418,'2025-01-05','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-19'),
(4353,39,'2025-01-06','heavy menses ','','large Fibroid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4354,758,'2025-01-06','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-01'),
(4355,3346,'2025-01-06','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4356,3307,'2025-01-08','Discharge ','','wnat to go omira ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-17'),
(4357,1772,'2025-01-08','','','TVS by loai , free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4358,3036,'2025-01-08','','','TVS free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4359,2609,'2025-01-08','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4360,2307,'2025-01-08','','','improved',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4361,3099,'2025-01-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4362,1256,'2025-01-08','check up merina , spootting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4363,3424,'2025-01-09','ask for pregnancy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-19'),
(4364,3356,'2025-01-09','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4365,3356,'2025-01-09','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4366,3372,'2025-01-09','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-08'),
(4367,3397,'2025-01-09','4th day of menses ','','RTC at 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-06'),
(4368,219,'2025-01-09','acne ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4369,1473,'2025-01-09','10th day of menses ','','check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-31'),
(4370,2392,'2025-01-09','post سحب الاجنة ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4371,3171,'2025-01-10','10 th day of menses ','','2 Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4372,1645,'2025-01-11','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4373,1645,'2025-01-11','lower abdominal pain   ','','pCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-30'),
(4374,3428,'2025-01-11','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-09'),
(4375,2307,'2025-01-11','','','removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4376,51,'2025-01-11','came for removal on IUD (الزوج لا يعلم عن اللولب(','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-07'),
(4377,665,'2025-01-11','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4378,3279,'2025-01-11','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4379,3429,'2025-01-11','ask for pregnancy (menorrghia )','','fibriod undal 5 cm , for tt for fertility , then fibriod ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4380,413,'2025-01-11','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4381,3367,'2025-01-11','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4382,3336,'2025-01-11','11th day of menses ','','RTC after 2 day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-01'),
(4383,1473,'2025-01-11','','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4384,3362,'2025-01-12','','','FSH 72 ..POF .continue on cimdaona ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4385,1976,'2025-01-12','1st day of menses ','','postive BCH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-12'),
(4386,3416,'2025-01-12','','','small Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4387,3433,'2025-01-12',', Irregular vaginal bleeding ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-19'),
(4388,2646,'2025-01-12','','','Medical Report\nتقرير طبي\nThe above mention lady , 22 yrs old , P1+0ïƒ¨ CS , \nShe was complains form urinary track infection for many times during pregnancy and post delivery .\nShe was treated according to urine culture , with temporarily improvement  \n\nReferred for  urological  consultation    \nThanks \n12.01.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4389,3434,'2025-01-12','menaarch at 14 yr for 1 day ,, ','','just one menses since menarch ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4390,3305,'2025-01-12','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4391,1622,'2025-01-13','','','dealy menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-25'),
(4392,3417,'2025-01-13','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4393,3417,'2025-01-13','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4394,3435,'2025-01-13','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-30'),
(4395,3336,'2025-01-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4396,1711,'2025-01-13','2nd degree cytocelte ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4397,3355,'2025-01-13','12 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4398,3350,'2025-01-14','check pregnancy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4399,1199,'2025-01-15','2 month amenorrhea ','','RTC after 3 month ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-12'),
(4400,1976,'2025-01-15','RTC after one wk ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4401,103,'2025-01-15','2 menses in month ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-13'),
(4402,1077,'2025-01-15','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4403,2735,'2025-01-15','4th day of menses ','','start IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-12'),
(4404,1180,'2025-01-15','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4405,1180,'2025-01-15','seek fertility ','','for hormonal profile , seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-04'),
(4406,3355,'2025-01-15','','','21 mm  Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4407,3369,'2025-01-16','on whats up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-14'),
(4408,3146,'2025-01-16','15th day of menses ','','Testosterones 1.9 H ,, dysparniua ..pCO:S to start celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4409,3146,'2025-01-16','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4410,1086,'2025-01-16','check up pregnancy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-08'),
(4411,225,'2025-01-16','remove IUD ','','trial of removal by ikram failed , removed by me',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4412,881,'2025-01-17','Irregular menses ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4413,1148,'2025-01-18','Irregular menses ','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4414,2635,'2025-01-18','anemia , heavy menses before  .. lower abdominal pain ','','simple right cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4415,3372,'2025-01-18','10th day of menses','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4416,1821,'2025-01-18','late menses ','','bhcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-13'),
(4417,3359,'2025-01-18','14 th day of menses ','','PCO\"S start on celein ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-04'),
(4418,3444,'2025-01-18','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-08'),
(4419,2753,'2025-01-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-11'),
(4420,3445,'2025-01-18','late menses','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-14'),
(4421,3446,'2025-01-18','11 th day of menses ','','pco\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-08'),
(4422,3252,'2025-01-18','10th day of menses ','','new cyst 4*5 cm left ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-09'),
(4423,2805,'2025-01-18','2nd day of menses ','','start celein , IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-16'),
(4424,3428,'2025-01-19','11th day of menses ','','not take celine .. RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4425,3448,'2025-01-19','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4426,19,'2025-01-19','itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-08'),
(4427,1485,'2025-01-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4428,3393,'2025-01-19','abdominal pain , skin rash after celine ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4429,3024,'2025-01-20','','','improved weight loss ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-01'),
(4430,3450,'2025-01-20','for IUD ','','16 mm away from fundus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-13'),
(4431,3372,'2025-01-20','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4432,306,'2025-01-20','13 days of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-08'),
(4433,775,'2025-01-20','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4434,775,'2025-01-20','lower abdominal pain , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4435,1976,'2025-01-22','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4436,3332,'2025-01-22','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4437,3404,'2025-01-22','heavy menses ','','for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4438,3252,'2025-01-22','','','left Hemorrhagic cyst looks Endometrioma ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4439,3452,'2025-01-22','Irregular menses for 3 months ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-21'),
(4440,1633,'2025-01-22','post partum vist ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4441,2837,'2025-01-22','9th day of menses ','','good Ovulation  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-14'),
(4442,2753,'2025-01-22','check fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4443,2735,'2025-01-22','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4444,2370,'2025-01-23','multiple menses ','','RTC sat , thick endomterium , for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-16'),
(4445,3455,'2025-01-23','nocturnal enuresis','','+1 Protein ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4446,3448,'2025-01-23','','','TVS POC\'s ., simple right cyst 5 cm بردقوش ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4447,2061,'2025-01-23','4 month post delivery , UTI ','','vaginosis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4448,3456,'2025-01-23','15.11.2024...12 free ...19.01.2025','','right cyst ,, 5 cm , mild pCo\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-19'),
(4449,3061,'2025-01-23','follow up PCO\"S ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4450,3457,'2025-01-23','PCOS','','start on celine , diet ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-07'),
(4451,2218,'2025-01-25','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4452,2370,'2025-01-25','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4453,3459,'2025-01-25','4th days of menses .ask for ferterily ','','RTC at day 10 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-22'),
(4454,3404,'2025-01-25','','','TVS well for amh and hsg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4455,3445,'2025-01-25','','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4456,3460,'2025-01-25','last menses 15.09.2024.. increased weight 16 kg in last year ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-20'),
(4457,3461,'2025-01-25','Irregular menses ','','PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-16'),
(4458,3455,'2025-01-25','','','no growth .. to start on betmiga ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4459,2837,'2025-01-25','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4460,3462,'2025-01-25','Discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-12'),
(4461,2735,'2025-01-26','15th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4462,2162,'2025-01-27','multiple menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4463,1821,'2025-01-27','','','bhcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4464,3247,'2025-01-27','late menses ','','ask for fertility , continue on wt loss and celeine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-28'),
(4465,2110,'2025-01-27','Irregular menses  ','','TVS pco\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-17'),
(4466,3470,'2025-01-27','lower abdominal pain , Cyst seen before by ikram ','','POC\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-13'),
(4467,591,'2025-01-27','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-24'),
(4468,2690,'2025-01-29','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-16'),
(4469,2735,'2025-01-29','','','bad ovaulation ask for IVF ,and ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4470,870,'2025-01-29','2 menses in one month ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4471,185,'2025-01-29','spotting , after delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4472,3056,'2025-01-29','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-17'),
(4473,3474,'2025-01-29','Honeymoon cystitis ','','cyst 4 cm hemorrgic ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-14'),
(4474,3475,'2025-01-29','one day menses ,,, ?!! for two months ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-22'),
(4475,3476,'2025-01-29','Prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-14'),
(4476,2404,'2025-01-30','2nd day of menses ','','start IOO . ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-29'),
(4477,1633,'2025-01-30','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4478,3321,'2025-01-30','follow up ','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4479,2995,'2025-01-30','start IOO ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-28'),
(4480,3477,'2025-01-30','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4481,1930,'2025-01-30','hexa','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4482,3472,'2025-01-31','UTI , on lexox by her doctor ','','add monroul just ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4483,3024,'2025-02-01','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4484,2254,'2025-02-01','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-08'),
(4485,3480,'2025-02-01','PCO\'S ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-17'),
(4486,3482,'2025-02-01','2 menses in last month ,meorrghia ','','Medical Report\nتقرير طبي\nThe above mention lady , 44 yrs old , P 7ïƒ¨ NVD   ,    \nComplains for heavy menorrhagia since 3 months with passage of clots and drop in hemoglobin .\nOn ultrasound exam \nThick endometrium 17 mm , suspected polyp ?!\nNeed Diagnostic E&C \n\nThanks \n01.02.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-31'),
(4487,1552,'2025-02-01','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4488,3366,'2025-02-01','improved , Weight 57 was 57 ..','','RTC after two months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4489,433,'2025-02-02','UTI ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-11'),
(4490,3247,'2025-02-02','late menses','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4491,315,'2025-02-02','delivery in car.. HTN ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4492,1333,'2025-02-03','','','Bhcg Neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-26'),
(4493,3445,'2025-02-03','1st day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-03'),
(4494,945,'2025-02-03','','','left Endometrioma ?? 3 cm rtc after two months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-31'),
(4495,3456,'2025-02-03','','','still cyst , RTC next month ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4496,3372,'2025-02-03','14th days post ovation ','','to do BHCG after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4497,3483,'2025-02-05','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4498,3488,'2025-02-05','seek Fertility\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-25'),
(4499,558,'2025-02-05','check fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-09'),
(4500,3492,'2025-02-06','heavy menses ,, Prolonged Manses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-10'),
(4501,3024,'2025-02-06','','','for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4502,2392,'2025-02-06','2nd day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-05'),
(4503,1482,'2025-02-06','back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-17'),
(4504,3493,'2025-02-06','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-21'),
