(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),
(5490,3784,'2025-08-10','19th day ','','check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-23'),
(5491,3541,'2025-08-10','10th day of menses ','','RTC wendeday for prgytl then IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5492,3535,'2025-08-10','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5493,3939,'2025-08-10','late menses simple cyst 5 cm by zeghan ','','looks rupture ...check next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-25'),
(5494,2152,'2025-08-10','late menses (breast feed) ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5495,2620,'2025-08-10','for implnono , BHCG neg ','','implanon applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-18'),
(5496,3898,'2025-08-11','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),
(5497,3934,'2025-08-13','follow up stone ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5498,1666,'2025-08-13','12th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5499,3035,'2025-06-11','','','Hysterosalpingo-Contrast Sonography (HyCoSy) Report\nDate: 11.06.2025\nThree-dimensional transvaginal ultrasound findings\n•	Uterus: Anteverted, normal shape, no Müllerian anomalies, mobile\no	Corpus: 54 mm (length) × 31 mm (transverse) × 40 mm (anteroposterior)\no	Volume: 35.1 mL\n•	Endometrium: Intact, thickness 6 mm (double layer)\n•	Cervix: Normal, length 32 mm\n•	Ovaries: Both with smooth outline, polycystic appearance (≥10 mL or >20 follicles measuring 2–9 mm)\no	Right ovary volume: 9.6 mL\no	Left ovary volume: 11 mL\nHyCoSy (Contrast Sonography) findings\n•	Uterine cavity: Good expansion with media instillation, no filling defects\n•	Fallopian tubes: Both patent, contrast visualized in pelvis\nImpression\n•	Normal uterine cavity\n•	Both fallopian tubes patent\n•	Bilateral polycystic ovarian appearance\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5500,3945,'2025-08-13','4th day of menses ... Seek fertility ','','followed with abdelagani , for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-10'),
(5501,3541,'2025-08-13','13 day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5502,896,'2025-08-13','11th day of menses ','','check PCO\"S by TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5503,910,'2025-08-13','','','TVS 3rd good IUD insitue , just Reassurance ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5504,85,'2025-08-13','lower abdominal pain around scar ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5505,953,'2025-08-13','IUD applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5506,3784,'2025-08-13','','','looks cyst ??! ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5507,650,'2025-08-13','','','Rt cyst ..BHCG neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-10'),
(5508,2894,'2025-08-13','heavy menses after gold srqa ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5509,3947,'2025-08-14','post Ectopic removal in malaki,,, follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5510,3461,'2025-08-14','10th day of menses with Onset of new menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5511,2548,'2025-08-14','post IVF , heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5512,3948,'2025-08-14','flank pain , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5513,3577,'2025-08-14','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-13'),
(5514,3939,'2025-08-14','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-12'),
(5515,3803,'2025-08-14','to do Bhcg , then for premnaour ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5516,3474,'2025-08-14','10th day of menses ','','RTC sat ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5517,3951,'2025-08-14','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-13'),
(5518,3489,'2025-08-14','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5519,3933,'2025-08-15','Follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-10'),
(5520,3541,'2025-08-15','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5521,1286,'2025-08-16','no menses since 4.2025.. Bhcg neg ','','RTC next menses for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5522,3953,'2025-08-16','late menses ','','advice for IVF , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-23'),
(5523,3038,'2025-08-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5524,3474,'2025-08-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5525,3292,'2025-08-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5526,558,'2025-08-16','5th day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-12'),
(5527,2328,'2025-08-16','Hemorrhagic cyst  8 cm ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-30'),
(5528,95,'2025-08-16','lower abdominal pain ','','cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-04'),
(5529,3955,'2025-08-16','pco\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5530,896,'2025-08-17','15 th day ','','mild PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5531,3684,'2025-08-17','removed merina 16.07.2025 , prolonged menses after ','','well , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-09'),
(5532,2862,'2025-08-17','13th day ','','for labs , husband and wife and HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-08'),
(5533,1527,'2025-08-17','12 th day of menses ','','for TVS  next time , poor ovulation !!',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5534,3957,'2025-08-17','lower abdominal pain ','','to do urine analysis , rtc after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-27'),
(5535,3814,'2025-08-17','11 th day of menses ','','simple cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-07'),
(5536,2962,'2025-08-17','','','check ovulation next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-11'),
(5537,2630,'2025-08-17','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5538,2548,'2025-08-17','improved no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5539,2037,'2025-08-17','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-16'),
(5540,3644,'2025-08-17','late menses ','','for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5541,753,'2025-08-17','ask for ferility ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-15'),
(5542,1485,'2025-08-17','late menses ','','stop OCps form 1 wk ( given to travel ) thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-27'),
(5543,218,'2025-08-17','check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-27'),
(5544,138,'2025-08-17','check IUD ,, prolonged menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-05'),
(5545,3752,'2025-08-17','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5546,3760,'2025-08-18','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5547,3760,'2025-08-18','onwhats pregnant ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5548,3461,'2025-08-18','follow up ','','follow Up after 10 day for ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5549,463,'2025-08-18','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-10'),
(5550,3590,'2025-08-18','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5551,3880,'2025-08-18','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-17'),
(5552,3584,'2025-08-18','irrqural menses ','','simple cyst 3 cm , right ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-07'),
(5553,3958,'2025-08-18','polymenorrghia ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5554,2310,'2025-08-18','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5555,2054,'2025-08-20','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5556,695,'2025-08-20','UTI ','','check fertility RTC next wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-12'),
(5557,1527,'2025-08-20','15th of menses ','','well , TVS , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5558,3961,'2025-08-20','flank pain ','','Adenomyosis ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-10'),
(5559,3889,'2025-08-20','10 th day of menses ','','good ovulation RTC next sat for prgnyl if still in ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-11'),
(5560,2110,'2025-08-20','ferrtine 37.... UTI','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-31'),
(5561,808,'2025-08-20','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5562,808,'2025-08-20','2 month no menses ','','RTC after one wks , With BHCG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-01'),
(5563,1851,'2025-08-20','Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-17'),
(5564,591,'2025-08-21','','','start IOO next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-25'),
(5565,3963,'2025-08-21','3rd day of menses ','','seminal analysis : normal @ 24.08.2025',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-18'),
(5566,1107,'2025-08-21','13th day of menses ','','good ovulation looks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-09'),
(5567,819,'2025-08-21','old IUD removed ... merina applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-14'),
(5568,3868,'2025-08-23','9th day of menses ','','hyscosy done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-15'),
(5569,2368,'2025-08-23','breast milk ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-22'),
(5570,3868,'2025-08-23','report ','','Hysterosalpingo-Contrast Sonography (HyCoSy) Report\nDate: 23.08.2025\nThree-dimensional transvaginal ultrasound findings\n•	Uterus: Anteverted, normal shape, no Müllerian anomalies, mobile\no	Corpus: 60 mm (length) × 35 mm (transverse) × 48 mm (anteroposterior)\no	Volume: 40.2 mL\n•	Endometrium: Intact, thickness 6 mm (double layer)\n•	Cervix: Normal, length 29 mm\n•	Ovaries: Both with smooth outline, \no	Right ovary volume: 7.6 mL with small cyst\no	Left ovary volume: 8.4 mL\nHyCoSy (Contrast Sonography) findings\n•	Uterine cavity: Good distension with contrast, no filling defects.\n•	Fallopian tubes:\no	No free spill of contrast visualized from the right tube.\no	Minimal contrast spillage into the peritoneal cavity observed from the left tube after forceful instillation.\nImpression\n•	Normal uterine morphology and cavity.\n•	Right fallopian tube: No contrast spillage → likely occluded.\n•	Left fallopian tube: Minimal contrast spillage after pressure → suggestive of partial patency or functional impairment.\n•	Bilateral tubal factor infertility cannot be excluded.\nADVICE FOR DIAGNOSTIC LAPAROSCOPY \n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5571,3889,'2025-08-23','','','good no need for injection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5572,2932,'2025-08-23','hypomenrrhiea , heavy discharge , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5573,3965,'2025-08-23','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-12'),
(5574,3967,'2025-08-23','Medical Report تقرير طبي The above mention lady , 17 yrs old , presented complain form primary amenorrhea . Know case of thalassemia, with bone marrow transplantation . On exam Breast development (Tanner stage): Stage 1 – prepubertal (no breast tissue)  . US : small uterus , adnexa could not be seen   My advice to do  FSH , LSH , estradiol. Pelvic MRI  Thanks  23.08.2025','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5575,454,'2025-08-23','discharge ,,, breast milk ','','All labs normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5576,2665,'2025-08-23','post delivery Follow up ','','Counseled regarding Contraceptives\' ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5577,3803,'2025-08-23','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-22'),
(5578,2930,'2025-08-23','lower abdominal pain , Irregular menses ','','uterus evrted ...ask for fertility , RTC day 2 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-02'),
(5579,1214,'2025-08-23','1st day of menses ','','start UIOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-23'),
(5580,650,'2025-08-23','9th day of menses ','','check ovulation after 3 day for possible pregnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-15'),
(5581,3951,'2025-08-23','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),
(5582,2862,'2025-08-24','for sminal analysis ','','seminal analysis : count 55 mili ,, active 1 % ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5583,2962,'2025-08-24','14th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5584,1487,'2025-08-24','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5585,3968,'2025-08-24','3rd day of menses ','','ask for fertility ..for labs .. start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-22'),
(5586,695,'2025-08-24','13th day of menses , check fertility ','','husband away , possible back in two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5587,3814,'2025-08-24','18th day , check cyst ','','cyst 7 cm , Right  side ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5588,3963,'2025-08-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5589,1443,'2025-08-24','heavy menses ,,, since 3 yrs ','','for cervical cx , thick about PID ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-20'),
(5590,1284,'2025-08-25','multiple menses since months ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-24'),
(5591,558,'2025-08-25','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),
(5592,2820,'2025-08-25','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5593,2820,'2025-08-25','11th day of menses ','','ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-15'),
(5594,489,'2025-08-25','implanon applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5595,2498,'2025-08-25','prolonged , multiple menses , anemia ','','fibriod seen for merina , VS surgery ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-26'),
(5596,138,'2025-08-25','pain increased ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-05'),
(5597,3970,'2025-08-27','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-18'),
(5598,3057,'2025-08-28','late menses ,, BHSg neg','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-26'),
(5599,2517,'2025-08-28','lower abdominal pain , Discharge ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-27'),
(5600,3880,'2025-08-28','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),
(5601,808,'2025-08-28','no menses ','','rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5602,3973,'2025-08-28','sever vainosis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-13'),
(5603,1443,'2025-08-28','','','TVS , speculum : looks adenomyosis advice for mernia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5604,2609,'2025-08-28','husband agresive wont rapid TTT ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-24'),
(5605,884,'2025-08-28','late menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-07-20'),
(5606,3644,'2025-08-28','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-27'),
(5607,2091,'2025-08-28','vaginal bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5608,650,'2025-08-28','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5609,2962,'2025-08-28','18th day of menss','','for rgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5610,2820,'2025-08-28','14th day of menses ','','RTC AFTER 3DAY . FOR MALE PROTOCOL ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5611,412,'2025-08-28','3 months no menses,, BHCG NEG','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5612,3802,'2025-08-28','improived ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5613,3963,'2025-08-28','10th day of menses ','','good Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5614,608,'2025-08-28','cehck ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-15'),
(5615,3253,'2025-08-28','heavy bleeding ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5616,1666,'2025-08-29','','','Postponded IUI',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-27'),
(5617,3793,'2025-08-29','1st menses heavy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-17'),
(5618,3550,'2025-08-29','For IUI','','IUI done in malaki ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-27'),
(5619,3845,'2025-08-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-08'),
(5620,3590,'2025-08-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5621,3979,'2025-08-31','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-01'),
(5622,1214,'2025-08-31','9th day of menses ','','sperm analysis L high vescoticy m 33 milin',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5623,3474,'2025-08-31','well thickness , ','','hope pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5624,3980,'2025-08-31','hirsutism , ','','PCos ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-25'),
(5625,3968,'2025-08-31','10th day of mesnes ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5626,3461,'2025-08-31','vagnosis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-11'),
(5627,2820,'2025-08-31','24 th day of meses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5628,929,'2025-08-31','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5629,975,'2025-09-01','late menses ','','wait two wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-01'),
(5630,2609,'2025-09-01','9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5631,3981,'2025-09-01','Irregular prolonged  menses ','','IUD in cervix ..removed ,,, IUD new one applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-20'),
(5632,3519,'2025-09-01','Midcycle pain ','','minimal free fluid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-12'),
(5633,1048,'2025-09-01','IUD removed 2 months ','','bhcg Positive ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-04'),
(5634,2930,'2025-09-01','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-31'),
(5635,870,'2025-09-01','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-15'),
(5636,301,'2025-09-01','was on IUD removed 2 month ','','discharge ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-10'),
(5637,2799,'2025-09-01','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5638,3803,'2025-09-01','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),
(5639,3983,'2025-09-10','','','for TVS after menses for Pocos خطة علاج مع اعطاء ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-08'),
(5640,3984,'2025-09-10','الزوج لديه مشكلة تاخربالقذÙ وتكمل بالعادة السرية ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5641,2674,'2025-09-10','check merina ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5642,2674,'2025-09-10','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5643,1486,'2025-09-10','breast Heaviness ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-16'),
(5644,2508,'2025-09-10','Post Partum follow up ','','cystitis , multiple menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-06'),
(5645,2143,'2025-09-10','Irregular menses ','','consider COC , but she mentioned thrmbophilia problem ,ask to bring ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5646,2655,'2025-09-10','post CS follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5647,475,'2025-09-10','MRI done , normal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-30'),
(5648,3364,'2025-09-10','lower adominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5649,3985,'2025-09-10','ask for male ','','RTC after next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-05'),
(5650,1529,'2025-09-10','bhcg Positive ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-10'),
(5651,2423,'2025-09-10','Discharge , lower abdominal pain ','','RTC after 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-27'),
(5652,2662,'2025-09-11','post abortion follow up , well ','','complain form ugly perinal scar, for repair next Delivery ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5653,701,'2025-09-11','follow up amenorrhea ','','no Pregnancy\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5654,3786,'2025-09-11','5th day of menses ','','check ovulation at 10 day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-07'),
(5655,3590,'2025-09-11','FSH ..45..LH 23..AMH 0.32','','POF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-21'),
(5656,591,'2025-09-11','late menses 2 months ','','given premanour after do BHCG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5657,2310,'2025-09-11','scar pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5658,3548,'2025-09-12','hypomenorrhea ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-12'),
(5659,3747,'2025-09-12','lower abdominal pain','','monroul ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5660,3991,'2025-09-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5661,3973,'2025-09-13','ask for fertility ','','RTC next wed',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-07'),
(5662,3600,'2025-09-13','17th day of menses ','','itching ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-28'),
(5663,558,'2025-09-13','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5664,3271,'2025-09-13','merina removed after 3 yrs .. ask for male.. 4th day  ','','start IOO , observe ovulation on watsapp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-10'),
(5665,3356,'2025-09-13','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-11'),
(5666,1286,'2025-09-13','thick endomrium ','','RTC next wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5667,3993,'2025-09-13','Honeymoon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-25'),
(5668,3994,'2025-09-13','','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-25'),
(5669,3968,'2025-09-13','flank pain ','','cyst 5 cm , free fluid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5670,844,'2025-09-13','','','to do labs on 2nd day of menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-20'),
(5671,3814,'2025-09-13','check ovulation , no cyst ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-27'),
(5672,3880,'2025-09-14','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-12'),
(5673,3997,'2025-09-14','Menopause  since 02.12.2023','','to do labs test .. ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5674,660,'2025-09-14','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5675,2828,'2025-09-14','irrgural menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5676,3814,'2025-09-15','14th day of menses ','','good Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5677,1107,'2025-09-15','bhcg  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5678,3588,'2025-09-15','spotting , hypomenorrhea , ','','when review her medication , she take cortisone ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-05'),
(5679,1951,'2025-09-15','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-20'),
(5680,3474,'2025-09-15','good ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-01'),
(5681,2624,'2025-09-15','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5682,19,'2025-09-15','after abortion spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5683,2620,'2025-09-15','multiple menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5684,3973,'2025-09-17','11th day ','','RTC after 3 day check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5685,1286,'2025-09-17','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-16'),
(5686,3584,'2025-09-17','','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-05'),
(5687,1426,'2025-09-17','check IUD ','','well',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5688,3963,'2025-09-17','2nd day of menses ','','start IOO . husband want to go KSA ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-16'),
(5689,870,'2025-09-17','2nd day of menses ','','for prgnyl just , not IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-16'),
(5690,4002,'2025-09-17','irreqirak menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5691,2181,'2025-09-17','itching , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-01'),
(5692,3786,'2025-09-17','10th day f menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5693,1978,'2025-09-17','late menses breast feed ','','looks midcycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5694,4004,'2025-09-17','discharge ,,, dysuria , breastfeed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-22'),
(5695,4006,'2025-09-18','lower abdominal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-24'),
(5696,1640,'2025-09-18','late menses ','','to do bhcg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-24'),
(5697,1401,'2025-09-18','for removal of implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5698,2193,'2025-09-18','posT CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5699,3604,'2025-09-18','to do homo','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-02'),
(5700,2480,'2025-09-19','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-28'),
(5701,1143,'2025-09-20','prolonged menses ','','contated her crdilogist not problrem for heaxa ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-01'),
(5702,3973,'2025-09-20','','','looks poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5703,591,'2025-09-20','2nd day of menses ','','start IOO, check ET next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-19'),
(5704,322,'2025-09-20','last menses in 6.2025','','PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5705,1643,'2025-09-20','','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-19'),
(5706,3366,'2025-09-20','57.5 improved ','','improved .. just free fluid in POD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-01'),
(5707,1816,'2025-09-20','breastmilk ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-06'),
(5708,3356,'2025-09-21','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5709,2845,'2025-09-21','irregular menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-25'),
(5710,2620,'2025-09-21','same complain ','','increased dose add clindamycine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5711,3981,'2025-09-22','Check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-14'),
(5712,3801,'2025-09-22','follow UP ','','WELL ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-21'),
(5713,3461,'2025-09-22','BY WHATSAPP SAME COMPLAIN ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5714,3577,'2025-09-22','12th day ','','good ovulation without IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-12'),
(5715,3968,'2025-09-23','In malaki','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-23'),
(5716,4013,'2025-09-24','ask for fertiliy ','','for IOO if filued for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-28'),
(5717,1758,'2025-09-24','to rmove IUD and Satat oCPS\" ','','tehen for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5718,3963,'2025-09-24','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),
(5719,3973,'2025-09-24','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5720,2761,'2025-09-24','start IOO ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-21'),
(5721,327,'2025-09-24','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5722,3493,'2025-09-24','still Hypomenorrhea ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5723,1238,'2025-09-24','post abortion ','','US well ... ask for Male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5724,3649,'2025-09-24','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5725,3649,'2025-09-24','late menses , was breastfeed ','','RTC after 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5726,3803,'2025-09-24','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-22'),
(5727,4019,'2025-09-25','itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-03'),
(5728,791,'2025-09-25','Hypomenorrhea ','','RTC next cycle , ,,, For Infertility  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-13'),
(5729,1286,'2025-09-25','12th day of menses ','','good ovulation , rtc for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5730,870,'2025-09-25','','','RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5731,2665,'2025-09-25','for implnon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5732,763,'2025-09-25','post VABC ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5733,4021,'2025-09-25','for Implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5734,1570,'2025-09-25','follow up cytocele ,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-15'),
(5735,3537,'2025-09-25','follow up after delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5736,423,'2025-09-25','breast milk , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-02'),
(5737,3548,'2025-09-26','heavy painfull menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-22'),
(5738,3550,'2025-09-26','IUI faliued ','','RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-25'),
(5739,3493,'2025-09-27','abnormal sperma analysis , low conut 6 mill, 10% motile ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5740,2822,'2025-09-27','','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-26'),
(5741,4023,'2025-09-27','check Up Complain for acne ','','start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-10'),
(5742,4013,'2025-09-27','3rd day of menses ','','start IOO , to do Seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-25'),
(5743,12,'2025-09-27','check up IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-20'),
(5744,291,'2025-09-27','Multiple ','','for TAH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5745,591,'2025-09-27','9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5746,2292,'2025-09-27','Post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5747,870,'2025-09-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5748,1286,'2025-09-27','','','16 mm ,  foliciles . RTC next two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5749,3682,'2025-09-28','hypomenoherra ','','FSH 46..LH 28...',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5750,3199,'2025-09-28','breast pain , no discharge ','','berast US : fiboadenoam ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-24'),
(5751,2508,'2025-09-28','still complain ','','for Doxal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-27'),
(5752,4026,'2025-09-28','flank pain since 4 days ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5753,1643,'2025-09-29','10th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5754,802,'2025-09-29','1st day of menses ','','for qseed for two months,,, then IUI form urine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-29'),
(5755,2937,'2025-09-29','on IUD , lower back pain ','','IUD seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-17'),
(5756,591,'2025-09-29','','','RTC after 3 day , good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5757,2611,'2025-09-29','','','add celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5758,4029,'2025-10-01','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5759,2620,'2025-10-01','same ','','start progesteron ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5760,896,'2025-10-02','2nd day , hormonal profile normal','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-01'),
(5761,2761,'2025-10-02','12th day of menses ','','start progest ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5762,896,'2025-10-02','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5763,363,'2025-10-02','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5764,3883,'2025-10-04','3rd day of menses came for pregnancy ','','rt hemorgic cyst , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-02'),
(5765,4033,'2025-10-04','vaginal discharge , itching , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-10'),
(5766,1640,'2025-10-04','irrequral menses ,,, stoped breastfeed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5767,4034,'2025-10-04','lower abdominal pian ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-26'),
(5768,3548,'2025-10-04','improved , but still have pain ','','aske about polyp???',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5769,3628,'2025-10-04','lower abdominal pian ','','free fluid in pelvis , rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5770,4036,'2025-10-04','ask for fertility ','','for IOO 2 cycle then for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-27'),
(5771,358,'2025-10-04','breastfeed , irrqural menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5772,3590,'2025-10-04','no menses ','','RTC next wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5773,1682,'2025-10-04','4 month post delivery ,,, ','','RTC after one wk if no menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5774,4013,'2025-10-04','10th day ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5775,3618,'2025-10-04','3rd day of menses ','','check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-01'),
(5776,844,'2025-10-04','','','signs of ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-17'),
(5777,3968,'2025-10-04','12th day of menses ','','good ovulation , right simple cyst 4 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5778,819,'2025-10-04','check merina ','','well , Bhcg postive in urine ,, !',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5779,3492,'2025-10-04','heavy menses HGB 12','','RTC for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5780,726,'2025-10-05','by her mom,, fungal infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5781,2761,'2025-10-05','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5782,1462,'2025-10-05','lower abdominal pain','',' ius ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5783,475,'2025-10-05','coloscopy ., well ','','advcie for CT and Dx lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5784,369,'2025-10-05','on IUD since 3 yrs ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5785,3984,'2025-10-06','hormonal profile :normal ,... ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5786,1472,'2025-10-06','on IUD ,, irrqural menses, every two months ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5787,2624,'2025-10-06','no menses ','','given progest ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5788,55,'2025-10-06','on IUD since 4 month ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5789,4040,'2025-10-08','late menses ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-16'),
(5790,3189,'2025-10-08','late menese , hypomenorrhea ','','right simple cyst 6 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5791,3967,'2025-10-08','','','start ostrofen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5792,715,'2025-10-08','last delivery 2025/08/09.. heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(5793,4041,'2025-10-08','nasuea , lower abdominal pain , dishcrage ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-21'),
(5794,2690,'2025-10-08','postnatal visit ','','for merina',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5795,3492,'2025-10-09','TVS ','','bulky uterus ..advcie for merina or TAH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5796,572,'2025-10-09','increase hair , headache , hypomenorrhea ','','PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-02'),
(5797,382,'2025-10-09','post-delivery follow up its was complicated ... complaion form lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5798,3747,'2025-10-09','18.09.2025..had US show enlarge l.n','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5799,36,'2025-10-09','post delivery Irregular menses / no breastfeed ','','for microgynon ,then IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5800,3548,'2025-10-10','stii in pain ','','report for Dx lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-22'),