(4505,3393,'2025-02-06','stoped celine , take met formine','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4506,1645,'2025-02-08','','','TSH 1.4...  prolactine 28 n amh 2.6.. post ponided IOO due to cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-07'),
(4507,2342,'2025-02-08','14th day of menses ,menses like bleeding ','','looks ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-25'),
(4508,2404,'2025-02-08','11th day of menses ','','for pregnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4509,1821,'2025-02-08','4th day of menses ','','start IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-05'),
(4510,3488,'2025-02-08','','','poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4511,517,'2025-02-08','Irregular menses . ask for Fertility   ','','rt hemorrgic cysrt ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-27'),
(4512,708,'2025-02-08','late menses ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-05'),
(4513,2310,'2025-02-08','UTI , lower abdominal pain ','','sever UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4514,1976,'2025-02-08','2nd day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-07'),
(4515,3482,'2025-02-08','POST E&C ','','STILL bleeding ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4516,372,'2025-02-08','late menses ','','neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4517,2254,'2025-02-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4518,1337,'2025-02-08','15th day of menses ','','13 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-25'),
(4519,2995,'2025-02-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4520,3498,'2025-02-09','lower abdominal pain , with Menses , ','','small cyst .tt as UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-15'),
(4521,3372,'2025-02-09','','','for hsg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4522,3501,'2025-02-09','post TAH , 20 yrs ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4523,2995,'2025-02-10','TVS ','','still small , poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4524,3461,'2025-02-10','follow up . no menses ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4525,1690,'2025-02-12','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-11'),
(4526,3024,'2025-02-12','still spotting ','','change Ocp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4527,844,'2025-02-12','ask for fertility ','','RTC sat for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-06'),
(4528,1006,'2025-02-12','3rd day of menses , ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-10'),
(4529,3400,'2025-02-12','For pcos ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-19'),
(4530,3503,'2025-02-12','Check iVF','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4531,3354,'2025-02-13','10th day of menses , follow up cyst ','','good ovulation , no cyst seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-04'),
(4532,2392,'2025-02-13','9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4533,2370,'2025-02-13','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-11'),
(4534,2995,'2025-02-13','sever PCO\'s ','','still poor , increase Dose and start injection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4535,1473,'2025-02-13','late menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4536,230,'2025-02-13','late menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-04'),
(4537,3502,'2025-02-14','in samoue ?Prolonged menses after injection ','','Did Abdomen us free   Received drug ATB no Improvement ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4538,3502,'2025-02-15','','','TVS in my clinic no niche seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4539,1645,'2025-02-15','9th day of menses ,check cyst ','','no Cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4540,3507,'2025-02-15','post abortion ','','14 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4541,3508,'2025-02-15','Irregular menses . infeteritily ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-14'),
(4542,1460,'2025-02-15','Cystoscopy free , report seen ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4543,2571,'2025-02-15','check Ovulation ','','18 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-03'),
(4544,3445,'2025-02-15','10 day ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4545,2962,'2025-02-15','10th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-06'),
(4546,1262,'2025-02-16','late menses ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-02'),
(4547,1726,'2025-02-16','still bleeding after 6 wks ','','bleeding ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4548,3513,'2025-02-16','ask for pregnancy.. 4th day of menses  ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-13'),
(4549,306,'2025-02-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-24'),
(4550,2815,'2025-02-16','4th day','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-13'),
(4551,1976,'2025-02-17','','','good ovualtion for prygnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4552,3514,'2025-02-17','start IOO ,, day 13 day ','','lf cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-05'),
(4553,3369,'2025-02-17','on whats up ','','Bhcg postive ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4554,3369,'2025-02-17','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4555,3305,'2025-02-17','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4556,3491,'2025-02-17','post abortion ','','free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4557,3445,'2025-02-17','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4558,2962,'2025-02-17','','','ask for male',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4559,2571,'2025-02-17','','','looks PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4560,3407,'2025-02-19','5th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-15'),
(4561,3519,'2025-02-19','discharge . lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-30'),
(4562,3128,'2025-02-19','by whats ','','start IOO not started ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-18'),
(4563,1169,'2025-02-19','','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-12-08'),
(4564,3520,'2025-02-19','heavy menses ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-18'),
(4565,3521,'2025-02-19','hot flash','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4566,3522,'2025-02-19','5th day of menses.. ask for fertility ','','to do AMH = 0.415',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-15'),
(4567,3524,'2025-02-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4568,3525,'2025-02-19','Honey moon','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-08'),
(4569,3398,'2025-02-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4570,3398,'2025-02-19','late menses ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4571,230,'2025-02-19','5th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-15'),
(4572,1690,'2025-02-20','10th day of menses ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4573,908,'2025-02-20','13th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-08'),
(4574,3527,'2025-02-20','breast milk ','','high prolactin 60 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-25'),
(4575,2612,'2025-02-20','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-17'),
(4576,3222,'2025-02-20','discharge , UTI ','','UTI',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-28'),
(4577,2370,'2025-02-20','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4578,1473,'2025-02-20','late menses ','','BHCG neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4579,1180,'2025-02-20','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4580,3128,'2025-02-22','5th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4581,1930,'2025-02-22','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-28'),
(4582,3525,'2025-02-22','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4583,3529,'2025-02-22','lower abdominal pain , discharge ','','refuse exam . Itching since two month ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-07'),
(4584,3530,'2025-02-22','ovarian Failure , on hormonal Therapy , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-14'),
(4585,135,'2025-02-22','for utrine spetum  removal as she MRI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4586,1690,'2025-02-22','','','good ovaulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4587,3461,'2025-02-22','follow up . no menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4588,1114,'2025-02-22','prolonged menses ','','for mrina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4589,306,'2025-02-22','1st day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-20'),
(4590,3216,'2025-02-23','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4591,2815,'2025-02-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4592,2854,'2025-02-23','heavy menses  ','','TVS : bulky uterus , advice for D&C and merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-05'),
(4593,3534,'2025-02-23','ask for fertility  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-20'),
(4594,3535,'2025-02-23','','','Pco\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4595,3536,'2025-02-23','7th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-16'),
(4596,3488,'2025-02-24','1st day of menses ','','to do labs .. to start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-24'),
(4597,908,'2025-02-24','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4598,1401,'2025-02-24','for implanon ','','applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-17'),
(4599,3508,'2025-02-24','10th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4600,3513,'2025-02-24','9th day of menses ','','RTC 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4601,1726,'2025-02-24','improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4602,517,'2025-02-25','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-24'),
(4603,3520,'2025-02-26','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4604,3540,'2025-02-26','ask for pregnancy ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 37 -year-old, G1P1ïƒ¨ IUFD at 30 wks due to sever IUGR , sever PET \n\nAdvice strongly for thrombophilia study   \n\n\nThanks \n\n  26.02.2025\n\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-13'),
(4605,3407,'2025-02-26','12th day ','','good Ovulation\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4606,3541,'2025-02-26','ask for fertility ','','requral , menses TVS , pco\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-01'),
(4607,3514,'2025-02-26','post ovulation ','','ولدها انكسرت رجله ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4608,1660,'2025-02-26','Irregular menses ','','IUD , pushed up ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4609,3038,'2025-02-26','follow up mernia ','','very well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4610,825,'2025-02-26','discharge , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-30'),
(4611,1426,'2025-02-26','check IUD','','pushed UP ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4612,3543,'2025-02-26','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-24'),
(4613,3539,'2025-02-27','in malaki .. 20days of menses .. for infertility ','','looks for hormonal profile, HSG , seminal analysis .. PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-08'),
(4614,3545,'2025-02-27','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-23'),
(4615,2906,'2025-02-27','heavy menses ','','Medical Report\nتقرير طبي\nThe above mention lady , 44 yrs old , P 2+0ïƒ¨ NVD   \nComplains form heavy menses , \nKnow case of uterine fibroids \n \nReferred for  management    \nThanks \n27.02.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4616,3513,'2025-02-27','15th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(4617,509,'2025-02-27','still spotting ','','start on OCps ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4618,3536,'2025-02-27','12th day of menses ','','6 mm ..9 mmm',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4619,3547,'2025-02-28','lower flank pain.. heavy menses ','','PID regemin',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-02'),
(4620,3548,'2025-02-28','lower abdominal pain ,','','suspected polyp',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-19'),
(4621,2162,'2025-03-01','','','polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4622,1640,'2025-03-01','irreqursl menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-21'),
(4623,3551,'2025-03-01','difucult intercource ','','bowel gas ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4624,3239,'2025-03-01','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4625,3553,'2025-03-01','lower Abdominal pain , on scar ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-25'),
(4626,3474,'2025-03-01','follow up , lower Abdominal pain','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-15'),
(4627,262,'2025-03-01','late menses ','','BHcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-26'),
(4628,3536,'2025-03-01','14th day of menses ','','left side 18 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4629,954,'2025-03-03','late menses ','','RTC after one wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-27'),
(4630,2962,'2025-03-03','2 day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-02'),
(4631,2342,'2025-03-03','late menses ','','BHSG neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4632,3189,'2025-03-05','multiple menses ','','looks Calcification in fundus .see pics ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-05'),
(4633,3247,'2025-03-05','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-28'),
(4634,517,'2025-03-05','10 th ,, ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4635,3556,'2025-03-05','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-27'),
(4636,3434,'2025-03-05','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-18'),
(4637,2805,'2025-03-05','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4638,3557,'2025-03-05','irrequral menses ','','BHCG postive ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-20'),
(4639,3488,'2025-03-05','','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4640,3558,'2025-03-05','heavy menses ,anemia ','','on IUD since 15 yrs . plan to remove IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-30'),
(4641,2837,'2025-03-05','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-10'),
(4642,1077,'2025-03-05','late menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-28'),
(4643,1169,'2025-03-05','heavy Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4644,2342,'2025-03-05','high AMH , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-03'),
(4645,2639,'2025-03-05','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4646,3550,'2025-03-07','seek fertility ,, 5th day','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-03'),
(4647,1666,'2025-03-07','8th  day of menses ','','RTC next wk for ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-27'),
(4648,3488,'2025-03-08','','','good left ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4649,889,'2025-03-08','rt oophereectomy ,, left cyst ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4650,3560,'2025-03-08','Irregular menses last IUD ','','thinks about POF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-11-01'),
(4651,2751,'2025-03-08','multiple menses , with pain , ','','IUD low removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-02'),
(4652,3557,'2025-03-08','suspect ectopic ','','tubal abortion ?? ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4653,2392,'2025-03-08','2nd day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-07'),
(4654,3551,'2025-03-08','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-12'),
(4655,3562,'2025-03-08','','','IUD not in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-01'),
(4656,2218,'2025-03-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4657,1640,'2025-03-10','still bleeding  not improved on hexa','','start on provera ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4658,3541,'2025-03-10','10th day of Menes ','','hycosy done ,, normal ... to repate seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-01'),
(4659,3541,'2025-03-10','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4660,1649,'2025-03-10','Irregular menses ','','hexacabron given ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4661,1108,'2025-03-10','Check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4662,2175,'2025-03-10','IUD applied ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-25'),
(4663,3434,'2025-03-10','flank pain ','','left Hemorrhagic cyst 3 cm.. sever UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4664,68,'2025-03-10','ask for male .twins ','','rtc next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4665,3564,'2025-03-10','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-20'),
(4666,3456,'2025-03-12','free visit ','','no cyst seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4667,2815,'2025-03-12','2nd day of menses ','','rTC after 10 day , multiple cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-11'),
(4668,3550,'2025-03-14','12th day','','to reapte HSG ..',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4669,3559,'2025-03-14','last delivery 7 months , depopreovra , spotting ','','start on cerazinte ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4670,1666,'2025-03-14','','','well ovulation , for IOO next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4671,68,'2025-03-15','3th day of menses ','','start IOO , Instruction given to lady ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-13'),
(4672,3565,'2025-03-15','','','Check Virginly ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4673,521,'2025-03-15','ON IUD since 11/2024.. menorrhagia','','poor view RTC after blood off ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-06'),
(4674,3568,'2025-03-15','spotting , ','','IUD in siut  bulky uterus , for TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-03'),
(4675,3009,'2025-03-15','prolonged Heavy Menes , with lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-01'),
(4676,2854,'2025-02-25','e&C and merina applied in malaki ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4677,2854,'2025-03-15','follow up ','','still spotting , well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4678,1485,'2025-03-15','breast pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-23'),
(4679,3569,'2025-03-15','Precocious puberty','','Refer to Endocrinologist ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4680,3280,'2025-03-15','13th day of menses ','','RTC after 2 days to check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-03'),
(4681,3570,'2025-03-15','late menses ','','rt Hemorrhagic , 4 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4682,2684,'2025-03-15','for IUD insertion ','','well applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-08'),
(4683,3562,'2025-03-15','for IUD insertion ','','check it next time well 26 mm from fundus !!!!',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-08'),
(4684,2392,'2025-03-15','9th day of menses','','advice for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4685,3493,'2025-03-17','Hypomenorrhea ','','BHCG neg check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-07'),
(4686,521,'2025-03-17','','','infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4687,2476,'2025-03-17','lower abdominal pain look her date of menses ','','left ovarian cyst 4 cm hemorrghic ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4688,3574,'2025-03-17','two menses ... 24.02...14.03','','submucasl fibriod for TAH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-14'),
(4689,3577,'2025-03-19','for ttt of PCOS ','','fundal polyp VS fibriod , sline exam done seen PIC',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-16'),
(4690,1971,'2025-03-19','spotting ','','BHCG neg , u/A free , prolactine 13',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4691,1132,'2025-03-19','3rd day of menses ','','advice to do HSG , TVS Next wk  bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-17'),
(4692,2610,'2025-03-19','ON IUD ,,, ','','check IUD TVS next time (tell by her dctor displaced ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-01'),
(4693,3247,'2025-03-19','late menses ','','to start IOO next menses , RTC after one wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4694,3407,'2025-03-19','2nd day of menses ','','for HSG , full lab test ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-18'),
(4695,938,'2025-03-19','check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-01'),
(4696,3578,'2025-03-19','refered from musab ','','lower abdominal pain ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-09'),
(4697,525,'2025-03-19','spotting ','','for hexacabron ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-20'),
(4698,1214,'2025-03-19','5th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-15'),
(4699,3003,'2025-03-19','late menses , lower Abdominal pain , BHSG neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-11'),
(4700,3536,'2025-03-19','2nd day of menses ','','start IOO , they ask about HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-18'),
(4701,3536,'2025-03-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4702,1667,'2025-03-19','UTI late menses ','','postponded after eid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-18'),
(4703,3568,'2025-03-19','','','TVS done ,,, left ovarian cyst , utrues bulky ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4704,2751,'2025-03-19','improved , cansitine given','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4705,3458,'2025-03-19','post abortion follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4706,3579,'2025-03-19','11th day of menses ','','good ovualtion , for prgynl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-09'),
(4707,3551,'2025-03-19','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-13'),
(4708,3239,'2025-03-19','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4709,3580,'2025-03-21','case of 1ry infertility ','','signs of pco;s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-14'),
(4710,3493,'2025-03-22','','','well',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4711,3581,'2025-03-22','heavy menses since 2 yrs , Fibroids (ahmed shaheen ) ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4712,2611,'2025-03-22','spotting ','','change oCp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-09'),
(4713,68,'2025-03-22','10th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4714,2932,'2025-03-22','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4715,1582,'2025-03-22','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4716,1582,'2025-03-22','','','RTC next menses , for seek ovulation , and hot flushes ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4717,2805,'2025-03-22','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4718,3582,'2025-03-22','ask for male ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-07'),
(4719,3578,'2025-03-22','followed up ','','imrpoved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4720,3570,'2025-03-22','4th day of menses ','','ask for Fertility\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-19'),
(4721,3560,'2025-03-24','','','good lab test , for rqugulation of menses  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4722,3488,'2025-03-24','','','looks cyst ??! check TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-23'),
(4723,3584,'2025-03-26','2nd day of menses , Irregular  since 5 month ','','PCO;s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-23'),
(4724,1472,'2025-03-26','check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4725,1487,'2025-03-26','Irregular menses (breast feed ) ','','check menses next wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-18'),
(4726,58,'2025-03-26','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4727,1132,'2025-03-26','10 th day ','','15 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4728,3550,'2025-03-28','3rd day of menses ','','to start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-26'),
(4729,1237,'2025-03-28','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4730,3585,'2025-03-28','2nd day of menses ,, lower abdominal pain ','','ask for pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-27'),
(4731,3407,'2025-03-29','12th day of menses ','','hycosy done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4732,3407,'2025-03-29','','','\nHysterosalpingo-Contrast Sonography (HyCoSy) Report\n- Three Dimensional transvaginal Ultrasound examination revealed:\n* A anteverted Normal shaped (No Mullerian anomalies) mobile uterus with a corpus measuring 54 mm (L) x 31mm (T) x 40 mm (AP) with a volume of 35.1 mL.\n* The endometrium appears intact with a thickness of 6 mm (both layers).\n* The cervix appears normal with a length of 30mm.\n* The right ovary is visible with smooth outline and with polycystic in appearance ≥10 mL or >20 (2-9mm follicles) with a volume of 9.6mL.\n* The left ovary is visible with smooth outline and with good AFC ( 5- 8 ) with normal morphology with a volume of 6 mL.\n- Transvaginal ultrasound exanimation with HyCoSy - Contrast Sonography showing :\n* Good cavity expansion with media instillation showing no filling defect.\n* left   tube are patent and contrast seen in pelvis.\n* NO spillage seen form left side after push there is small amount spillage seen \n\n- Best wishes,\n29.03.2025\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4733,1640,'2025-03-29','spotting ','','thick endomrtuim ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-28'),
(4734,3588,'2025-03-29','Intermenstrual spotting ','','Submucosal Fibroid VS polyp for operative Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-13'),
(4735,1132,'2025-03-29','13th days of menses ','','for HSG next menses , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4736,3536,'2025-03-29','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4737,1214,'2025-03-29','15 th day','','good ovualtion ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4738,3332,'2025-04-02','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-01'),
(4739,2027,'2025-04-02','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4740,3581,'2025-04-02','','','for TAH next sunday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4741,2858,'2025-04-02','follow up after abortion VS ectopic ','','titer 17.5',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4742,3592,'2025-04-02','2nd day of menses ','','ask for pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-01'),
(4743,3488,'2025-04-02','','','cyst 4 cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4744,761,'2025-04-02','2 months post CS for IUD ','','IUD applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4745,3102,'2025-04-02','11th day of menses ','','left cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-23'),
(4746,910,'2025-04-02','14.01.2025 implnon at hebron , ','','heavy menses 12.4..340 bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4747,1100,'2025-04-02','multiple menses in last month .. postcoirtal bleeding ','','refuse cervical exam, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-30'),
(4748,837,'2025-04-02','late menses ','','to do BHCG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-11'),
(4749,3596,'2025-04-02','lower abdominal pain ','','left cyst 7 cm , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4750,2609,'2025-04-02','15th day ','','suspect polyp , do silne US ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-20'),
(4751,2799,'2025-04-02','','','Check IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-23'),
(4752,3596,'2025-04-02','','','Medical Report\nتقرير طبي\nThe above mention child , 12 yrs old , complains form lower abdominal pain , with vomiting since yesterday \nOn exam \nRebound tender abdomen \nUS : 7 cm left adnexa mass  , torsion can not role out \n\nReferred for  management    \nThanks \n02.04.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4753,3024,'2025-04-02','','','IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4754,3316,'2025-04-03','in malaki ..3rd day of menses ','','finshied celin for 3 months , for start IOO for one cycel , then for HSG and IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-01'),
(4755,3584,'2025-04-03','10th day of menses ','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4756,3598,'2025-04-03','16 th day ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-19'),
(4757,3470,'2025-04-03','follow up improved ','','early IR ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-27'),
(4758,3600,'2025-04-03','15th day of menses ','','for TVS next sat , plan for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-20'),
(4759,2027,'2025-04-03','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4760,2392,'2025-04-03','TVS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4761,2317,'2025-04-03','follow up wound ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4762,1485,'2025-04-03','lower abdominal pain ','','check Uterus by TVS .. ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-27'),
(4763,3604,'2025-04-03','pco\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-25'),
(4764,3605,'2025-04-03','late menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-28'),
(4765,3548,'2025-04-04','lower abdominal pai n ','','report given as she had polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-18'),
(4766,3590,'2025-04-04','lower abdominal pain, discharge ','','last pregnancy two yrs was 4 months age ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-03'),
(4767,1666,'2025-04-04','10 th day of menses ','','heavy menses , given hexa cabron',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-26'),
(4768,3550,'2025-04-04','10 th ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4769,3585,'2025-04-04','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4770,3600,'2025-04-05','','','good ovulation ,, fo ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4771,2731,'2025-04-05','3 weeks post CS ','','for implanon next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4772,1179,'2025-04-05','postcoital bleeding ','','discharge , infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4773,3102,'2025-04-05','14 th day of menses ','','think about lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4774,1976,'2025-04-05','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-06'),
(4775,3596,'2025-04-05','post lap ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4776,3608,'2025-04-05','Ask for fertility ,, ask for male ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-04'),
(4777,579,'2025-04-05','hot flashes ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4778,1485,'2025-04-05','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4779,3598,'2025-04-05','','','for full labs next menses ,,, and HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4780,3024,'2025-04-05','improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4781,315,'2025-04-05','ask for implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4782,3482,'2025-04-06','for TAH ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4783,3584,'2025-04-06','12th da','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4784,538,'2025-04-06','lower abdominal pain ','','rt 3 cm cyst .. RTC 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4785,2424,'2025-04-06','multiple menses ','','on microlut POP change to COP ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4786,3535,'2025-04-06','to repate husband spmin','','RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-23'),
(4787,915,'2025-04-06','pain after IUD With menorrghia ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4788,650,'2025-04-06','breast pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4789,3609,'2025-04-06','heavy menses ','','cbc , pt ,ptt ,.inr TSH all normal , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4790,1293,'2025-04-06','hematuria ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-30'),