(5801,4036,'2025-10-10','14 day of menses ','','check ovulation ,, RTC after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5802,4034,'2025-10-10','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5803,4045,'2025-10-10','Irregular menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-28'),
(5804,3584,'2025-10-11','7th day of menses ','','check ovulation after 4 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-05'),
(5805,896,'2025-10-11','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),
(5806,3590,'2025-10-11','start provera on whats ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5807,2606,'2025-10-11','check up ','','TVS normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5808,1816,'2025-10-11','5th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-06'),
(5809,3883,'2025-10-11','','','no cyst . RTC after one wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5810,915,'2025-10-11','late menses, discharge with dysurea ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5811,3233,'2025-10-11','prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-26'),
(5812,3963,'2025-10-12','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-11'),
(5813,1974,'2025-10-12','4 month no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-06-19'),
(5814,1690,'2025-10-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5815,1167,'2025-10-12','implanon removed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5816,358,'2025-10-12','bhcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5817,1434,'2025-10-12','heavy menses ,, with pain , and diziness ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-11'),
(5818,2168,'2025-10-12','','','3.5 cm cyst right ..borood ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-06'),
(5819,839,'2025-10-13','check up ','','normal , want to Stop OC[p\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-06'),
(5820,1660,'2025-10-13','زيادة كبيرة بالوزن 15 كم بعد تركيب الشريحة ','','implanon removed تنصح باللولب بالهرموني (to follow up dr ahmed amro ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5821,708,'2025-10-13','late menses , Bhcg neg ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-04'),
(5822,3618,'2025-10-13','13 day of menses ','','ERC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5823,4006,'2025-10-13','check up ','','well ,, good ovulatuon , for intrecouce ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-22'),
(5824,4050,'2025-10-13','post TAH ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5825,1187,'2025-10-13','late menses ','','for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5826,2356,'2025-09-16','dischere ','','medo , nystazol ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5827,1238,'2025-10-15','1st day of menses ','','start IOO , for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-15'),
(5828,896,'2025-10-15','TVS ','','looks cyst , if no pregnancy for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5829,4055,'2025-10-15','postmenpuse ','','uTI .. for dexa scan ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5830,2800,'2025-10-15','late msnes , merina well , (siad not well by doctor ) ','','ttt both partner ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5831,3880,'2025-10-16','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-09'),
(5832,4057,'2025-10-16','implanon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-10'),
(5833,4058,'2025-10-16','irregular menses.. since 6 month ','','ttt as infection if no Improvement ttt as PCO\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-09'),
(5834,1208,'2025-10-16','post CS visit ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5835,2620,'2025-10-16','same ','','start OCp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5836,291,'2025-10-16','post TAH ','','HGB 10.2..325..  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5837,3229,'2025-10-16','IUD applied by Dr maha ','','iUD seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5838,3618,'2025-10-16','','','good ovulation  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5839,1867,'2025-10-16','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-08'),
(5840,4059,'2025-10-16','2nd day of menses ','','Medical Report\nتقرير طبي\nThe above mention lady , 20 yrs old \nLMP : 15.10.2025\nShe presented complain form lower abdominal pain \nOn exam \nRebound tenderness \nUS : normal size uterus , right side hemorrhagic cyst, 5*5 cm  . suspected torsion \n \nRefer for management\nThanks\n16.10.2025\n\n\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-15'),
(5841,1434,'2025-10-16','','','suspected polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5842,2001,'2025-10-17','breast pain , during ','','well ,, Reassurance ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-13'),
(5843,4061,'2025-10-17','irrqural menses ','','think about POF',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-16'),
(5844,4045,'2025-10-17','20 days of menses ','','Start IOO , next time,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-10'),
(5845,3227,'2025-10-17','irrqural menses ','','on Sulfasalazine',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-01'),
(5846,2635,'2025-10-18','heavy menses ,,, ','','advice for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5847,4062,'2025-10-18','flank pain ','','ttt as PID ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-27'),
(5848,36,'2025-10-18','still had menses ','','given hexa',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5849,3883,'2025-10-18','','','RTC next menses for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5850,50,'2025-10-18','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5851,2159,'2025-10-18','post NVD , ','','advice for IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5852,558,'2025-10-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-10'),
(5853,3393,'2025-10-18','follow up ','','improved then increased wt ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-09'),
(5854,4013,'2025-10-18','','','UTI , cyst ?! ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5855,844,'2025-10-18','4th day of menses ','','start IOO, to do seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-15'),
(5856,652,'2025-10-18','bad odder after delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5857,3233,'2025-10-18','still same complain ','','for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5858,3584,'2025-10-19','bleeding since 7 days ,,, ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5859,2894,'2025-10-19','for IV iron ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5860,1116,'2025-10-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5861,1030,'2025-10-19','IUD remoaved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5862,3791,'2025-10-20','still complian ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5863,3963,'2025-10-20','10th day of menses ','','RTC afetr 3  days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5864,1274,'2025-10-20','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,'2025-10-19'),
(5865,2168,'2025-10-20','','','RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5866,198,'2025-10-20','6 th month post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-03'),
(5867,1622,'2025-10-22','sever UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-20'),
(5868,2837,'2025-10-22','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5869,172,'2025-10-22','5th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-18'),
(5870,2330,'2025-10-22','5 month ,, late menses ','','given progesteron then for lab test ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-05-01'),
(5871,935,'2025-10-22','','','RTC sat for ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-11'),
(5872,3533,'2025-10-22','post CS follow Up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5873,3963,'2025-10-23','13th day ','','good ovulation ..for 01.11.2026... 21th progestron (30.4)normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5874,4067,'2025-10-23','ask for fertility ','','RTC wend , to do seminal analysis , possible hycosy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-19'),
(5875,3356,'2025-10-23','12th day of menses ','','RTC after two days , check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-12'),
(5876,4059,'2025-10-23','Laparoscopic finding , left  adnexa  Endometriosis adhesnesios ., rt hemorgic cyst  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5877,3519,'2025-10-25','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5878,2929,'2025-10-25','no menses ,,, ','','UTI culture show senetive to meropenemn ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5879,585,'2025-10-25','mass protolated from vagina','','Garde 2 rectocele , grade 1 Cystocele ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-06'),
(5880,935,'2025-10-25','check ovulation ','','prgynl given ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5881,1238,'2025-10-25','11th day of menses ','','RTC next monday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5882,1242,'2025-10-25','','','adcef ,,fungtrin',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5883,4069,'2025-10-25','seek fertility ','','to do sminal analysis in smaou ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-01'),
(5884,924,'2025-10-25','post abortion follow up ','','for cytotec ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5885,12,'2025-10-25','IUD slipet , another one applied ,, ','','multiload , applied , was also multiload ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5886,769,'2025-10-25','signs of PC\'os . acne , increased hair ','','pco\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-02'),
(5887,819,'2025-10-25','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5888,819,'2025-10-25','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5889,819,'2025-10-25','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5890,2052,'2025-10-25','3rd 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,'2025-10-23'),
(5891,3492,'2025-10-25','','','Medical Report\nتقرير طبي\nThe above mention lady , 49 yrs old , \nPMHx: hypertension \nPSHx: cesarean section with tubal ligation, \n\nShe presented with complaints of heavy menstrual bleeding with passage of clots, not responding to medical treatment.\n\nOn examination:\nUltrasound shows a bulky uterus, with no adnexal mass seen.\n\nAdvice for total abdominal hysterectomy \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),
(5892,4071,'2025-10-25','7th day of menses , check Up ','','TSH 1.65... looks pCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-18'),
(5893,1026,'2025-10-26','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-22'),
(5894,3356,'2025-10-26','','','good Ovulation\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5895,1756,'2025-10-26','post CS follow Up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5896,1622,'2025-10-26','IV fluid + rocphin ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5897,1978,'2025-10-26','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-20'),
(5898,2342,'2025-10-26','IVF twice Failed , lower abdominal pain ','','multiple cyst ,, left side ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-06'),
(5899,2227,'2025-10-27','heavy menses , ','','start OCP\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-24'),
(5900,1238,'2025-10-27','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5901,844,'2025-10-27','13th day ','','husband away ,, RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5902,2013,'2025-10-27','follow up partial mole ','','follow up ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-23'),
(5903,3474,'2025-10-27','to repate bhcg , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-01'),
(5904,4074,'2025-10-29','2nd day of menses ','','ask for male , pco\'s , plan for HSG , seminal analysis , then IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-28'),
(5905,1274,'2025-10-29','10th day of menses ','','RTC tomorrow ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5906,489,'2025-10-29','hypomenorrhea ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5907,382,'2025-10-29','C/O lower abdominal pain ,, no menses after delivery ','',' Adjusted Copayment\n   Phar      Monurol/sachets/1.00 Sachets 3g\n   Phar      Nagyn/cap/10.00 Cap\n   Phar      Valupak Multivitamin &min/tab/30.00 Tab',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5908,3948,'2025-10-29','flank pain , after excerice , dysuria , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-15'),
(5909,1924,'2025-10-29','UTI sever ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-10'),
(5910,4004,'2025-10-29','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5911,844,'2025-10-29','','','ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5912,4071,'2025-10-29','12th 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,NULL),
(5913,1482,'2025-10-29','back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5914,4075,'2025-10-29','was for IVF cycle , in jordan , cyst seen هلال ابو غوش ','','no cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-18'),
(5915,4058,'2025-10-30','same Complain ','','Endometrioma VS Dermoid on left ovary , suspected polyp , for Saline test',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(5916,172,'2025-10-30','13th day of menses ','','TVS good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5917,44,'2025-10-30','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-30'),
(5918,1490,'2025-10-30','flank pain ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-23'),
(5919,2330,'2025-10-30','1st day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5920,1274,'2025-10-30','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5921,1434,'2025-10-30','','','sure polyp need Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5922,1434,'2025-10-30','','','Medical Report\nتقرير طبي\n\n    The above-mentioned lady, 35 years old, presented with irregular and prolonged menses, intermenstrual bleeding, and lower abdominal pain.\n\nUltrasound: Hyperechoic shadow noted in the uterine fundus, suggestive of an endometrial polyp.\n\nAdvice for  Hysteroscopic polypectomy.\n\nThanks\n30.10.2025\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),
(5923,394,'2025-10-30','check IUD','','IUD in siut ,, signs of Hypothyroidism ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-22'),
(5924,699,'2025-10-30','postdelievry m, no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5925,2093,'2025-10-31','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5926,4078,'2025-10-31','seek Fertility ','','ttt as infection ,, then IOO ,,, check Ovulation next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-14'),
(5927,3894,'2025-10-31','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5928,3548,'2025-10-31','pain at left side ','','looks rupture ovarian cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-18'),
(5929,4036,'2025-10-31','','','looks Think Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5930,4069,'2025-10-31','seminal analysis : number 57/ml ,, low active 5%, yeast seen ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5931,1201,'2025-10-31','late , hypomenorrhea ','','infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-27'),
(5932,2731,'2025-11-01','no menses since 3 months ','','for seleve ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-08-10'),
(5933,3234,'2025-11-01','Discharge , UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-20'),
(5934,1941,'2025-11-01','trial of IUD , closed Cx ','','“suspicion of partial perforation — no free fluid — stable patient — IUD removed intact',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-26'),
(5935,924,'2025-11-01','','','well after cytotec ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5936,2052,'2025-11-01','','','16 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5937,4081,'2025-11-01','vomting with lower Abdominal pain  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-14'),
(5938,2418,'2025-11-01','LATE MENSES ','','IUD in situ , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-30'),
(5939,3123,'2025-11-01','incontenine ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5940,2392,'2025-11-01','','','Transvaginal  ultrasound findings\n•	Uterus: Anteverted, normal in size and shape. Myometrium homogeneous, no focal lesion detected. Endometrial thickness within normal range for cycle phase.\n•	Ovaries: Both with smooth outline,\n•	Right ovary: Visualized, measures approximately 3.9 × 3.0 cm. Contains multiple small follicles.(6-8)  No dominant follicle or cyst noted.\n\n•	Left ovary: Visualized, measures approximately 4.6 × 3.6 cm.Approximately 8 to 9 small antral follicles (2–10 mm in size) plus one larger dominant follicle.\n•	So, the total AFC is about 14–16 follicles, \n\nThanks \n01.11.2025\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-31'),
(5941,3590,'2025-11-01','','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5942,4071,'2025-11-01','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5943,3584,'2025-11-01','1st day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-01'),
(5944,4083,'2025-11-02','ask for fertility ','','breastmilk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-15'),
(5945,2690,'2025-11-02','for IUD ','','IUD multiload applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5946,1434,'2025-11-02','Medical Report تقرير طبي      The above-mentioned lady, 35 years old, presented with vaginal bleeding, and lower abdominal pain.   Advice for  D&C .  Thanks 30.10.2025','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5947,2052,'2025-11-03','','','19 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5948,4086,'2025-11-04','late menses , in malaki , ,, bhcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-10'),