(4791,68,'2025-04-07','1 st day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-07'),
(4792,1640,'2025-04-07','still bleeding ','','thinkness , PCO\'s ( consule regadring PCO;s )',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4793,1107,'2025-04-07','4 th day ,,, she complain form weakness after OCP\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-03'),
(4794,1108,'2025-04-07','check IUD discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4795,189,'2025-04-07','late menses , one wks ','','right cyst 4 cm, thick endomtrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-01'),
(4796,3578,'2025-04-07','still had pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4797,701,'2025-04-09','follow up after delivery ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4798,3332,'2025-04-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4799,3332,'2025-04-09','late menses ','','to do labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4800,3610,'2025-04-09','5th day of menses . ask for fertiliy ','','start Double protocol for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-05'),
(4801,2468,'2025-04-09','follow up after IUI done , jordan ','','amh .07 ,, for IVF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-23'),
(4802,3584,'2025-04-09','check ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4803,3584,'2025-04-09','','','poor ovulation for IOL next Cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4804,2962,'2025-04-09','10th day of menses ','','check ovulation after two wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-31'),
(4805,2932,'2025-04-09','suspected herina ','','advice for CS if no Improvements ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4806,3578,'2025-04-09','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4807,1426,'2025-04-09','check IUD ','','removed , sliped sadly ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4808,3616,'2025-04-09','late menses ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4809,3596,'2025-04-09','','','remove stitch ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4810,3461,'2025-04-09','13th days of menses ','','PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-28'),
(4811,3618,'2025-04-09','removed IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-30'),
(4812,3525,'2025-04-09','2nd day of menses ','','for ovulation at 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-08'),
(4813,3508,'2025-04-09','discharge ','','Rt cyst 4 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4814,3450,'2025-04-10','check IUD ','','IUD well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-24'),
(4815,3622,'2025-04-10','Postcoital Bleeding ','','small hemtoma laceration ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-25'),
(4816,3623,'2025-04-10','3rd day of menses ','','check ovaultion , ask for pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-08'),
(4817,1627,'2025-04-10','','','for dobble protocol next menses , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-23'),
(4818,3624,'2025-04-10','late menses ','','pregnant ,,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-04'),
(4819,170,'2025-04-10','Irregular menses ','','to start microgenion ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4820,2799,'2025-04-10','','','to remove ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4821,1666,'2025-04-11','improved ','','start IOO next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4822,3590,'2025-04-11','late menses ','','rt cyst 4cm,,, for IOO next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4823,3628,'2025-04-11','5th day of menses ','','start IOO , themn IOO + inj then IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-07'),
(4824,3588,'2025-04-12','','','looks shrinking for reassment nexttime TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4825,3588,'2025-04-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4826,3519,'2025-04-12','improved , no cyst ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4827,3316,'2025-04-12','','','good ovuation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(4828,12,'2025-04-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4829,71,'2025-04-12','IUD removed by crocodile','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4830,3488,'2025-04-12','day 22 spotting for 3 days ','','looks menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4831,1219,'2025-04-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4832,2462,'2025-04-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-05'),
(4833,681,'2025-04-12','15 th days ','','Check infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-28'),
(4834,1214,'2025-04-12','1st day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-12'),
(4835,1582,'2025-04-12','2nd day of menses ','','FSH 27',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-11'),
(4836,2962,'2025-04-12','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4837,2392,'2025-04-12','TVS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4838,3592,'2025-04-12','12 th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4839,1249,'2025-04-12','UTI','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4840,3622,'2025-04-13','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4841,3608,'2025-04-13','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4842,3634,'2025-04-13','lower abdominal pain ','','Free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-27'),
(4843,3634,'2025-04-13','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4844,45,'2025-04-13','For IUD application ','','applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4845,2753,'2025-04-13','UTI ','','fosomycin 3 daose ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-30'),
(4846,3482,'2025-04-14','post TAH ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4847,3581,'2025-04-14','post TAH ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4848,3508,'2025-04-14','3rd day of menses  ','','still cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-12'),
(4849,3610,'2025-04-16','12 th day ','','RTC after two days , good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4850,660,'2025-04-16','ask for fertility .. 15th day of menses ','','for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-02'),
(4851,3639,'2025-04-16','9th day of menses , irrqural menses , but reural menses acoording to hx ','','for timinmg of intercource ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-08'),
(4852,3640,'2025-04-16','heavy menses ','','was seen cyst be4  , now free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-15'),
(4853,2110,'2025-04-16','finshied two cycle of celine ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-23'),
(4854,3400,'2025-04-16','start on DIANE-35','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-19'),
(4855,3642,'2025-04-16','menapuse since 2 yrs . postmenapuse spotting ','','Medical Report\nتقرير طبي\nThe above mention lady , 50 yrs old , \nMenapuse since 2 yrs , \nPresented complains from post-menopausal bleeding\nOn exam \nThick endometrium 6 mm \n\nAdvice for diagnostic D&C \nThanks \n16.04.2025\n\n\nMedical Report\nتقرير طبي\nThe above mention lady , 50 yrs old , \nMenapuse since 2 yrs , \nPresented complains from post-menopausal bleeding\nOn exam \nThick endometrium 6 mm \n\nAdvice for diagnostic D&C \nThanks \n16.04.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4856,1640,'2025-04-16','','','Improved asked for fertility rtc next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4857,3644,'2025-04-16','ask for fertility ','','check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-10'),
(4858,3645,'2025-04-16','meapuse 7 yrs , breast pain ','','advice to do mammogram ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4859,3525,'2025-04-16','','','RTC sat ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4860,3624,'2025-04-16','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4861,3646,'2025-04-16','hypomenses , since 6 month ','','ttt According to labs, normal labs , must seen by meddicine for headache ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-13'),
(4862,3393,'2025-04-16','imptoved ','','contiue on metformin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4863,453,'2025-04-17','grade 4 Prolapse ','','for Pessary then IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4864,2609,'2025-04-17','','','RTC sat for sline US ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-13'),
(4865,68,'2025-04-17','10th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4866,3647,'2025-04-17','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-27'),
(4867,71,'2025-04-17','15 th day of menses ','','ask for twins , RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-03'),
(4868,3434,'2025-04-17','2 months late menses ','','think Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4869,3648,'2025-04-17','5th day of menses , IUD removed since 6 months ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-13'),
(4870,3642,'2025-04-17','','','Medical Report\nتقرير طبي\nThe above mention lady, 50 years old,\nMenopause since 2 years,\nPresented complains from post-menopausal bleeding\nendometrial pipelle biopsy taken \n\n  for histopathology  \nThanks \n17.04.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4871,3590,'2025-04-18','late menses , no discharge , just bad odder ','','bhcg neg ,, start ioo if no cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4872,3628,'2025-04-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4873,2609,'2025-04-19','s line done , normal cavity even left tube seen spillage','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4874,3610,'2025-04-19','','','prygnyl given ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4875,68,'2025-04-19','','','Ovulation\'s good ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4876,3535,'2025-04-19','2nd day of menses ','','RTC at 10 day , to check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-18'),
(4877,3654,'2025-04-19','2 day of menses ','','ask for fertility .. check ovulation at 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-18'),
(4878,3655,'2025-04-19','heavy menses since 3 wks ','','for TVS after 3 days , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-29'),
(4879,660,'2025-04-19','','','good Ovulation  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4880,3525,'2025-04-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4881,3429,'2025-04-19','she get pregnant after last time , but terminated abnormal head ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4882,3623,'2025-04-19','12 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4883,3520,'2025-04-19','late menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-10'),
(4884,915,'2025-04-19','improved ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4885,19,'2025-04-19','IUD removed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-12'),
(4886,743,'2025-04-19','12 th day of menses ','','RTC next cycel , husband away ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-08'),
(4887,3644,'2025-04-20','check ovulation ','','weak ovulation just once ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4888,2805,'2025-04-20','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-19'),
(4889,3657,'2025-04-20','heavy menses ,, since one year ','','start Diane 35 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-13'),
(4890,1214,'2025-04-21','10 th day ','','goo dovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4891,3659,'2025-04-21','4th day of menses . check fertility ','','start IOO , if Failed fotr labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-18'),
(4892,3349,'2025-04-21','left flank pain ','','hemorraghic 5 cm left side ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-29'),
(4893,3508,'2025-04-21','','','still cyst . look irrqural ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4894,3660,'2025-04-21','menses ,,  Nocturnal enuresis','','change life style ... no 2ny signs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4895,1460,'2025-04-21','last dose merpene 19.04','','RTC next wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4896,196,'2025-04-21','on IUD since 7 month ,, irrqural menses ','','rt cyst 5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4897,1992,'2025-04-21','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4898,2027,'2025-04-23','','','for Bhsg in Urine... to Thrombophilia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4899,3663,'2025-04-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4900,3663,'2025-04-23','late menses ','','BHCG neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4901,363,'2025-04-23','3rd day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-21'),
(4902,528,'2025-04-23','On IUD since 7 month ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4903,2162,'2025-04-23','still complains , ','','for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4904,3664,'2025-04-23','late menses , BHCG neg ','','start PCO\"s TTT ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-02'),
(4905,170,'2025-04-23','congested menses ,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4906,83,'2025-04-23','10th day of menses ','','for prygyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-14'),
(4907,3434,'2025-04-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4908,2761,'2025-04-24','3rd day of menses ','','start Double IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-22'),
(4909,910,'2025-04-24','still in menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4910,3665,'2025-04-24','check fertility ','','RTC at ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-17'),
(4911,681,'2025-04-24','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-23'),
(4912,3400,'2025-04-24','','','تاثرت من الدوا ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4913,3629,'2025-04-25','PMB normal HPE , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4914,3629,'2025-04-11','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4915,2162,'2025-04-26','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4916,92,'2025-04-26','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4917,3520,'2025-04-26','','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4918,1145,'2025-04-26','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4919,2589,'2025-04-26','lower abdominal pain ','','discharge ..US free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4920,3048,'2025-04-26','Lower Abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-08'),
(4921,1627,'2025-04-26','3rd day of menses ','','start doublle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-24'),
(4922,3669,'2025-04-26','breast mass ','','RTC after two wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-11'),
(4923,3379,'2025-04-26','improved ','','for sline graph next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-09'),
(4924,3379,'2025-04-26','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4925,1132,'2025-04-26','HSG normal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4926,3366,'2025-04-26','lower abdominal pain ','','post cyst rupture . free fluid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-18'),
(4927,3670,'2025-04-26','Irregular menses , with pain  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4928,3396,'2025-04-27','in malaki 3rd day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-25'),
(4929,3671,'2025-04-27','in malaki ... 12 kg lose in one month ','','rt cyst suspected dermoid .. for CT and tumor marker ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-10'),
(4930,3326,'2025-04-27','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-25'),
(4931,1928,'2025-04-27','irrqural menses ,,, on yasmin ','','she was on IUD removed due to menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-24'),