(5949,2052,'2025-11-05','','','21 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5950,3508,'2025-11-05','1st day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-04'),
(5951,558,'2025-11-05','left ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5952,448,'2025-11-05','9th day of menses , seen by khaled masrwa ','','was on letrazole ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-28'),
(5953,3021,'2025-11-05','check up before IVF ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-26'),
(5954,3618,'2025-11-05','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-02'),
(5955,2690,'2025-11-06','pain after IUD application ','','bartholin Abscess ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5956,2052,'2025-11-06','','','ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5957,3732,'2025-11-06','PCOS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-17'),
(5958,4090,'2025-11-06','3rd day , seek fertility  ','','start IOO , contune in ramallah ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-04'),
(5959,4091,'2025-11-06','','','rt cyst 5 cm , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-29'),
(5960,2159,'2025-11-06','For IUD ','','IUD applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5961,3894,'2025-11-07','','','improved ,, for OCPs at 6 wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5962,4095,'2025-11-07','sever vagnismus ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5963,3628,'2025-11-07','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-07'),
(5964,4086,'2025-11-07','3rd day of menses ','','start IOO , no PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-05'),
(5965,3222,'2025-11-08','breast pain post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5966,3222,'2025-11-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5967,64,'2025-11-08','heavy menses , lower abdominal pain ','','suspected polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-24'),
(5968,632,'2025-11-08','no menses since delivery .. pain in lower abdomen ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5969,4096,'2025-11-08','check fertility ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-04'),
(5970,1660,'2025-11-08','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-01'),
(5971,3253,'2025-11-08','flank pain ,dysuria ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5972,19,'2025-11-08','check fertility ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-31'),
(5973,3408,'2025-11-08','spotnaeous abortion in hospital at 22 wks ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5974,413,'2025-11-09','to remove implanon ','','IUD applied , dr maha today ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-23'),
(5975,448,'2025-11-09','','','RTC wende',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5976,3883,'2025-11-09','late menses ','','to DO bhcg .. negative , poc\'s seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5977,358,'2025-11-09','late menses ','','empty uterus , Hypecongested , looks Varicose ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-20'),
(5978,4058,'2025-11-09','','','no cyst seen , Saline test :negative ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-04'),
(5979,19,'2025-11-10','check fertility ','','RTC after one wks',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5980,1486,'2025-11-10','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5981,4059,'2025-11-10','1st day of menses , ','','RTC day 10 ... right cyst ?! ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-10'),
(5982,4097,'2025-11-12','hypomenerna 2 days , was 4 days ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-08'),
(5983,3584,'2025-11-12','still in menses ','','thick Endometrium for Dx E&C (done in malaki ) polyp ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5984,2480,'2025-11-12','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-03'),
(5985,3609,'2025-11-12','heavy menses , ','','for premoure for 2 wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-09'),
(5986,911,'2025-11-12','on IUD 1.2025 ,, check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-24'),
(5987,4100,'2025-11-12','low back pain ,, for orthpedic ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5988,2447,'2025-11-12','check fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-17'),
(5989,4101,'2025-11-12','on IUD since 1 yrs ','','breast pain ,milk line ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5990,448,'2025-11-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5991,3889,'2025-11-12','given husband fosomycine ','','Cx negative ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(5992,753,'2025-11-12','','','right cyst 5 cm ,,, for HSG next time ( talk about )',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-11'),
(5993,2948,'2025-11-13','late menses ','','RTC after one wks with BHcg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-19'),
(5994,2036,'2025-11-13','discharge ,,, ','','check Fertility  ..RTC after 5 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-07'),
(5995,208,'2025-11-13','prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-01'),
(5996,1434,'2025-11-13','6th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-08'),
(5997,1043,'2025-11-13','8th day of menses .seek fertility , dysuria ','','RTC at d10',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-06'),
(5998,3618,'2025-11-13','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),
(5999,1777,'2025-11-13','post left salpingectomy , cornual pregnancy','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6000,19,'2025-11-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6001,1434,'2025-11-13','Medical Report تقرير طبي The above-mentioned lady, 35 years old, presented with vaginal bleeding, and lower abdominal pain.  US show endometrial polyp  Advice for operative hysteroscopy for removal;   .    Thanks 13.11.2025','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6002,3628,'2025-11-14','late menses ','','START PREMNOUR , THEN FOR IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6003,3628,'2025-11-14','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6004,4086,'2025-11-14','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),
(6005,3548,'2025-11-14','lower abdominal pain , mostly at left side ','','advice for lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6006,4107,'2025-11-15','ask for fertility ,, her husband refuse come at all ','','RTC at samou ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-28'),
(6007,4109,'2025-11-15','lower abdominal pain , ','','Discharge ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-20'),
(6008,12,'2025-11-15','check IUD ','','well applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6009,3883,'2025-11-15','5th day of menses ','','RTC after one wks , still thick Endometrium she asked about polyp !',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-11'),
(6010,3508,'2025-11-15','12th day of menses ','','for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6011,4110,'2025-11-15','aborted 08.10.2025 ,, still bleeding ','','for heax,, looks both Ovary\'s looks cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6012,4096,'2025-11-15','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),
(6013,4091,'2025-11-15','check cyst ','','no cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6014,1408,'2025-11-15','lower abominal pain ','','signs of pcos ... if no impoved add metformin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-20'),
(6015,1165,'2025-11-15','breastfeed ..complain form mass ','','grade 3 Cystocele ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6016,3135,'2025-11-15','2wks after delivery , 2ry PPH ','','uterus full of clots ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6017,2013,'2025-11-15','follow up partial mole ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6018,4111,'2025-11-16','brest pain ','','for US ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-01'),
(6019,2948,'2025-11-16','2nd day of menses','','START IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-15'),
(6020,2690,'2025-11-16','','','bartholin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6021,1043,'2025-11-16','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6022,1756,'2025-11-16','leg pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6023,2036,'2025-11-17','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6024,3882,'2025-11-17','HSG done in ndal well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6025,3883,'2025-11-17','BY WHATS ','','Start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-16'),
(6026,1462,'2025-11-19','hypomenorreha ','','For TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-13'),
(6027,3508,'2025-11-19','post check up ','','ovulation occur ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6028,3513,'2025-11-19','5th day ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-15'),
(6029,1097,'2025-11-19','2 times menses in one month ','','IUD in siu ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-14'),
(6030,3659,'2025-11-19','','','looks polyps for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-31'),
(6031,3582,'2025-11-19','check ovulation ','','good ovulation ,, RTC sat ,, ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-09'),
(6032,3618,'2025-11-19','check post ovulation ','','well ,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6033,870,'2025-11-19','late mesnes ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-16'),
(6034,4115,'2025-11-19','discharge , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-14'),
(6035,2259,'2025-11-19','post CS follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6036,3462,'2025-11-20','for IUD removal ,, since 3 yrs ','','IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-12'),
(6037,1965,'2025-11-20','late menses ','','RTC one wks with BHCG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-10'),
(6038,3135,'2025-11-20','','','uterus empty ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6039,3229,'2025-11-20','','','IUD well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6040,1582,'2025-11-20','hot flush ','','start on osterogel , for one ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-10'),
(6041,4059,'2025-11-20','10th day of menses ','','RTC afte two days , check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6042,4095,'2025-11-21','2nd day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-20'),
(6043,4119,'2025-11-21','1st day of menses ,, seek for fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-28'),
(6044,4117,'2025-11-22','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-08'),
(6045,3582,'2025-11-22','','','for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6046,2410,'2025-11-22','19/09/2025 post NVD ','','Discharge ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6047,2084,'2025-11-22','6 month irrequral menses , last Delivery 17.10.2024','','last LMP 4.11.2025 on yasmin,,, now new menses since 5 days as she Forget  yasmin  ...for hexacabron then TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-04'),
(6048,894,'2025-11-22','DISCHARGE , lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6049,276,'2025-11-22','on IUD .iching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-19'),
(6050,2880,'2025-11-22','seek for fertility ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-13'),
(6051,4059,'2025-11-22','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6052,1462,'2025-11-23','','','TVS Difficult ,, looks polyp for E&C , PCO\'s  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6053,844,'2025-11-23','','','TVS , normal , good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6054,4069,'2025-11-23','2nd day of menses ','','RTC at Samou',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-22'),
(6055,454,'2025-11-23','hot flush , vaginal dehydation ','','breast pain (check every 6 months ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6056,4124,'2025-11-24','4th day of menses .seek fertility ','','RTC at day 10 check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-21'),
(6057,2948,'2025-11-24','10th day ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6058,1526,'2025-11-24','prolonged menses , ','','check fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-12'),
(6059,4125,'2025-11-24','late menses ,,, Bhcg neg yesterday ','','rTC after one wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-19'),
(6060,1431,'2025-11-24','lower Abdominal pain ','','for labs , and HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-05'),
(6061,3253,'2025-11-24','8th day of menses , passage of clots ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-17'),
(6062,3513,'2025-11-26','12th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6063,1978,'2025-11-26','late menses ','','rt cyst 5 cm , hemaorrghic ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6064,3883,'2025-11-26','11th day ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6065,729,'2025-11-26','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-05'),
(6066,4126,'2025-11-26','signs of PCo\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-14'),
(6067,2880,'2025-11-26','','','good ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6068,2948,'2025-11-26','still menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6069,3624,'2025-11-26','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6070,1526,'2025-11-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6071,3609,'2025-11-27','still heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-26'),
(6072,2084,'2025-11-27','RTC after 3 days ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6073,1527,'2025-11-27','4th day of menses ','','for hsg  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-24'),
(6074,1862,'2025-11-27','POST CS , wound infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6075,4059,'2025-11-27','check ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6076,3253,'2025-11-27','For TVS , IUD well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6077,931,'2025-11-27','Post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6078,636,'2025-11-27','Restart on yasmin ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-06'),
(6079,3994,'2025-11-27','discharge , ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-16'),
(6080,3548,'2025-11-28','sever lower abdominal pain ','','TO START ON YSMIN BACK TO BACK ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-15'),
(6081,3883,'2025-11-28','13th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6082,4132,'2025-11-28','man came for fertility ','','seminal analysis low count 8 mill, motility 10 %',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6083,4045,'2025-11-28','late menses ','','BHCG neg , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6084,3233,'2025-11-28','polyp ,, By E&C ,,,, hypomenorrhea ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-26'),
(6085,4095,'2025-11-29','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6086,3513,'2025-11-29','','','ovulation done ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6087,2611,'2025-11-29','check up','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6088,2412,'2025-11-29','prolonged menses ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-15'),
(6089,36,'2025-11-29','E&C done in makaki ,, polyp , follow Up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6090,448,'2025-11-29','3rd day of menses ','','for IOO , if Failed for hormonal ,HSG  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-27'),
(6091,4096,'2025-11-29','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-27'),
(6092,3462,'2025-11-29','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6093,4060,'2025-11-29','6 wks post delivery .. bleeding ','','hyperechoic shadow in uterus 1.5*1 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6094,2948,'2025-11-29','TVS pCO\"S . ','','looks small Follicles , mostly need another wk ,, RCT after 1 wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6095,2196,'2025-11-30','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6096,2084,'2025-11-30','TVS looks POC\"S ','','Instruction given RTC after 2 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6097,769,'2025-11-30','improved but acne increased due to cream !!!','','continue celine for another month ,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6098,3513,'2025-11-30','lower abdominal .... mild  ascites ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6099,3603,'2025-11-30','post delivery urinary incontinence','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6100,2310,'2025-12-01','heavy menses ','','rt simple cyst 6 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6101,423,'2025-12-03','discharge , dysuria ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-29'),
(6102,3659,'2025-12-03','','','Looks normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-27'),
(6103,3321,'2025-12-03','lower back pain ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-26'),
(6104,1845,'2025-12-03','late menses , to do BHCG ','','Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6105,4124,'2025-12-03','13th day of menses ','','16 mm , RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6106,2948,'2025-12-03','TVS','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6107,93,'2025-12-03','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6108,843,'2025-12-03','lower abdominal pain ','','left cyst hemorraghic ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-27'),
(6109,558,'2025-12-03','16th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-18'),
(6110,1527,'2025-12-03','HSG ','','normal , done by me ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6111,2302,'2025-12-04','watery vaginal discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-20'),
(6112,1978,'2025-12-04','','','looks pending rupture ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6113,3548,'2025-12-04','same ,pain , CT done in alaia ,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6114,4119,'2025-12-05','8th day of menses ','','check ovulation ,, small Follicles m RTC after one wks ,, refuse IVF want Spontaneous ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6115,3233,'2025-12-05','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6116,4135,'2025-12-05','3rd day of menses ,, irrqural menses ','','advice for Lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-03'),
(6117,3793,'2025-12-05','improved ','','to start OCP\'s next time 3 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6118,1201,'2025-12-05','BHCg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6119,2718,'2025-12-06','(20.01.2025 ,, depoprovera ) late mesnes ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-09-30'),
(6120,973,'2025-12-06','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-05'),
(6121,798,'2025-12-06','post abortion ','','empty uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6122,558,'2025-12-06','signs of ovulation seen ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6123,4140,'2025-12-06','cs at 09.11.2025 ....4 wks post delivery ','','looks well , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6124,2027,'2025-12-06','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6125,4124,'2025-12-06','','','just one foliciles , think about IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6126,2027,'2025-12-06','2nd day of menses ','','Start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-05'),
(6127,1102,'2025-12-06','Check up , well ','','rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6128,4060,'2025-12-06','check uterus after cytotec ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6129,3100,'2025-12-06','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6130,3609,'2025-12-07','خربشت بالعلاج واجت دورة جديده','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6131,3584,'2025-12-07','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-06'),
(6132,3229,'2025-12-07','improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6133,2159,'2025-12-07','bleeding ','','recheck TVS after 3 days ... ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6134,258,'2025-12-07','wound infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6135,4143,'2025-12-07','for TVS ','','incontenice ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-01'),
(6136,211,'2025-12-07','breast feed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6137,1128,'2025-12-07','late menses ','','RTC after one wk. ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-23'),
(6138,2302,'2025-12-07','heavy bleeding ','','for TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6139,1197,'2025-12-07','Irregular menses (heavy menses ) 5 months ','','for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-06'),
(6140,4145,'2025-12-07','late menses (Bhcg neg) ','','RTC after one wk , with Bhcg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-31'),
(6141,3172,'2025-12-08','dishage , dysuria ','','implanon well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6142,2985,'2025-12-08','lower Abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-25'),
(6143,3233,'2025-12-09','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),
(6144,3963,'2025-12-09','heavy menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-08'),
(6145,4148,'2025-12-10','discharge ','','polyp 2 c,m fundal for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-09'),
(6146,3513,'2025-12-10','','','back pain , deal as infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6147,2392,'2025-12-10','for Report ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-08'),
(6148,899,'2025-12-10','2nd day of menses ','','for ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-09'),
(6149,219,'2025-12-10','lower back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6150,650,'2025-12-10','7th day of menses ','','RTC after 3 days , lower abdominal pain ,small cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-04'),
(6151,4149,'2025-12-10','2nd day of menses ,,, Hypomenorrhea ','','for hormonal profile ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-09'),
(6152,4094,'2025-12-10','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6153,1453,'2025-12-10','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-29'),
(6154,3697,'2025-12-11','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6155,2342,'2025-12-11','hypomenorrhea ','','well .. for IVF ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-30'),
(6156,4059,'2025-12-11','by phone , for HSG ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-10'),
(6157,2296,'2025-12-11','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-01'),
(6158,4152,'2025-12-12','on IUD 21.11.2025... bleeding after IUD , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6159,4153,'2025-12-13','late menses ,,, infertility ttt ','','signs of pco\'s , RTC wends .. plan for hormonal profile, HSG , seminal analysis , start life style Modification ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-03'),
(6160,1752,'2025-12-13','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6161,843,'2025-12-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6162,2027,'2025-12-13','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6163,1453,'2025-12-13','14 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6164,870,'2025-12-13','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-20'),
(6165,2805,'2025-12-13','late menses ,,, ','','advice for weight reduction ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6166,2962,'2025-12-13','10 day of menses ','','RTC after 2 days , check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-03'),
(6167,4156,'2025-12-13','late menses after delivery 3 months ago ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6168,1145,'2025-12-14','breast pain  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6169,4095,'2025-12-14','1st day of menses , after IUI ','','lower Abdominal pain ..advice for ntural ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-14'),
(6170,4160,'2025-12-14','lower abdominal pain ,,, ','','right cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-07'),
(6171,2159,'2025-12-14','TVS ','','well,,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6172,1128,'2025-12-14','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6173,938,'2025-12-14','check up IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6174,2027,'2025-12-15','13th day of menses ','','stii not ovulated ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6175,3548,'2025-12-15','2nd day , pain ,,, pain ,advice for MRI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-14'),
(6176,2027,'2025-12-17','','','looks ovulated ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6177,2862,'2025-12-17','5th day of menses ','','for hycosy sat ,,, then IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-13'),
(6178,4153,'2025-12-17','hsg today ','','opened ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6179,870,'2025-12-17','bhcg neg ','','rigth cyst ,,, not tell ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6180,3963,'2025-12-17','10th day ','','small Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6181,138,'2025-12-17','discharge ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-19'),
(6182,2962,'2025-12-17','15th day ','','ovulation signs seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6183,1431,'2025-12-17','2nd hormonal profile low FSH , LH , E2','','start OCp\'s to ttt hormonal profile ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-09'),
(6184,913,'2025-12-17','IUD removed 3 months ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6185,973,'2025-12-17','13 th day ','','check Ovulation ..check ET ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6186,1462,'2025-12-18','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),
(6187,3513,'2025-12-18','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-16'),
(6188,207,'2025-12-18','2nd menses in one month ','','infection',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-17'),
(6189,4166,'2025-12-18','6 wks bleeding ','','on IUD since 8 yrs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6190,4167,'2025-12-18','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-24'),
(6191,2392,'2025-12-18','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6192,2392,'2025-12-18','report ','','Transvaginal  ultrasound findings\n•Uterus: Anteverted, normal in size and shape. Myometrium homogeneous, no focal lesion detected. Endometrial thickness 6 mm \n•Ovaries: Both with smooth outline,\n•Right ovary: Visualized, measures approximately 4.6 × 2.6X 3.7 cm. Contains multiple   follicles.(8-10)  with  dominant follicle 16 mm .\n\n•	Left ovary: Visualized, measures approximately 5.7 × 3.2 X 3 cm. Approximately 9-10  antral follicles (2–10 mm in size) plus two  larger dominant follicle.\n•	So, the total AFC is about 17–20 follicles, \nThanks\n18.12.2025\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6193,1978,'2025-12-18','check ovulation , and check cyst ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-04'),
(6194,2628,'2025-12-18','wound infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6195,1527,'2025-12-18','','','follow Up ,,, start IOO next time after check husband speimnal analysisi ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6196,4059,'2025-12-18','for HSG ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6197,3548,'2025-12-19','left abdominal pain ','','report for MRI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6198,4152,'2025-12-19','improvement ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6199,1201,'2025-12-19','lower abdominal pain ','','no cyst .. improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-15'),
(6200,2508,'2025-12-19','6 moth post delivery ,, irrequral ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-06'),
(6201,4169,'2025-12-20','check uterus after abortion ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-27'),
(6202,3584,'2025-12-20','','','good ovulation ... ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6203,403,'2025-12-20','check fertility after abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6204,973,'2025-12-20','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6205,558,'2025-12-20','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6206,2862,'2025-12-20','','','by normal Saline , looks both open ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6207,2628,'2025-12-20','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6208,4170,'2025-12-20','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6209,4171,'2025-12-20','she thick was Pregnant ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-10-16'),
(6210,3963,'2025-12-20','13 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),
(6211,3418,'2025-12-20','Referred for Dermatology POC\"s ','','polycyst ovary ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-08'),
(6212,3726,'2025-12-20','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6213,2706,'2025-12-20','9th menses ','','خربشة باخذ الياسمين ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-12'),
(6214,4172,'2025-12-20','signs of PCo\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-15'),
(6215,1978,'2025-12-20','','','16 mm , Check after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6216,489,'2025-12-20','hypomenorrhea ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6217,597,'2025-12-20','check posterior rpair ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6218,3609,'2025-12-21','good , thick ET ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6219,4174,'2025-12-21','breast Tenderness , painfull intercource ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6220,695,'2025-12-21','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6221,4175,'2025-12-21','missed IUD through uterus ','','for Lap ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-10'),
(6222,4176,'2025-12-21','requral menses .. no pain ., ask for fertility ','','RTC next wendesday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-08'),
(6223,1274,'2025-12-21','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6224,1274,'2025-12-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6225,1274,'2025-12-21','2nd day of menses ','','ask for male .. Start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-20'),
(6226,4095,'2025-12-22','9th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6227,4160,'2025-12-22','','','no cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6228,832,'2025-12-22','bassam yaghmourr ,. كي عنق الرحم ','','check PCo\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-26'),
(6229,1978,'2025-12-22','','','looks poor ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6230,4178,'2025-12-22','urinary incontenince ,, ,grade 3 cycelole','','تنصح بعمل كيجل و مانهاء الاحمال ثم العملية ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-13'),
(6231,2690,'2025-12-22','Check IUD ','','well by TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-22'),
(6232,4180,'2025-12-22','discharge , honeymoon cytitis ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-08'),
(6233,611,'2025-12-22','seek fertility ','','RTC at 2nd day of new menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6234,1462,'2025-12-24','painfull menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-23'),
(6235,4186,'2025-12-24','9th 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,'2025-12-16'),
(6236,1752,'2025-12-24','late menses ','','after provera , RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6237,475,'2025-12-24','prolonged menses ','','looks Rupture cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-15'),
(6238,4188,'2025-12-24','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6239,1526,'2025-12-25','14th day of menses ','','RTC next sat',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-12'),
(6240,4167,'2025-12-25','1st day of menses ','','follow up ovulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-25'),
(6241,3577,'2025-12-25','','','16 mm , one follicile ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-13'),
(6242,4190,'2025-12-25','seek fertility ','','RTC after 4 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-19'),
(6243,4169,'2025-12-26','to do labs ,,, ask for male ','','Prolactin 7 normal , TSH : 0.96 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-25'),
(6244,1526,'2025-12-27','TVS ','','good ovulaion no need for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6245,4023,'2025-12-27','late menses ','','RTC after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-15'),
(6246,3513,'2025-12-27','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6247,4193,'2025-12-27','prolonged menses ','','looks polyp ? not tell, or infection , she also ask for fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-18'),
(6248,708,'2025-12-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6249,1752,'2025-12-27','','','no Mesne , anoth course of premaure ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6250,4186,'2025-12-27','','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6251,1807,'2025-12-27','3rd day of menses ','','RTC at day 10',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-25'),
(6252,3868,'2025-12-27','dx lap done in israel ... normal ,, cerix stenoosisi ','','by telphone ..report seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-15'),
(6253,4176,'2025-12-27','start IOO next cycel ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'1969-12-31'),
(6254,1636,'2025-12-27','heavy menses / flank pain , discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-24'),
(6255,2594,'2025-12-28','check fertility ','','for hormonal profile and HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6256,4194,'2025-12-28','late mneses ','','PCOS ..RTC after 3 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6257,4148,'2025-12-28','','','TVS free , just fundal fibriod ..recurrent itchging ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6258,3968,'2025-12-28','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-26'),
(6259,1135,'2025-12-28','prolonged menses ','','RTC next menses , for male protocol ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-09'),
(6260,2820,'2025-12-28','16th day of menses ','','rTC after 3 days , ask for prygnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-12'),
(6261,1165,'2025-12-28','BHCG neg for merina ','','merina appled , looks well , Check next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6262,4197,'2025-12-29','follow up ,, case of POF ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-28'),
(6263,3513,'2025-12-29','14 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6264,4190,'2025-12-29','11th day of menses ','','good ovuklation , 22 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6265,4199,'2025-12-31','prolonged menses given hexa improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-13'),