(4932,1426,'2025-04-27','IUD ','','appplied well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-24'),
(4933,3600,'2025-04-27','','','for HSG 06.05.2025(normal ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-27'),
(4934,3535,'2025-04-27','10th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4935,3528,'2025-04-27','post CS visit ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4936,3672,'2025-04-27','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4937,2599,'2025-04-27','irrequral menses ','','bhcg neg ..rt cyst',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4938,3534,'2025-04-28','19 th day of menses ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-10'),
(4939,412,'2025-04-28','3 months no menses ','','start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-01-30'),
(4940,2805,'2025-04-28','10 th day','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4941,870,'2025-04-28','lATE MENSES ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4942,2310,'2025-04-28','diziness ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4943,979,'2025-04-28','post natal viist , discharge , irrequral menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4944,3659,'2025-04-30','13th day of menses ','','good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4945,3349,'2025-04-30','follow up cyst ','','normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-28'),
(4946,1484,'2025-04-30','discharge , UTI , lower abdominal pain , spotting ','','breast pain ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-12'),
(4947,3676,'2025-04-30','ask for fertility ','','for TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-24'),
(4948,3677,'2025-04-30','Irregular menses heavy bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-07'),
(4949,481,'2025-04-30','ask for IUI .male ','','ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-28'),
(4950,3680,'2025-04-30','irrequral menses ,, ask for pregnancy ','','was on IUD 5 yr , removed 1 wks ago , rTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4951,116,'2025-04-30','increased hirsutism','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-18'),
(4952,2761,'2025-05-01','','','good ovulation , husband away ???!!!!',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4953,3548,'2025-05-02','Pain','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-15'),
(4954,3590,'2025-05-02','Start ioo ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-26'),
(4955,3674,'2025-05-02','Ask for pregnanc ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-25'),
(4956,3550,'2025-05-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-22'),
(4957,3676,'2025-05-03','','','TVS done , acute retoverted uterus , poor view , one folicile seen on left side ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4958,3316,'2025-05-03','2nd day of menses ','','for hycosy at sat ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-02'),
(4959,1627,'2025-05-03','10th day of menses','','look well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4960,591,'2025-05-03','late menses ','','to do BHCG ..start IOO next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-20'),
(4961,938,'2025-05-04','check up IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-28'),
(4962,3434,'2025-05-04','4th day of menses ','','start IOO for speed pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(4963,1169,'2025-05-04','late menses ','','RTC after one wks',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-24'),
(4964,509,'2025-05-04','discharge ','','well mernia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4965,93,'2025-05-04','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-02'),
(4966,2052,'2025-05-04','14th day of mense sa','','check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-21'),
(4967,3326,'2025-05-05','10th day of menses ','','in malkai ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4968,3584,'2025-05-05','late menses ,, ','','RTC after one wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4969,1102,'2025-05-05','UTI , discharge ','','for implanon  (applied )',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4970,1627,'2025-05-05','','','2 folicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4971,3682,'2025-05-05','hypo-menses ,, irrqural menses , on IUD since 2 yrs ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-03'),
(4972,2826,'2025-05-05','Irregular menses ','','with lower back pain ,, discharge ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4973,2826,'2025-05-05','all hormonal profile normal 10.2024.. by iyad affanah','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4974,2393,'2025-05-07','post CS follow Up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4975,975,'2025-05-07','late menses ','','low sperm check ?@\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4976,3326,'2025-05-07','','','in clinic , well ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4977,3684,'2025-05-07',', improved , on mernia , since 4 month ','','IUD in Siyu 3rd TVS done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4978,3684,'2025-05-07','1st visit in malaki , was spotting ,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4979,481,'2025-05-07','10th day of menses ','','for IUI sat ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4980,1660,'2025-05-07','IUD slipped','',' implanon applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4981,178,'2025-05-07','IUD since 6 wks postparum ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4982,3686,'2025-05-07','check fertility ','','was PCOs in joradn , given ttt in jordan .. RTC after next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-15'),
(4983,3508,'2025-05-07','3rd day of menses ','','cyst 4 cm ,, RTC after 10 days , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-05'),
(4984,3592,'2025-05-08','8th day of menses ','','RTC at day 11 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(4985,2761,'2025-05-08','check ovulation ','','looks ovulated ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4986,3688,'2025-05-08','prolonged menses ','','fibriod 4 cm ,, rt simple cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-30'),
(4987,3590,'2025-05-09','14th day ','','she brinhg old lab , FSH 30 high , low AMH 0.28, low progesteron ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4988,3590,'2025-05-09','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4989,3316,'2025-05-10','9th day of menses ','','hycosy done , left open under pressure ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4990,3536,'2025-05-10','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-08'),
(4991,3534,'2025-05-10','7th days of menses ','','try to do hycosy faliued , to do in hospital ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-04'),
(4992,522,'2025-05-10','left side abdominal pain ,, ','','IUD in situ to do mamgharm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-18'),
(4993,2799,'2025-05-10','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4994,3434,'2025-05-11','11th day of menses ','','TVS : both polycyt , RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4995,3639,'2025-05-11','3rd day of menses ','','left cyst 4 cm ,,, check ovulation at day 10 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-09'),
(4996,93,'2025-05-12','11th day of menses ','','good ovulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(4997,3493,'2025-05-12','still hypomenorrha , spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-22'),
(4998,3474,'2025-05-12','late menses, Bhcg Neg','','4cmsimple cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-09'),
(4999,207,'2025-05-12','check IUD ','','well . m',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5000,3579,'2025-05-12','','','signs of ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5001,3035,'2025-05-13','late menses (bhsg neg) ','','to do HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-19'),
(5002,2533,'2025-05-14','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-02-25'),
(5003,3584,'2025-05-14','','','hemorrgahic cyst 5 cm rt ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5004,3610,'2025-05-14','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-05'),
(5005,3698,'2025-05-14','heavy menses ','','looks thick endomtrium , thick about Bx ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5006,2609,'2025-05-14','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-08'),
(5007,1169,'2025-05-14','check ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-05'),
(5008,723,'2025-05-14','post CS delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5009,600,'2025-05-14','post IUD application , abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5010,3701,'2025-05-14','on natural contraceptive ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-29'),
(5011,3701,'2025-05-14','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5012,3702,'2025-05-14','pco\'s ','','to start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5013,2618,'2025-05-14','Post CS follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5014,3434,'2025-05-14','','','poor ovulation ,, increased dose next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5015,3704,'2025-05-14','14th days of menses , ask for pregnancy ','','looks polyp , Check next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5016,3705,'2025-05-14','seek for Fertility ','','left cyst , looks demoid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-12'),
(5017,3677,'2025-05-14','IUD removed in malaki ','','check up , well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5018,1633,'2025-05-14','hypomenorrhea ','','to do lab test ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-09'),
(5019,3706,'2025-05-14','post abortion , missed abortion ','','Incomplete abortion ..ask for twins ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5020,3640,'2025-05-14','back pain ','','BHCG NEG,,,HGB 9.1...381',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5021,975,'2025-05-14','late menses ','','BHCG NEG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5022,1666,'2025-05-14','start IOO ON WHATAPP','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-14'),
(5023,1735,'2025-05-14','on IUD ,,, Infection , discharge , spotting ','','IUD sliped , removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5024,3508,'2025-05-15','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5025,3664,'2025-05-15','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5026,3316,'2025-05-15','','','good ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5027,1201,'2025-05-16','lower abdominal pain , cyst ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-05'),
(5028,3710,'2025-05-17','ask for fertility ..day 17 ','','for labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-02'),
(5029,3670,'2025-05-17','improved ','','IUD spliied ,,, to th side, advice for remove and implanon VS mernia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5030,3461,'2025-05-17','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-16'),
(5031,1189,'2025-05-17','chek up cyst ','','small left cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5032,488,'2025-05-17','multiple menses ','','IUD in situe ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-10'),
(5033,3644,'2025-05-18','no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5034,3680,'2025-05-18','2nd day of menses ','','RTC when husband Return ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-17'),
(5035,1401,'2025-05-18','irrqural menses ','','rtc after 1 month if still spotting ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5036,3535,'2025-05-18','5th day of menses','','rTC after 3 month to improved husbnad ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-13'),
(5037,3712,'2025-05-18','know case of anemina referd from mosaab ','','IUD slipped ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5038,3712,'2025-05-18','','','Medical Report\nتقرير طبي\nThe above-mentioned lady, 40 years old,\nPresented for gynecological consultation due to anemia.\nHer last hemoglobin level was 9 g/dL after receiving a blood transfusion.\nOn Examination\n•	Ultrasound: Uterus of normal size\n•	Intrauterine Device (IUD): Displaced \n•	Adnexa: Free\nRecommendation\nRemoval of the IUD is advised as soon as possible.\nThank you\n18.05.2025\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5039,1107,'2025-05-18','2nd day of menses ','','for HSG at maklaki ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-17'),
(5040,1132,'2025-05-19','2nd day of menses ','','for Dioble dose IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-18'),
(5041,3639,'2025-05-19','check ovulation ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5042,83,'2025-05-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-11'),
(5043,3536,'2025-05-19','13 day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5044,3714,'2025-05-20','chronic ,, adomiinal pain ask for fertility ','','IBS , then for HSG , next time hsg .. for lab test at 2nd day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-20'),
(5045,3716,'2025-05-21','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-26'),
(5046,3079,'2025-05-21','started IUOO in berrshifia ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5047,3353,'2025-05-21','PCO\"S ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5048,3557,'2025-05-21','4th day of menses ','','RTC check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-18'),
(5049,3610,'2025-05-21','look good foliicle ','','for intercource ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5050,3326,'2025-05-21','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5051,3718,'2025-05-21','late menses ','','pcos ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-24'),
(5052,3577,'2025-05-21','','','for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-15'),
(5053,3534,'2025-05-21','','','\nMedical Report\n\nThe patient was positioned for HSG under aseptic technique.\n\nA speculum was inserted, and the cervix was visualized and cleaned.\n\nAttempt made to introduce contrast media through the cervical canal using a suitable cannula.\n\nMultiple gentle attempts were made but failed to negotiate the cervix and failed to push contrast media into the uterine cavity.\n\nNo opacification of the uterine cavity or fallopian tubes was achieved.\n\nProcedure was abandoned due to technical difficulty and cervical stenosis suspected.\n\nAdvice to do diagnostic hysteroscopy\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5054,3719,'2025-05-21','refered form amjad hawreen as urinary retention','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5055,2052,'2025-05-21','late menses ','','bhcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5056,3705,'2025-05-21','10th day of menses ','','TVS , just polycyst not tell ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5057,2646,'2025-05-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5058,3714,'2025-05-22','2nd day of menses ','','for labs all normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-21'),
(5059,1026,'2025-05-22','check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5060,38,'2025-05-22','post CS ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5061,1006,'2025-05-22','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5062,3639,'2025-05-22','check ovulation ','','good Ovulation\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5063,3714,'2025-05-22','','','for hyscosy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5064,3474,'2025-05-22','check up ','','no cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-17'),
(5065,3723,'2025-05-23','prolonged menses 4 months ','','heavy menses RTC next wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-21'),