(6266,4023,'2025-12-31','2nd day of menses زوجها مغادر معالجة الحمل Ùي وقت لاحق ','','start PCO\'s TTT',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-30'),
(6267,870,'2025-12-31','11th day of menses ','','Right cyst 5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-20'),
(6268,650,'2025-12-31','lower abdominal pain , looks rupture cyst ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6269,2820,'2025-12-31','','','TVS 16 mm , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6270,1633,'2025-12-31','discharge ','','RTC next cycle for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-18'),
(6271,1249,'2026-01-01','menorrghia after BTL ','','suspected Thalassemia..refered to hrmtaologist  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-31'),
(6272,4204,'2026-01-01','acne ,, hirsutism ','','ttt as PCO;s',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-29'),
(6273,3704,'2026-01-01','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-23'),
(6274,1462,'2026-01-01','10th day ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6275,4176,'2026-01-01','4th day ','','start IOO for 2 cycel , then labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-29'),
(6276,1640,'2026-01-01','hypomenorrhea ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-25'),
(6277,4078,'2026-01-02','to .24-12 prolonged menses ','','uterine polyp 2 mm , BHCG neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-10'),
(6278,4206,'2026-01-02','scar Endometrioma --- start infertility tt ','','Plan for IOL for 3 Months , then labs , then HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-31'),
(6279,4208,'2026-01-02','Menopause ,,, dysuria , discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6280,3843,'2026-01-02','flank pain , was cyst ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-14'),
(6281,23,'2026-01-03','On IUD ','','infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6282,4210,'2026-01-03','hypomenorrhea','','TVS , well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6283,4211,'2026-01-03','13th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-22'),
(6284,2820,'2026-01-03','','','TVS 22 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6285,1930,'2026-01-03','IUD @ 29.12.2025.. by hind shaheen','','hemorrghic cyst .IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-20'),
(6286,2949,'2026-01-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6287,1822,'2026-01-04','late menses , BHcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-27'),
(6288,1807,'2026-01-04','11th day of menses ','','RTC after 3 days ..well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6289,2084,'2026-01-04','late menses , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6290,3801,'2026-01-04','late Menses ','','RTC after 3 days .... ask for fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-27'),
(6291,628,'2026-01-04','lower stabing pain ','','IUD in situ ..RTC after 3 days Check TVS IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-25'),
(6292,4175,'2026-01-04','IUD removed under GA , was pentratening the wall ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6293,2168,'2026-01-04','hypomenorrhea ','','3.5 cm blood cyst right ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-11'),
(6294,3180,'2026-01-04','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6295,743,'2026-01-04','breast pain ,, Prolactin 7.7','','polyp in fundus ,,, breast tender ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-26'),
(6296,4186,'2026-01-04','تاخرت عن موعد المراجعة .. الاباضة حصلت ','','RTC next menses to start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6297,2152,'2026-01-04','follow Up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6298,453,'2026-01-04','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6299,1230,'2026-01-05','late menses ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-03'),
(6300,632,'2026-01-05','no menses since delivery ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6301,4214,'2026-01-05','heavy menses ','','Fibroid in fundus , for TVS after menses  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-30'),
(6302,4022,'2026-01-05','1st day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-05'),
(6303,870,'2026-01-05','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6304,185,'2026-01-05','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6305,4224,'2026-01-07','many menses , 4 times since menaarch in 1 month ','','to do cbc coagulation ..normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6306,4225,'2026-01-07','late menses ','','thick Endometrium ..Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-06'),
(6307,2036,'2026-01-07','check ovulation ','','RTC tomorrow for TVS , 18 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-27'),
(6308,1462,'2026-01-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6309,1787,'2026-01-07','late menses ','','RTC after 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-04'),
(6310,1807,'2026-01-07','','','well ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6311,725,'2026-01-07','5th day of menses ','','start IOO, then labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-03'),
(6312,1135,'2026-01-07','2nd day of menses ','','start male Protocol  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-06'),
(6313,4178,'2026-01-07','2nd day of menses ,,, for male protocol ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-06'),
(6314,4101,'2026-01-07','check breast ','','well',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6315,1574,'2026-01-07','13th day of menses ','','22 mm foliciles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-26'),
(6316,2036,'2026-01-08','','','well 22 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6317,3994,'2026-01-08','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6318,628,'2026-01-08','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6319,4227,'2026-01-08','flank pain ,.heavy menses ','','RTC after wks , to check cysts ,,, free fluid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-06'),
(6320,4228,'2026-01-08','heavy menses ','','RTC for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-08'),
(6321,870,'2026-01-08','','','rupture cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6322,4058,'2026-01-08',' ','','MRI adnomyosis, for E&C and merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-28'),
(6323,4229,'2026-01-08','Incontinence ','','urine Cx ,, free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6324,4230,'2026-01-09','Late menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-16'),
(6325,3548,'2026-01-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6326,4086,'2026-01-09','seminal analysis : wbc 18-20// 10 % active , 32 mill','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-05'),
(6327,4045,'2026-01-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-05'),
(6328,3363,'2026-01-09','To remove implanon ','','Temoved',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6329,3363,'2026-01-09','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6330,4153,'2026-01-10','late menses .. bhcg neg ','','RTC next wk ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6331,1787,'2026-01-10','2nd day of menses ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-09'),
(6332,1431,'2026-01-10','1st day of menses ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-10'),
(6333,1431,'2026-01-10','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6334,3994,'2026-01-10','discharge , Dysuira ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-08'),
(6335,2862,'2026-01-10','2nd day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-09'),
(6336,2590,'2026-01-10','check fertility ','','RTC after 3 days',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-03'),
(6337,743,'2026-01-10','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6338,1462,'2026-01-10','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6339,1401,'2026-01-10','folllicular tracing ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-06'),
(6340,4233,'2026-01-10','2nd menses , 08.01.2026...','','زوجها يغيب بالشهور وحضرت لتنشيط المبيض left cyst 3 cm simple ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-27'),
(6341,2718,'2026-01-10','well , check uterus ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-14'),
(6342,4214,'2026-01-10','','','intramural Fibroid 3*4 cm , advice for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6343,4214,'2026-01-10','','','The above-mentioned lady, 32 years old,\nP4+0ïƒ¨ previous one CS  .\nShe presented complain form heavy menstrual bleeding .\nOn exam : \nUS: intramural mass about 3.5 cm X 4 cm , in cavity originated from fundus , mostly fibroid ?!\n\nAdvice for hystrescopic removal \n\nThanks\n10.01.2026\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6344,4214,'2026-01-10','','','Medical Report\nتقرير طبي\nThe above-mentioned lady is 32 years old, P4+0, with a history of one previous CS. She presented with a complaint of heavy menstrual bleeding.\nOn examination:\nPelvic ultrasound showed an intramural uterine mass measuring approximately 3.5 ×3  cm, arising from the fundus and protruding into the uterine cavity, most consistent with a submucosal fibroid.\nPlan:\nHysteroscopic removal is advised.\n10.01.2026\n\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),
(6345,454,'2026-01-10','','','hemorrhoid',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6346,628,'2026-01-10','','','looks in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6347,4235,'2026-01-10','2 menses in one month ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-07'),
(6348,4060,'2026-01-10','discharge ','','RTC after one wk if no Improvement ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6349,4234,'2026-01-10','post natal visit IUD ','','IUD applied , (thread long i think )',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6350,2962,'2026-01-10','13th day of menses . check ovulation ','','for HSG ,seminal analysis ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-29'),
(6351,1208,'2026-01-10','for IUD ','','RTC afetr one wk',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6352,2084,'2026-01-11','late menses , BHCG neg','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6353,4176,'2026-01-11','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),
(6354,4236,'2026-01-11','heavy menses , regular menses ','','for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-24'),
(6355,2315,'2026-01-11','Check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6356,764,'2026-01-11','on IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6357,3233,'2026-01-11','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6358,4228,'2026-01-11','','','TVS well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6359,4238,'2026-01-12','heavy menses, with anemia','','bicournate uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6360,4238,'2026-01-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6361,71,'2026-01-12','bleeding , Offence vaginal Discharge ','','Speculums . free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6362,3676,'2026-01-12','lower abominal pian ','','low count  sperm , hormonal normal , AMH 5',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-08'),
(6363,3253,'2026-01-12','uTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-25'),
(6364,2590,'2026-01-14','','','RTC after 3 days',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6365,4022,'2026-01-14','10 th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6366,4241,'2026-01-14','late menses //discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-06'),
(6367,4153,'2026-01-14','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-12'),
(6368,3704,'2026-01-14','hystrescopic polypectomy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6369,1165,'2026-01-14','menses for two wk ','','check TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-01'),
(6370,2962,'2026-01-14','HSG : both blocked ,,,seminal analysis abnormal ','','number 9.5....Motility 20%..WBC 4-6  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6371,1930,'2026-01-14','','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6372,3963,'2026-01-15','10 th day of menses ','','hycosy done , normal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-05'),
(6373,4242,'2026-01-15','vaginal pain,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-06'),
(6374,4227,'2026-01-15','','','TVS : PCO\"s ... ask for male ,, rtc next wednesday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6375,4178,'2026-01-15','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),
(6376,3802,'2026-01-15','Received 6 months of zoldex ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6377,3540,'2026-01-15','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6378,4240,'2026-01-16','husband visit , smoker ','','PMH : free \nPSH : varicose ,, dr aleef zaroo \nLbs .seminal analysis \n\nplan to do labs and us cx ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6379,4211,'2026-01-16','2nd day of menses ','','start IOO .. for lab for both  next visit ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-16'),
(6380,3396,'2026-01-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-31'),
(6381,4069,'2026-01-16','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6382,1835,'2026-01-17','10th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-08'),
(6383,423,'2026-01-17','late menses','','review all drugs ..ask about IUD next time ,ماشÙته منيح على us ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-30'),
(6384,4243,'2026-01-17','13th day of menses . seek fertility ','','start IOO next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-05'),
(6385,2862,'2026-01-17','9th day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6386,2590,'2026-01-17','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6387,4022,'2026-01-17','13th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6388,701,'2026-01-17','Itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6389,1978,'2026-01-17','','','start OC \nتقرير طبي\nThe above-mentioned lady, 30-year-old, G5P4ïƒ¨NVD \nLMP : 06.12.2025\n6 wks amenorrhea \nshe presented complain vaginal spotting \nBhcg Titer 1960 \n On exam \nLooks well \nUS: empty Uterus , right adnexa mass 6 mm , ectopic ??!\n\nRefer for hospital for further management    \n\nThanks\n17.01.2026\n\n\nStart OCp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6390,2646,'2026-01-17','post CS , flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6391,2999,'2026-01-18','','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6392,3285,'2026-01-18','breast feed ','','rt ,, Inguinal Hermia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6393,4246,'2026-01-18','3rd day of menses ','','for labs , hsg , then IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-16'),
(6394,185,'2026-01-18','post abortion ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6395,3172,'2026-01-19','heavy menses 1st time ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6396,429,'2026-01-19','signs of PCO\"s . increase wight , ','','start on celine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-25'),
(6397,3786,'2026-01-19','14th day of menses ','','signs of ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-06'),
(6398,4248,'2026-01-19','irrqural menses .. on IUD since 1.5 yrs ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6399,1959,'2026-01-19','Discharge , green ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-28'),
(6400,4022,'2026-01-19','15th day of menses ','','16 mm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6401,3805,'2026-01-19','for removal due to Anxiety ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6402,558,'2026-01-19','8th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-12'),
(6403,3963,'2026-01-19','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6404,4250,'2026-01-21','painful menses , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-27'),
(6405,4022,'2026-01-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6406,4233,'2026-01-21','menses before 1 wks ','','rtc after 3 days to check menses or not ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6407,2913,'2026-01-21','on IUD ,, Dr katrina , since two month','','iud in lower seqment , to remove , and for new one later ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-17'),
(6408,4227,'2026-01-21','','','16 mm ,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6409,3254,'2026-01-21','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6410,4253,'2026-01-21','heavy menses on IUD since 10 yr','','IUD out side uterus ??! ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-20'),
(6411,4254,'2026-01-22','5th day of menses ','','start ttt for husband ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-19'),
(6412,4255,'2026-01-22','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6413,4252,'2026-01-23','looks PCO\'s ,, ','','start on metformin',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6414,3628,'2026-01-23','late menses ','','for OCp\'s for 3 months , and ttt husband ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-11'),
(6415,4078,'2026-01-23','','','15 mm folicile for Ovitrelle ,, then hsg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-07'),
(6416,4192,'2026-01-23','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6417,4069,'2026-01-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-12'),
(6418,3964,'2026-01-24','post op ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6419,4153,'2026-01-24','13th day of menses','','good Follicles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6420,2564,'2026-01-24','6th day of menses ','','after ivf twice , for naturl way , Sminal analysis , hsg , lab test ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-19'),
(6421,4258,'2026-01-24','late menses ','','rt Septate cyst 9 cm ..rtc after two wks for possible op',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-15'),
(6422,423,'2026-01-24','','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6423,771,'2026-01-24','UTI , Discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-11'),
(6424,807,'2026-01-24','discharge ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6425,1145,'2026-01-24','on IUD , since 1 month by wajeeh','','heavy menses',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6426,2384,'2026-01-24','recived derpo 15.012.2025','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6427,4227,'2026-01-24','','','22 mm for intercource after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6428,3548,'2026-01-24','breast pain ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-08'),
(6429,646,'2026-01-24','ask for pregnancy ','','rtc wednes, check ovualtion ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-10'),
(6430,1350,'2026-01-24','spotting ','','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,'2026-01-09'),
(6431,4153,'2026-01-25','','','ovatrile given ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6432,3258,'2026-01-25','POST DELIVERY FOLLOW UP ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6433,558,'2026-01-25','signs of ovulation seen ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6434,4260,'2026-01-26','3rd day of mesnes ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-24'),
(6435,4262,'2026-01-26','Irregular menses ... signs of pCo\'s ','','TTT as pco;s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-21'),
(6436,2159,'2026-01-26','check IUD','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6437,4264,'2026-01-26','2nd marraige 2 yr ago , ask for fertility ','','for hormonal profile , then HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6438,4112,'2026-01-26','no breastfeed . hypomenorrhea ','','want to travel , مابدها الدورة تجي وهي مساÙرة ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6439,2110,'2026-01-26','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-18'),
(6440,4211,'2026-01-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6441,743,'2026-01-28','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6442,1431,'2026-01-28','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6443,3779,'2026-01-29','post delivery follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6444,4267,'2026-01-29','late menses ','','to do labs .... FSH ,99 .... TSH 2...Prolactin 14',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-25'),
(6445,4268,'2026-01-30','ask for male , ','','to do AMH , then plan of pregnancy  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-24'),
(6446,4086,'2026-01-30','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-10'),
(6447,4206,'2026-01-30','for IOO ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-29'),
(6448,2862,'2026-01-31','IUI failed ,,, ','','next month IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6449,4077,'2026-01-31','post abortion follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6450,12,'2026-01-31','check IUD ','','well applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6451,1784,'2026-01-31','IUD applied by ibitah , ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6452,4273,'2026-01-31','check fertility ','','check ovulation at 10th day ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-30'),
(6453,4275,'2026-01-31','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-15'),
(6454,1274,'2026-01-31','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6455,3474,'2026-01-31','start IOO ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-30'),
(6456,4238,'2026-01-31','','','well , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6457,3615,'2026-01-31','2 month still bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6458,298,'2026-01-31','Menorrhagia ','','still bulky ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6459,4040,'2026-01-31','late menses ','','bhcg neg ...',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-17'),
(6460,463,'2026-01-31','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6461,2845,'2026-01-31','for Implnon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-26'),
(6462,576,'2026-01-31','on IUD , since 9 months , ','','Discharge ,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6463,4279,'2026-02-01','dysmenorrea ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-02'),
(6464,4188,'2026-02-01','late menses ','','ask for male , RTC next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-26'),
(6465,512,'2026-02-01','prolonged after iud ibithal ','','IUD make prolblem advice for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6466,4157,'2026-02-01','check up post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6467,2650,'2026-02-02','','','AFTER LAP OPP ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6468,4283,'2026-02-02','Irregular bleeding After delivery , stuck placenta ','','fibriod in uterus , 1*2 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-23'),
(6469,3253,'2026-02-02','uTI ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6470,4282,'2026-02-02','seek fertiliy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-01'),
(6471,1540,'2026-02-02','breast pain , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-15'),
(6472,4285,'2026-02-02','PCO\'s ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-11-24'),
(6473,4286,'2026-02-02','postabortion , 15.01.2026.. ','','ask for fertility , RTC after next cycle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6474,3664,'2026-02-04','post abortion after IVF ','','stop duphastone to menses came ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6475,3262,'2026-02-04','on IUD at 10/2025 .. check IUD ','','IUD well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6476,1282,'2026-02-04','on IUD since 2024.. removed 3 month ','','ask for male, 21 mm rt filoilec RTC after 3 days, give karbonah ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-25'),
(6477,1282,'2026-02-04','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6478,4288,'2026-02-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-11'),
(6479,1431,'2026-02-04','1st day ','','تستمر على حبوب الميروجينون ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-04'),
(6480,4022,'2026-02-04','3rd day of menses ','','to do HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-02'),
(6481,4178,'2026-02-04','by telphone for hsg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-02'),
(6482,1282,'2026-02-05','','','ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6483,3805,'2026-02-05','low back pain , dysuria ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-30'),
(6484,1462,'2026-02-05','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-25'),
(6485,4197,'2026-02-05','','','tsh 0.213 FSH 70.. requral menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6486,19,'2026-02-05','post sever bleeding  abortion follow up ','','Please do : \n\nThrombophilia study must include:\nïƒ˜	Factor V leiden \nïƒ˜	Prothrombin mutation \nïƒ˜	Protein S \nïƒ˜	Protein C \nïƒ˜	Antithrombin III\n\nDue to history of recurrent 1st trimester abortion   \n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6487,2508,'2026-02-05','5th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-01'),
(6488,2628,'2026-02-05','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6489,4268,'2026-02-06','AMH 8.67 ... for natural conspertion after 3 months ','','ttt as pco\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6490,4277,'2026-02-06','21th day of month ','','rtc nect wk with husnabd for seminal analysis ,,, for hormonal profile ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-18'),
(6491,3548,'2026-02-06','cyst 4 cm ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6492,532,'2026-02-06','3rd of menses ','','to apply pessery ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-04'),
(6493,4206,'2026-02-06','9th day of menses ','','rtc next wk for prgnyl , الزوج يروح الخميس ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6494,4291,'2026-02-06','3rd day of menses , Regular ','','start IOO . for seminal analysis , then HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-04'),
(6495,2877,'2026-02-07','flank pain , abdominal pain , irrequral menses , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6496,4289,'2026-02-07','2nd day of menses ','','Start IOO . then for labs next time seminal Analysis , Hormonal ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-06'),
(6497,3768,'2026-02-07','6th day of menses ','','given menpure once . rtc friday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-02'),
(6498,4260,'2026-02-07','hystoscopy done in malki ,well ','','chronic endomtritis .for doxal for 2 wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6499,2108,'2026-02-07','on implanon in hebron , ','','2 rods , well, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6500,2438,'2026-02-07','post delivery pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6501,4040,'2026-02-07','3rd day of menses ','','start ioo ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-05'),
(6502,1930,'2026-02-07','check IUD , ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6503,4194,'2026-02-07','flank pain ','','looks UTI weigt 80',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-03'),
(6504,1141,'2026-02-07','','','suspected polyp ,,, rtc after marragige ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-18'),
(6505,1767,'2026-02-07','on iUD ,since 9 month , check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6506,3233,'2026-02-08','22th day of menses ','','left cyst 5cm simple ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-19'),
(6507,4296,'2026-02-08','bleeding after 3 months of amneorrhea ','','for hexacaborn then D&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6508,2643,'2026-02-08','2nd 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,'2026-02-07'),
(6509,3014,'2026-02-08','late menses ','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6510,3868,'2026-02-08','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-19'),
(6511,1540,'2026-02-08','perineal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6512,4273,'2026-02-09','','','well , for requral intercource ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6513,532,'2026-02-09','6th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6514,3474,'2026-02-09','10th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6515,3787,'2026-02-09','breast pain ','','Engorgement ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6516,3584,'2026-02-09','breast pain ','','left cyst ,, 3 cm ,, Prolactin nornal , Bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-03'),
(6517,3285,'2026-02-09','scar pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6518,4145,'2026-02-09','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6519,2744,'2026-02-09','lower abdominal pain ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-27'),
(6520,4086,'2026-02-09','still discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6521,1070,'2026-02-11','late menses ,,, ','','rtc after one wks ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-01'),
(6522,4282,'2026-02-11','11th 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),
(6523,1159,'2026-02-11','post abortion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6524,4206,'2026-02-12','In malaki ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6525,1234,'2023-11-16','implanon applied ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6526,1234,'2026-02-12','check implanonn ','','اخبرت ان الشريحة لمدة ثلاث سنوات ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6527,4296,'2026-02-12','','','well , improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6528,4301,'2026-02-12','late menses ,, bhcg postive in urtine ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-30'),
(6529,1434,'2026-02-12','DISCHARGE ','','Medical Report\nتقرير طبي\nالمذكورة اعلاه حضرت الى العيادة تعاني من الالام بالبطن وعند الÙحص السريري  تبين وجود التهابات اعطيت العلاج الازم وتنصح بشرب السوائل بكثرة وبالراحة لمدة 48 ساعة من تاريخه  \n\nThanks\n11.02.2026\n\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),
(6530,886,'2026-02-12','discharge ','','rt cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-04'),
(6531,1991,'2026-02-12','on IUD 7.2024 .. PCO\'s .signs','','start on ozmpic ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-06'),
(6532,3258,'2026-02-12','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6533,532,'2026-02-13','pesssery applied ','','for intrcource , good ovulation',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6534,4176,'2026-02-13','','','for labs ,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-25'),
(6535,4291,'2026-02-13','very bad seminal analysis result ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6536,3768,'2026-02-14','sigms of good ovulation ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6537,4282,'2026-02-14','14th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6538,3119,'2026-02-14','5month no menses ','','bulky uterus , high blood Pressure reading , hba1c 10',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6539,2761,'2026-02-14','2nd day of menses .wt 85','','start on menpure and leturazole ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-13'),
(6540,4304,'2026-02-14','Irregular menses ','','signs of pCO;s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-31'),
(6541,560,'2026-02-14','report ','','Medical Report\nتقرير طبي \n\nThe above-mentioned lady, 28 -year-old, G3P2+1ïƒ¨ with history of APH at 27 weeks, ended with preterm delivery.\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),
(6542,4153,'2026-02-14','3rd day of menses ','','postponded IOO after ramdan ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-12'),
(6543,4305,'2026-02-14','ivf twice failed ','','rtc after 3 day , to check ovulation agaian ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-24'),
(6544,4306,'2026-02-14','check up uterus , after bliugted ovum ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-21'),
(6545,2508,'2026-02-14','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6546,2973,'2026-02-14','implanon removal ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6547,4058,'2026-02-14','e@C done , merina appled in malaki ','','Improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-28'),
(6548,135,'2026-02-14','post CS delivery ','','clots in uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6549,3471,'2026-02-14','on IUD ,, ','','signs of pc\'os ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6550,4307,'2026-02-14','rqural menses,weight , ance ,','','was on diane , not improved ..start on celin RTC after 2 month ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-01'),
(6551,1311,'2026-02-14','lower abominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6552,2310,'2026-02-14','late menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL);
INSERT INTO `gyna` VALUES
(6553,4310,'2026-02-15','13th day of menses ','','signs of pcos\' .... ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-03'),
(6554,4071,'2026-02-15','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-05'),
(6555,4311,'2026-02-15','on IUD ','','IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-07'),
(6556,2356,'2026-02-15','prolonged  menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-08'),
(6557,4186,'2026-02-15','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-14'),
(6558,4313,'2026-02-15','post menpuseal bleeding ','','suspious uterus , for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6559,4312,'2026-02-15','disharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-29'),
(6560,4040,'2026-02-15','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),
(6561,1165,'2026-02-15','','','well appleied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6562,3551,'2026-02-15','check ovulation ','','check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-05'),
(6563,3548,'2026-02-15','','','Medical Report\nتقرير طبي\n\nThis is to certify that the above-mentioned lady is 39 years old, single, and a known case of chronic pelvic pain.\n\nShe underwent diagnostic laparoscopy, which revealed endometriotic spots on both ovaries and the pelvic wall. Cauterization of the lesions was performed.\n\nShe is advised to receive Zoladex 3.6 mg subcutaneous injection every 28 days for 3 months to reduce the risk of recurrence.\nRegards.\n\n15.02.2026\n\n\n\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6564,2643,'2026-02-16','IN MALAKI ','','GOOD OVULATION ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6565,4289,'2026-02-16','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6566,2395,'2026-02-16','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6567,4305,'2026-02-16','','','tsh <0.05... Prolactin 31',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6568,4314,'2026-02-16','post menses bleeding ','','cyst 4 cm ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-11'),