(5066,3590,'2025-05-23','AMH 0.38,,,,, Prolactin ','','r=to do HSG , hormonoe , reveiw old HSG zxc',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5067,3585,'2025-05-23','to do d21 PROGEWSTRON ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-07'),
(5068,1666,'2025-05-23','10 DAY OF MENSES ','','GOOD OVULATION ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5069,3724,'2025-05-23','Irregular menses since operation ','','change yaz to micorgtnon',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-21'),
(5070,3548,'2025-05-23','still pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5071,3670,'2025-05-24','spotting advice to remove ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5072,3725,'2025-05-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2024-09-04'),
(5073,3584,'2025-05-24','late menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5074,481,'2025-05-24','bhcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5075,3727,'2025-05-24','poc\'s ','','start Metformchat',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5076,3728,'2025-05-24','honeymoon cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5077,1507,'2025-05-24','3RD DAY OF MENSES , ','','START IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-21'),
(5078,3730,'2025-05-24','16d of ovulation ,, came to check ovulation ','','good ovulation ,, ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-09'),
(5079,525,'2025-05-24','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5080,2987,'2025-05-24','ask for implanon ,,, heavy menses sinec delivery ','','12..316bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5081,3404,'2025-05-24','4th day','','multiple rt cyst , simple 5 cm ... AMH : 0.76',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-21'),
(5082,3731,'2025-05-25','implanon appled ','','came for IUD from Yatta , nechi seen , advice for iimplanon ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-18'),
(5083,3732,'2025-05-25','ask for pregnancy ','','RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5084,3644,'2025-05-25','no menses ','','given premanour ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5085,83,'2025-05-25','2nd day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-23'),
(5086,650,'2025-05-25','breast pain ','','check ovultopn after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-17'),
(5087,913,'2025-05-25','cehck IUD','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-16'),
(5088,1107,'2025-05-26','hsg DONE IN MALKI , WELL ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5089,3590,'2025-05-26','TVS done in dahiria ','','small ovaries , for Dx lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5090,3461,'2025-05-26','10th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5091,3119,'2025-05-26','late menses ','','poor view , retern Back for TVS another time',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-03-05'),
(5092,3119,'2025-05-26','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5093,2987,'2025-05-26','implanon applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5094,3676,'2025-05-26','2nd day of menses ','','start IOO if Failed ,for hormonal profile ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-25'),
(5095,3560,'2025-05-26','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-25'),
(5096,3714,'2025-05-27','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5097,3035,'2025-05-28','to do BHXG , then for premanour ','','then for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5098,3714,'2025-05-28','hyscosy ','','not well done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5099,760,'2025-05-28','late menses ','','bhcg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-20'),
(5100,2162,'2025-05-28','still complian afetr E&C ','','advice for removal .foolow ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-13'),
(5101,929,'2025-05-28','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5102,1426,'2025-05-28','check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5103,2837,'2025-05-28','1st day ','','to start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-28'),
(5104,2695,'2025-05-28','late menses ,, Dizziness ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-22'),
(5105,2800,'2025-05-28','late menses','','ttt as infection , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5106,3740,'2025-05-28','menapuse since 20 , ','','infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5107,1132,'2025-05-28','10th day of menses ','','for prygnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5108,3742,'2025-05-28','came for stich removal after Failed in doma ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5109,3408,'2025-05-29','was pregnant after abortion , then have menses , now irrequral menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5110,488,'2025-05-29','not Improved ','','advice to remove and Replace by implanon ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5111,3743,'2025-05-29','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5112,1337,'2025-05-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-29'),
(5113,532,'2025-05-30','4th day','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-27'),
(5114,3584,'2025-05-31','7th day of menses ','','RTC wend check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-25'),
(5115,807,'2025-05-31','iud by wajeeh ,, 2 month ago','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-20'),
(5116,3316,'2025-05-31','for IUI','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5117,3748,'2025-05-31','recuerrent abortion , RTC when pregnanct to start ASA duphstone ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 24 -year-old, G3P1+2ïƒ¨ 1st  trimester abortion . \nAdvice for thrombophilia study.\n\n\nThanks \n  \n\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5118,3749,'2025-05-31','4th day of menses , irrequral menses since 4 month','','good exam cervix , next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-28'),
(5119,2624,'2025-05-31','late menses on cerzite','','Change to OCP\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5120,2854,'2025-05-31','check iud , spotting ','','Reassurance -',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5121,3710,'2025-05-31','2nd day of menses , well ','','for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-30'),
(5122,538,'2025-05-31','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5123,3570,'2025-05-31','late menses ','','husband recent Varicose count 5',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-18'),
(5124,1981,'2025-05-31','breast Engorgement ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5125,170,'2025-05-31','implanon removed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5126,1507,'2025-06-01','','','good Ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5127,3751,'2025-06-01','midcycle pain ','','cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-16'),
(5128,3752,'2025-05-30','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5129,3752,'2025-06-01','2nd day of menses ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-30'),
(5130,3119,'2025-06-01','TVS well , bulky uterus ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5131,3755,'2025-06-02','UTI ..bulky uterus ','','RTC next wk if still pain ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-07'),
(5132,3756,'2025-06-02','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-22'),
(5133,2896,'2025-06-02','for implnon removal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5134,3758,'2025-06-04','3rd day of menses ... pain after intercource ','','ttt as PID , then Return for infertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-01'),
(5135,3760,'2025-06-04','ask for twins ','','RTC after next menses , to start IOO with Intercourse Instruction ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-11'),
(5136,3584,'2025-06-04','10th day of menses ','','improved than last time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5137,3704,'2025-06-05','came to check polyp ','','RTC next wk , no islam to do TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-30'),
(5138,3759,'2025-06-07','MENOORGHIA ','','FOR PIPPLE AND MIRINA ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5139,3760,'2025-06-09','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-07'),
(5140,3768,'2025-06-09','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5141,185,'2025-06-09','spotting after 6 month breastfeed ','','ask for fertility , RTC after stop breast feed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-22'),
(5142,3404,'2025-06-09','follow up cyst ','','same , RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5143,3769,'2025-06-09','on IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-20'),
(5144,3732,'2025-06-09','late menses ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5145,1633,'2025-06-09','','','start ocps to imporve menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-08'),
(5146,3536,'2025-06-09','3rd day of menses ','','start ioo ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-06'),
(5147,3770,'2025-06-11','7th day of menses ','','RTC after one wks ,for seminal analysis , ovulation test ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-06'),
(5148,3035,'2025-06-11','HSG hyocosy normal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5149,2162,'2025-06-11','remove implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5150,3730,'2025-06-11','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-09'),
(5151,3732,'2025-06-11','2nd day of menses ','','Start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-10'),
(5152,202,'2025-06-11','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5153,196,'2025-06-11','heavy menses ','','same cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5154,2837,'2025-06-11','15 th day of menses','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5155,361,'2025-06-11','','','for dexa scan ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5156,3664,'2025-06-11','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5157,3588,'2025-06-11','','','plyp for remoival ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-04'),
(5158,2356,'2025-06-12','Irregular mesnes ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5159,3704,'2025-06-12','','','polyp in fundus , 1.5X1.5 cm advice for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5160,3710,'2025-06-12','14th day of meses ','','good ovulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5161,3776,'2025-06-12','no menses ,,, since two month ','','RTC next wks with pregnancy tests',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5162,3752,'2025-06-12','15th day of menses ','','for hsg الاحد الملكي ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5163,1795,'2025-06-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5164,3710,'2025-06-14','follow up ovulation ','','check endomtrium thikness well , looks polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5165,3778,'2025-06-14','post abortion at home ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5166,3755,'2025-06-14','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5167,592,'2025-06-14','lower abdominal pain ','','RTC to check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-01'),
(5168,958,'2025-06-14','UTI , flank pain ','','RTC two days to check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-06'),
(5169,3783,'2025-06-14','Honeymoon Cystic ','','think about forgen body ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-08'),
(5170,3784,'2025-06-14','discharge ','','RTC next cycel for Infertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-09'),
(5171,1043,'2025-06-15','lower back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-01'),
(5172,3434,'2025-06-15','by whatsapp , no menses ','','RTC 2nd day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5173,2620,'2025-06-15','post CS ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5174,3404,'2025-06-16','3rd day of menses ','','small cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-14'),
(5175,3788,'2025-06-16','leg swelling ','','stop medciation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-14'),
(5176,592,'2025-06-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5177,3760,'2025-06-17','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5178,3760,'2025-06-17','الوضع لايسمح بالحضور ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5179,3730,'2025-06-18','10th day ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5180,3557,'2025-06-18','5th day of Mesne ','','RTC check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-13'),
(5181,813,'2025-06-18','post cs follow up ','','hemtoma ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5182,3536,'2025-06-18','14th day of menses ','','for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5183,3115,'2025-06-18','post natal bleeding ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5184,3774,'2025-06-18','follow up cyst ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-09'),
(5185,3774,'2025-06-18','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5186,935,'2025-06-18','10th day of mesnes , ask for fertility ','','RTC sat for ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-09'),
(5187,3776,'2025-06-19','seek fertility ','','13.1..282,, neg (bhcg ) given premaour , RTC next menses for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5188,3792,'2025-06-19','lower Abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-01'),
(5189,1287,'2025-06-19','last menses just one day , came to check ','','trhick endomterium بدها خلÙة ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-04'),
(5190,3682,'2025-06-19','same complain ','','we;ll ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-18'),
(5191,3648,'2025-06-19','12th day of mesnes ','','good one Follicle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-08'),
(5192,3793,'2025-05-16','start estrofem 2 mg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5193,3793,'2025-06-20','still low et ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5194,3548,'2025-06-20','still in pain , colicky pain in left site ','','suspected adenomysosis',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5195,3794,'2025-06-20','irrequral menses ,, ','','on micorgynon ,stopped ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-06'),
(5196,3795,'2025-06-20','discharge , ','','rtc next cyclee for fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-24'),
(5197,3417,'2025-06-21','UTI senstive to zinnat and meropenem ','','to start on zinnat for 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5198,3253,'2025-06-21','post cs follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5199,3730,'2025-06-21','13th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5200,1928,'2025-06-21','discharge , pain ','','stopped yasmin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-22'),
(5201,3732,'2025-06-21','','','good ovulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5202,3577,'2025-06-21','7th day ','','for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-15'),
(5203,3799,'2025-06-21','late menses ','','RTC after one wks , to do bhcg , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-04-30'),
(5204,3366,'2025-06-21','IMPROVED 54 KG ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-10'),
(5205,899,'2025-06-21','lower abdominal pain , ','','discharge ..rtc next cycel for fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-01'),
(5206,3682,'2025-06-21','improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5207,130,'2025-06-22','hypomenorrhea','','TVS looks menses , RTC at day 10 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-20'),
(5208,1102,'2025-06-22','Check up , well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5209,3582,'2025-06-22','4th day of menses ','','ask for IOO (postponded due to husband travel to work ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-19'),
(5210,1645,'2025-06-23','2nd day of menses ','','4 cm left cyst for TVS next time . Postponed IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-22'),
(5211,3732,'2025-06-23','','','for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5212,3801,'2025-06-23','POC\'s , Irregular menses ','','start ttt ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-21'),
(5213,3802,'2025-06-23','follow up post surgery ','','Medical Report\nتقرير طبي\nThe above mention lady , 27 yrs old , single lady , know case of endometriosis.\n  \nShe underwent Laparoscopic Cystectomy twice in last 8 months.\n \nLast one was at 16.06.2025 due to pelvic pain finding was bilateral endometriomas , Ca125 also high 600 .\nFor that advice to take Zoladex 3.6 mg subcut every 28 days for six months to reduces recurrence.\n\nThanks \n23.06.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5214,3803,'2025-06-23','3rd day of menses ., late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-21'),
(5215,2162,'2025-06-25','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5216,3451,'2025-06-25','post cs Delivery ','','check scar ,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5217,3622,'2025-06-25','check ovulation ','','14 mm, rtc after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-14'),
(5218,3433,'2025-06-25','2nd day of menses , Irregular menses  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-24'),
(5219,3688,'2025-06-26','iud not in siut ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5220,3674,'2025-06-26','advice for hystrescope ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-13'),
(5221,3590,'2025-06-26','same complain ','','to do FSH , LH , then for operation or not ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5222,3756,'2025-06-26','previous one 11.6.2025 Irregular menses ','','for TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-25'),
(5223,3195,'2025-06-26','homr','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5224,3805,'2025-06-26','implanon applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5225,196,'2025-06-26','normal CA 125 advice for mernia ','','remove Cupper IUD by islam ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5226,3292,'2025-06-27','الدكتورة نيبال عمرو الÙحوصات منيحة ','','advice for weight reduction ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-14'),
(5227,3628,'2025-06-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5228,178,'2025-06-28','spotting ','','for TVS to check IUD well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-21'),
(5229,910,'2025-06-28','implnono removed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5230,1951,'2025-06-28','Irregular menses ','','check fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-21'),
(5231,3760,'2025-06-28','looks ovulative thick Endometrium ','','RTC after one wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5232,3710,'2025-06-28','spotting ','','for hystrescopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5233,3808,'2025-06-28','discharge , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-12'),
(5234,3799,'2025-06-28','','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5235,1182,'2025-06-28','check cyst ','','no cyst ..RTC after next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5236,3517,'2025-06-28','post CS','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5237,870,'2025-06-28','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-02'),
(5238,3253,'2025-06-28','pain at CS scar ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5239,3600,'2025-06-29','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-28'),
(5240,3535,'2025-06-29','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-10'),
(5241,3191,'2025-06-29','last delivery 10.06.2025..','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5242,3588,'2025-06-29','follow up after hystrescope ','','to check cervitis next visit ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5243,3814,'2025-06-30','post abortion ,, 12...237','','simple cyst ,,, RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-14'),
(5244,3803,'2025-06-30','well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5245,3756,'2025-06-30','','','look clots \'??, polyp ????4 mm RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5246,3816,'2025-06-30','lower Abdominal pain ','','rupture ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-16'),
(5247,844,'2025-06-30','5th day of menses ','','ask fertility ,, postponded to retern husband ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-25'),
(5248,2027,'2025-06-30','2nd day of menses, ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-29'),
(5249,645,'2025-06-30','9th day of menses ','','operation  site  checked well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-22'),
(5250,1784,'2025-06-30','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5251,3584,'2025-07-02','late menses ','','simple cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5252,1928,'2025-07-02','still pain ','','cyst 4 cm rt ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5253,3823,'2025-07-02','heavy menses , prolonged ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-20'),
(5254,3808,'2025-07-02','culture senstive to zinnat','','AMH low , High FSH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5255,3825,'2025-07-02','on OCP\'s , Dysmetria ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5256,3756,'2025-07-02','','','cervical polyp ?@! for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5257,3628,'2025-07-02','على الواتس ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-02'),
(5258,83,'2025-07-02','10thday of menses ','','good foliciiles ,. to use home ovulation exam and itercource ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-23'),
(5259,196,'2025-07-02','for merina ','','8 cm simple cyst . post ponded merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5260,1645,'2025-07-03','','','still cyst , looks Endometriosis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5261,2932,'2025-07-03','late menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5262,2606,'2025-07-03','Menopause ,, abnormal discharge .spotting','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5263,3843,'2025-07-04','lower abdominal pain after abortion ','','monurl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5264,3292,'2025-07-04','','','  7.42 مقاومة الانسولين ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-28'),
(5265,3845,'2025-07-04','post coital bleeding since two months ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-22'),
(5266,2822,'2025-07-05','2nd day of menses ','','normal seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-04'),
(5267,3035,'2025-07-05','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-03'),
(5268,3316,'2025-07-05','4th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-02'),
(5269,3541,'2025-07-05','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-03'),
(5270,3417,'2025-07-05','follow up ','','to do Cx ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5271,3848,'2025-07-05','flank pain ,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-27'),
(5272,2536,'2025-07-05','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-15'),
(5273,2609,'2025-07-05','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-28'),
(5274,3849,'2025-07-05','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5275,1897,'2025-07-05','post delivery 4 months , ','','on IUD since 4 month ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5276,3803,'2025-07-05','15 th of day ','','poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5277,3851,'2025-07-06','','','2nd degree, cytocele, rectocele ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-16'),
(5278,196,'2025-07-06','','','merina Applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5279,910,'2025-07-06','mrina applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5280,3760,'2025-07-06','on whats app ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-05'),
(5281,3075,'2025-07-06','post delivery follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5282,3730,'2025-07-07','','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5283,189,'2025-07-07','UTI ','','ttt husbnad for infection for one month , if no0 improvemnt for qseed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-08'),
(5284,3600,'2025-07-07','10th day of menses ','','good ovulation , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5285,3791,'2025-07-07','post left tubo-ovarian Abscess ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5286,3855,'2025-07-07','seek fertility   ','','for IOO next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-13'),
(5287,1401,'2025-07-07','still spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5288,3644,'2025-07-07','2nd day of menss ','','start IOO',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-06'),
(5289,130,'2025-07-07','sever UTI ','','rochine I V',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5290,3535,'2025-07-07','for IUI ','','for HSG (normal at maaki ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-06'),
(5291,973,'2025-07-07','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-27'),
(5292,3752,'2025-07-07','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-06'),
(5293,3852,'2025-07-07','lower abdominal pain ','','on IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-23'),
(5294,3714,'2025-07-09','follow up ','','Start IOO on 2nd day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-20'),
(5295,1928,'2025-07-09','follow up ','','no cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5296,3590,'2025-07-09','','','FSH high , AMH low ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-25'),
(5297,2706,'2025-07-09','lower Abdominal pain ,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-18'),
(5298,36,'2025-07-09','post delivery abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5299,3588,'2025-07-09','follow up ','','TVS done , well  , if complain to take HVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-04'),
(5300,3859,'2025-07-09','2nd day of menses ,, check fertility ','','to do seminal Analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-08'),
(5301,478,'2025-07-09','aborted at home ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5302,130,'2025-07-09','cx senstive monurol ,,, nitroforntaine ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5303,2404,'2025-07-10','','','RTC after three days , husband did Varicocele ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-03'),
(5304,1362,'2025-07-10','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5305,3863,'2025-07-10','late menses ','','rt cyst ?! \nthick Endometrium , RTC after wk if no menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5306,3732,'2025-07-10','late menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5307,2175,'2025-07-10','check Up ','','check IUD well by TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5308,2027,'2025-07-10','12th day of menses ','','well ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5309,3865,'2025-07-10','Hypomenorrhea ','','grada 3 cystocele ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5310,3548,'2025-07-11','hypomenorrhea ','','change to bellra , trufden relax ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5311,65,'2025-07-11','late menses ,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-07'),
(5312,3628,'2025-07-11','10 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5313,3035,'2025-07-12','','','poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5314,3316,'2025-07-12','10 th day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5315,3868,'2025-07-12','check fertility ','','to do hormonal profile (normal)@11.02.2025',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-12'),
(5316,2404,'2025-07-12','','','improved ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5317,196,'2025-07-12','','','Medical Report\nتقرير طبي\nThe above mention lady , 46 yrs old , P7+1=>NVD, last delivery 14 yrs \nOn merina IUD .\nPresented complain form sudden lower abdominal ,\nUS : RT ovarian Cyst 8 cm , \nPositive rebound tenderness \n\nReferred to role out ovarian torsion \n\nThanks \n12.07.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5318,558,'2025-07-12','start IOO ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-11'),
(5319,185,'2025-07-12','10th day of menses ,, check ovulation ','','RTC after 3 days  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-03'),
(5320,3732,'2025-07-12','2nd day of menses ','','start IOO , ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-11'),
(5321,3855,'2025-07-12','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-11'),
(5322,3604,'2025-07-12','to start on celine ','','not start on medication ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5323,3870,'2025-07-12','check fertiltiy ','','RTC next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-15'),
(5324,2823,'2025-07-12','postpartum  fever ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5325,2480,'2025-07-12','late menses ','','start ttt for PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-09'),
(5326,2480,'2025-07-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5327,3584,'2025-07-13','9th day ..check ovulation ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-05'),
(5328,3875,'2025-07-14','on IUD since 3 yrs ','','flanks pain ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-01'),
(5329,1462,'2025-07-14','1yr post delivery , lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5330,2403,'2025-07-14','3rd Of Mesne ','','to do Labs (Low AMH ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-11'),
(5331,453,'2025-07-14','عملت مساج عند حجة واستÙادت ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5332,3610,'2025-07-14','onwhats app .. Pregnant ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5333,1401,'2025-07-14','still ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5334,2937,'2025-07-14','on IUD , discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-29'),
(5335,2152,'2025-07-14','post CS follow up , spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5336,3171,'2024-11-14',' (HyCoSy) Report','','\nHysterosalpingo-Contrast Sonography (HyCoSy) Report\n- Three Dimensional transvaginal Ultrasound examination revealed:\n* A anteverted Normal shaped (No Mullerian anomalies) mobile uterus with a corpus measuring 54 mm (L) x 31mm (T) x 40 mm (AP) with a volume of 35.1 mL.\n* The endometrium appears intact with a thickness of 6 mm (both layers).\n* The cervix appears normal with a length of 32 mm.\n* The right ovary is visible with smooth outline and with polycystic in appearance ≥10 mL or >20 (2-9mm follicles) with a volume of 9.6mL.\n* The left ovary is visible with smooth outline and with good AFC ( 5- 8 ) with normal morphology with a volume of 6 mL.\n- Transvaginal ultrasound exanimation with HyCoSy - Contrast Sonography showing :\n* Good cavity expansion with media instillation showing no filling defect.\n* both  tubes are patent and contrast seen in pelvis.\n\n\n- Best wishes,\n14.11.2024\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5337,3035,'2025-07-16','','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5338,3760,'2025-07-16','','','not take medication ... good ovulation , for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5339,908,'2025-07-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-27'),
(5340,3880,'2025-07-16','9th day of menses ','','RTC after 3 days check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-08'),
(5341,196,'2025-07-16','post operation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5342,147,'2025-07-16','','','eft simple cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-13'),
(5343,3882,'2025-07-16','','','infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-20'),
(5344,3871,'2025-07-16','then 12.07.2025,, heavy menses ','','for TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-29'),
(5345,1643,'2025-07-16','','','2 fibriod in fundus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-26'),
(5346,3883,'2025-05-30','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5347,3883,'2025-07-17','late menses ','','RTC after 10 days if no menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-30'),
(5348,3044,'2025-07-17','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5349,923,'2025-07-17','two menses in last month ','','US well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-16'),
(5350,3316,'2025-07-17','IUI done ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-15'),
(5351,3814,'2025-07-17','8th day of menses ','','no cyst , RTC after 3 days to check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-10'),
(5352,3644,'2025-07-17','12th day of menses ','','rtc after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5353,1248,'2025-07-17','lower abdoinal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5354,3550,'2025-07-18','14 th day of menses ','','for IUI next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-05'),
(5355,3793,'2025-07-18','good ET ','','to start provera after 14 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5356,3035,'2025-07-19','','','poor ovaultion for injection next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5357,2606,'2025-07-19','hystrescope done ','','polyp ,, HPE normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5358,3880,'2025-07-19','لانه Ùقط بيوضه وحده لا تنصح باخذ ابرة التÙجير ','','for celine , and metforimine, and pregnyl next 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5359,3887,'2025-07-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5360,1652,'2025-07-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-06'),
(5361,3871,'2025-07-19','','','TVS well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5362,3889,'2025-07-19','check fertility ','','tsh 1.7...Prolactin 23.. RTC after 4 day for ovulation , looks bicoruate ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-13'),
(5363,3859,'2025-07-19','12 day of menses ','','good Follicle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5364,2932,'2025-07-19','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5365,196,'2025-07-20','post opp leg pain ','','doppler free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5366,68,'2025-07-20','to ttt husband first ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-15'),
(5367,3644,'2025-07-20','','','poor view , TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5368,1666,'2025-07-20','','','لخخي خرعمشÙهخى ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-05'),
(5369,558,'2025-07-21','11 th day ','','for labs for both if failed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5370,1362,'2025-07-21','post complete abortion at home ','','full of clots refer to hospital ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5371,2624,'2025-07-21','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5372,2854,'2025-07-21','bleeding ','','to seen on wendday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5373,3855,'2025-07-21','10 day of menses ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5374,1849,'2025-07-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5375,1069,'2025-07-21','lowe abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-12'),
(5376,3898,'2025-07-23','late menses ','','to do pregnancy test then for labs ,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5377,870,'2025-07-23','pain ','','cyst 5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5378,2854,'2025-07-23','','','thick endomteriusm seeen by loasi , for Bx next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5379,3730,'2025-07-23','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5380,3880,'2025-07-23','simple ovulation ','','RTC next menses for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5381,3791,'2025-07-23','','','Medical Report\nتقرير طبي\nThe above mention lady , 45 yrs old , single lady  \nPost myomectomy, left oophorectomy.\nComplain form abdominal distention.\nFor CT  \n\n \n \n\nThanks \n2307.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5382,3899,'2025-07-23','iud not insitu ','','to remove IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-24'),
(5383,1656,'2025-07-23','breastfeed //low abdominal ','','IUD in stu ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-10'),
(5384,2052,'2025-07-23','11th day of menses ','','check erosion , no ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-13'),
(5385,3855,'2025-07-23','13 day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5386,3870,'2025-07-23','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-21'),
(5387,2799,'2025-07-23','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-18'),
(5388,147,'2025-07-24','','','good ovulation , ,, left cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5389,475,'2025-07-24','','','looks well to left site , multiple cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-09'),
(5390,3664,'2025-07-24','late mensaes ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-20'),
(5391,3801,'2025-07-24','follow up ','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5392,496,'2025-07-24','on IUD since 2 yrs / discharge ','','IUD in siut ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-25'),
(5393,3889,'2025-07-24','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5394,3901,'2025-07-24','1st day of menses ','','RTC after day 10 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-24'),
(5395,3902,'2025-07-24','','','need HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-01'),
(5396,965,'2025-07-24','بتراجع عند بنوتا لانه يوجد كيس ','','fsh.lh normal . prlctine 30',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-22'),
(5397,3439,'2025-07-26','post delivery . check up hormones , acne at face ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5398,3253,'2025-07-26','for IUD ','','IUD apllied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5399,2894,'2025-07-26','implanon applied','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5400,3903,'2025-07-27','vulva itching','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-13'),
(5401,910,'2025-07-27','SPOTTING ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5402,475,'2025-07-27','','','looks free fluid in POD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5403,1069,'2025-07-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5404,3570,'2025-07-28','lower Abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-10'),
(5405,636,'2025-07-28','hypomenorrhea','','stop OCP\'s for 3 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-27'),
(5406,3886,'2025-07-28','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5407,1928,'2025-07-28','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5408,3359,'2025-07-28','post abortion lower pain ','','Fibroid Degeneration  ,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5409,532,'2025-07-30','applied of pessery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-22'),
(5410,3758,'2025-07-30','6th day of menses ','','RTC after 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-25'),
(5411,1280,'2025-07-30','ON IUD , heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5412,1129,'2025-07-30','ask for twins , no as her heart problem ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-29'),
(5413,558,'2025-07-30','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5414,196,'2025-07-30','pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5415,3664,'2025-07-31','','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5416,870,'2025-07-31','post lap cystectomy ','','well ..hpe normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5417,3870,'2025-07-31','110th dat ','','TSH , vit d Normal ..good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5418,2801,'2025-07-31','4 month on IUD,,,  menorrghia ','','iud in lower segment , advice to remove ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-30'),
(5419,469,'2025-07-31','garde 3 cytocele ','','for Operation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5420,230,'2025-07-31','for TVS next day','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-22'),
(5421,230,'2025-07-31','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5422,3100,'2025-07-31','post delivery RPOC ','','14 mm for cystoec ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5423,3425,'2025-07-31','post cs breast engrgment ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5424,3803,'2025-07-31','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5425,3535,'2025-08-02','3rd day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-31'),
(5426,3914,'2025-08-02','ask for fertility ','','start IOO for 2 months , then for labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-05'),
(5427,3541,'2025-08-02','2nd day of menses ','','start ioo for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-01'),
(5428,1645,'2025-08-02','check cyst ','','normal ,, want to deforce stop TTT ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-21'),
(5429,572,'2025-08-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-31'),
(5430,3916,'2025-08-02','post cs delivet 20/07...flank pain ','','during CS mymectomy done ??? u/a free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5431,3768,'2025-08-02','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5432,3917,'2025-08-02','ask for fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-12'),
(5433,1652,'2025-08-02','2nd day of menses ','','rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-01'),
(5434,775,'2025-08-02','for implanon removal ','','removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5435,196,'2025-08-02','3ed TVS IUD in situ ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5436,3791,'2025-08-02','','','Medical Report\nتقرير طبي\nThe above mention lady , 27 yrs old , single lady , know case of endometriosis.\n  \nShe underwent Laparoscopic Cystectomy and oopherectomy   in last 5 months.\n \nLast one was at 23.06.2025 due to pelvic pain finding was bilateral endometriomas with tubo-ovarian abscess. Left oopherectomy .\n \nFor that advice to take Zoladex 3.6 mg subcut every 28 days for six months to reduces recurrence.\n\nThanks \n02.08.2025\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5437,3920,'2025-08-02','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5438,3898,'2025-08-03','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-01'),
(5439,3922,'2025-08-03','Irregular menses .refuse Fertility  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-12'),
(5440,3883,'2025-08-03','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-23'),
(5441,1666,'2025-08-03','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-02'),
(5442,3923,'2025-08-03','hx of sacr neich , check fertility , late menses ','','rtc after one wks ,with pregnancy test ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-22'),
(5443,2013,'2025-08-03','post Abortion  bleeding ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5444,3646,'2025-08-03','passage of clotes ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-03'),
(5445,3644,'2025-08-03','RTC after one wks ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5446,3728,'2025-08-03','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-16'),
(5447,3425,'2025-08-04','improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5448,1280,'2025-08-04','improved ','','if reccurent for removal IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5449,3924,'2025-08-04','cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-15'),
(5450,896,'2025-08-04','2nd day of menses ','','PCO\"S ,, start IOO for 2 months then for full labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-03'),
(5451,3461,'2025-08-04','','','5 cm simple rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-22'),
(5452,3901,'2025-08-04','12 th day of menses ','','postrior wall fibriod , for lab then for Opp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5453,2611,'2025-08-06','hirsutism','','add metformin',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5454,1280,'2025-08-06','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5455,1426,'2025-08-06','free visit ...check IUD ','','Well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5456,910,'2025-08-06','still bleeding ','','consider menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5457,207,'2025-08-06','check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-02'),
(5458,3882,'2025-08-06','infection ','','RTC to check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-20'),
(5459,3474,'2025-08-06','2nd day of menses, ask for fertiltiy ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-05'),
(5460,512,'2025-08-06','prolonged after delivery bleeding ','','for mernia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5461,608,'2025-08-06','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-15'),
(5462,521,'2025-08-06','flank pain ','','poor view RTC after blood off ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-03'),
(5463,1668,'2025-08-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5464,1527,'2025-08-07','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-06'),
(5465,3664,'2025-08-07','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5466,3508,'2025-08-07','menses ,,, afetr RTC think was pregnant ','','to BHCG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-03'),
(5467,976,'2025-08-07','back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5468,3489,'2025-08-07','for OCP\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-22'),
(5469,984,'2025-08-07','on IUD .. infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5470,3548,'2025-08-08','hypomenorrhea ','','stop every thing ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-05'),
(5471,3933,'2025-08-08','pain , us by theab left 5cm cyst ','','pain improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-20'),
(5472,2054,'2025-08-09','3rd day of menses ','','start IOO .. form day 5 الزوج بغيب اسبوعين ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-07'),
(5473,1107,'2025-08-09','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-27'),
(5474,1023,'2025-08-09','flank pain , hypomenorrhea ( family hX of early menpouse ) ','','start on ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5475,3934,'2025-08-09','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5476,92,'2025-08-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-20'),
(5477,2885,'2025-08-09','bad vaginal odder after delivery  3months ago ','','TVS , PV, free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5478,1758,'2025-08-09','IUD at 6wks , Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5479,2557,'2025-08-09','late menses ','','rt cyst simple ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-27'),
(5480,2630,'2025-08-09','irrural menses after abortion ','','well, RTC next wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5481,3935,'2025-08-09','lower abdominal pain ','','iUD in situ , قصيت شوي من الخيط ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-21'),
(5482,1304,'2025-08-09','cyst 5 cm , Blood  ','','Rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-21'),
(5483,1107,'2025-08-09','1st day of menses ','','by whats app ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-09'),
(5484,3882,'2025-08-09','check ovulation ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5485,475,'2025-08-09','','','still in pain ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5486,3519,'2025-08-09','late menses , BHCG neg ','','lower abdominal Pain , looks rupture cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-05'),
(5487,147,'2025-08-10','','','for lab and IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-10'),
(5488,1010,'2025-08-10','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-22'),
(5489,1652,'2025-08-10','10 th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