(6569,2259,'2026-02-16','beastfeed , late menses , BHCg weak postive ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6570,2508,'2026-02-16','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6571,3551,'2026-02-18','','','signs of ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6572,3432,'2026-02-18','multiple menses ','','for ocp\'s 3 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6573,483,'2026-02-18','late mansnes ','','thick Endometrium ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-08'),
(6574,96,'2026-02-18','on IUD since 1.5 yres ','','اجت تÙك اللولزز اقنعتها تبلش دوا  اذا ما زبطت نشيله ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6575,3868,'2026-02-20','17th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6576,2643,'2026-02-21','spoting ','','looks rupture cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6577,429,'2026-02-21','follow up ','','well continue on metfromin ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-22'),
(6578,1070,'2026-02-21','bhcg neg ','','want to wait ramdan ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6579,4318,'2026-02-21','post ectopic Removal 3 wks ','','IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6580,3664,'2026-02-21','post menses , spotting ','','RTC after menses ,,, to do TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6581,4320,'2026-02-21','7th day of menses ','','RTC after 3 days ,,, for TVS (الزوج مساÙر يوجل حين عودته ( ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-14'),
(6582,4305,'2026-02-21','seen by ahmed amro ,,, repate at eid TSH ','',' HSG خطتي ترتيب موضوع الغدة ثم السعي وراء الحمل ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6583,1097,'2026-02-21','back pain .IUD in situ ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-01'),
(6584,1653,'2026-02-21','post delivery readmisstion as RPOC mangmed medically ','','CBC 13...171... crp 7',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6585,2590,'2026-02-21','check infertiliy ','','3 cm look hemorgic cyst at right ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-04'),
(6586,3415,'2026-02-23','sever bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6587,4186,'2026-02-23','10th day of menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6588,4324,'2026-02-23','acne , weight increased ','','ttt at PCO;s',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-21'),
(6589,3493,'2026-02-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-28'),
(6590,2854,'2026-02-23','','','thick Endometrium ,.,, for Bx ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-08'),
(6591,4325,'2026-02-23','seek ferility ','','ask for male ,.,. stat IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-18'),
(6592,1950,'2026-02-23','IUD applied by me one month ago ','','check IUD well next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6593,747,'2026-02-23','multiple menses ','','start on microgynon ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6594,211,'2026-02-25','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6595,557,'2026-02-25','seek fertility ,, breast exam ,looks milk ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-23'),
(6596,3239,'2026-02-25','sever UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6597,3415,'2026-02-25','','','HGB 8.7..325...IUD removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6598,3572,'2026-02-25','spotting ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6599,4328,'2026-02-25','discharge / ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-21'),
(6600,4186,'2026-02-25','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),
(6601,4329,'2026-02-25','الدورة تقارب كل شهر .. 2 دورة بالشهر ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-18'),
(6602,4321,'2026-02-27','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6603,4252,'2026-02-27','stomach pain ','','given mepral , vit b 12 , vit d ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6604,4330,'2026-02-27','post chemotherpay ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-20'),
(6605,3548,'2026-02-27','abdominal pain ','','gazes ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6606,3628,'2026-02-27','late Menses\' ','','for IUI ,, next time , well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-26'),
(6607,1971,'2026-02-27','3rd day Menses\' , heavy Menses ','','rtc after menses , check uterus well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-25'),
(6608,4285,'2026-02-27','check ovulation ','','rtc for TVS',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-10'),
(6609,4331,'2026-02-28','prolonged menses .1st time ','','free ..infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-14'),
(6610,463,'2026-02-28','prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6611,1169,'2026-02-28','bleeding ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6612,3682,'2026-02-28','check up , had two menses , ','','to do labs again for follow up ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6613,4334,'2026-02-28','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-26'),
(6614,1453,'2026-02-28','14 th day of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-15'),
(6615,4197,'2026-02-28','الدورة انتظمت ','','المبايض بلشت تحسسن ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-26'),
(6616,4336,'2026-02-28','14th day of menses ,, ask for male ','','RTC after 2 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-15'),
(6617,4336,'2026-03-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6618,3588,'2026-03-02','spotting , hypomenorrhea , for 3 months ','','TVS pco\'s .... for ttt for 3 month then RTC ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-25'),
(6619,476,'2026-03-02','dischage ','','IUD In Situ ,',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6620,1462,'2026-03-02','late menses ','','to do BHCG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6621,2353,'2026-03-02','6th day of menses ..seek fertility ','','left simple ovarian cyst 4*5(think about OCP:S )',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-25'),
(6622,4342,'2026-03-02','late menses ','','TVS , signs of pco;s , left cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-09'),
(6623,4345,'2026-03-04','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-04'),
(6624,1666,'2026-03-04','start IOO on whatsapp ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-03'),
(6625,1540,'2026-03-04','breast pain , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6626,2476,'2026-03-04','post CS , follow Up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6627,4346,'2026-03-04','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-14'),
(6628,557,'2026-03-04','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),
(6629,4347,'2026-03-04','vaginal infection , uncontrolled DM ','','on IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6630,532,'2026-03-06','2nd day of menses ','','for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-05'),
(6631,3933,'2026-03-06','flank pain ','','looks rupture cyst , free fluid in POD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-11'),
(6632,1197,'2026-03-06','','','for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6633,3548,'2026-03-06','abdominal pain ','','left cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-13'),
(6634,4206,'2026-03-06','5th day of menses ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-02'),
(6635,4348,'2026-03-06','PCO\"S ','','ttt as PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-06'),
(6636,4336,'2026-03-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6637,12,'2026-03-07','check IUD ','','small breast ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-01'),
(6638,3239,'2026-03-07','','','rt cyst 3 cm hemorgic ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6639,3551,'2026-03-07','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-05'),
(6640,3445,'2026-03-07','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6641,3172,'2026-03-07','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-27'),
(6642,1070,'2026-03-07','2nd day of menses ','','want to requrale menses , start OCp\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-06'),
(6643,4325,'2026-03-07','17th day of menses ','','Hemorrhagic cyst 5 cm ,, RTC 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6644,1462,'2026-03-07','bhcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6645,2570,'2026-03-07','10 day of menses ask for fertiltiy ','','ask for male ,, good Follicle .. rtc next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-26'),
(6646,2444,'2026-03-07','seek Fertility ','','us \nsr=;lkhj\nljbhhkjh\nljhlkjg\nlkjvbk;lbh\nlkjbhkjgv;/ln\nlkjbk\n',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-07'),
(6647,2444,'2026-03-07','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6648,975,'2026-03-07','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6649,2985,'2026-03-09','late mensnes ','','check up back to back OCP\'s',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6650,2590,'2026-03-09','5th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-04'),
(6651,1784,'2026-03-09','IUD ','','well',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6652,2051,'2026-03-09','5th day of menses ','','start IOO (husband away , post ponded ) ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-05'),
(6653,3582,'2026-03-09','','','22 mm , foliciel , RTC two dasy . ask for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-26'),
(6654,1540,'2026-03-11','follow up beast pain ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-11'),
(6655,4022,'2026-03-11','4th day of menses','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-08'),
(6656,4358,'2026-03-11','primary amenorrhea ','','uterus seen , beast well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6657,3582,'2026-03-11','','','signs of ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6658,1622,'2026-03-11','Vomiting\'s ','','given triple ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-18'),
(6659,1145,'2026-03-11','','','heavy menses',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6660,3508,'2026-03-11','late menses ..Bhcg neg ','','rt cyst 4 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-31'),
(6661,4329,'2026-03-11','follow up ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6662,2353,'2026-03-11','','','5*5 cm ,, check at next menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6663,4325,'2026-03-11','','','rtc sat ,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6664,3669,'2026-03-11','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6665,3258,'2026-03-11','check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6666,3224,'2026-03-11','on IUD since one yr ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-01'),
(6667,3548,'2026-03-13','zoladex given at 09.3.2026','','for 2nd dose ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-08'),
(6668,4153,'2026-03-14','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6669,3128,'2026-03-14','post CS , 4 Months ..  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6670,423,'2026-03-14','oligoemorrhia ','','start OCP\'s ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-12'),
(6671,2227,'2026-03-14','came for her dutaer 14 yr , two menses in one month ','','reassure ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6672,372,'2026-03-14','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2025-12-18'),
(6673,3172,'2026-03-14','heavy menses ','','rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6674,2643,'2026-03-14','LATE MENSES ','','rt multiple cyst , next Menses\' for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6675,3924,'2026-03-14','follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-20'),
(6676,4363,'2026-03-14','two menses in one month (take premanour for ramdan )','','on iud , look slipped , RTC for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6677,4282,'2026-03-14','11th day of menses ','','check fertility ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-04'),
(6678,1426,'2026-03-14','check IUD ','','pushed up , looks slipped ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6679,4342,'2026-03-14','','','still no menses ,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6680,753,'2026-03-14','post chemical pregnancy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-12'),
(6681,4363,'2026-03-16','','','LOOKS well by TVS , غلبتني بالÙحص الداخلي ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6682,2889,'2026-03-16','multiple menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6683,2590,'2026-03-16','13th day of menses','','rt cyst . good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6684,4071,'2026-03-18','lower abdominal pain , breast pain ','','for TVS next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-27'),
(6685,924,'2026-03-18','lower abdominal pain ','','check vagina  ?! look Varicocele as she said ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-01'),
(6686,253,'2026-03-18','spotting , low back pain','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-28'),
(6687,1401,'2026-03-18','lower abdominal pain ','','Hemorrhagic cyst 5 cm , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-02'),
(6688,4282,'2026-03-18','','','good ovualtion ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6689,3508,'2026-03-18','still no menses ','','to do bhcg .. sher ask about labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6690,4022,'2026-03-18','11th 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),
(6691,1311,'2026-03-18','no menses , breast feed ..dysuria , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6692,1636,'2026-03-18','late menses, bhcg neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-15'),
(6693,4124,'2026-03-18','حضر الزوج اليوم بعد عملية دواولي مع الدكتور امجد هوارين ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6694,1453,'2026-03-22','11 th day of menses ','','good ovulation .. seen Wednesday ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-12'),
(6695,3791,'2026-03-22','follow up ','','Finished 6 injection zoladex ,,, still have cyst',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-20'),
(6696,4369,'2026-03-22','heavy menses ,,, ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-24'),
(6697,4370,'2026-03-22','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6698,3426,'2026-03-22','late menses ','','chenage OCP\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6699,4361,'2026-03-22','spotting ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6700,1762,'2026-03-23','dischrage ','','on IUD 2024.. well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-16'),
(6701,4320,'2026-03-23','4th day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-20'),
(6702,3718,'2026-03-23','discharge , late menses ,,, ','','improved ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-17'),
(6703,4371,'2026-03-23','Honeymoon Cystitis ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-17'),
(6704,4325,'2026-03-23','4th day of menses ','','Start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-20'),
(6705,3851,'2026-03-23','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-14'),
(6706,4006,'2026-03-23','4th day of menses ','','start IOO . was take once by tareq ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-20'),
(6707,1722,'2026-03-23','3rd day of menses','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-21'),
(6708,4059,'2026-03-23','10th 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,'2026-03-13'),
(6709,838,'2026-03-23','after delivery ','','baby in neonate ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6710,1636,'2026-03-23','late menses, bhcg neg ','','premauor ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6711,4022,'2026-03-23','','','looks ovulated ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6712,4369,'2026-03-25','','','still bleeding , rTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6713,3685,'2026-03-25','think was pregnancy , heavy menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-25'),
(6714,3572,'2026-03-25','Discharge , Brownish ','','speculum : erosion , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-16'),
(6715,4059,'2026-03-25','','','rtc after 3 days , check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6716,230,'2026-03-25','ask for fertilioy m, was on IUD , removed ','','11th day of menses TSH , Prolactin , normal ... for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-15'),
(6717,1453,'2026-03-25','','','ovaultion occur ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6718,3876,'2026-03-26','still spotting 67 days after Delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6719,1071,'2026-03-26','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6720,4374,'2026-03-26','irrequral menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-24'),
(6721,3626,'2026-03-27','prolonged menses ','','ttt as infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6722,1666,'2026-03-27','seen in samou , for TVS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6723,19,'2026-03-27','rtc after onbe wk , with pregnancy test ','','thrmbophila study normal , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-21'),
(6724,3548,'2026-03-27','left pain ','','multiple cyst ,,,!!!??',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6725,4153,'2026-03-28','3rd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-26'),
(6726,1282,'2026-03-28','11th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-18'),
(6727,4379,'2026-03-28','11th day of menses , check before Pregnancy  ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-18'),
(6728,2218,'2026-03-28','lower back pian ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6729,4380,'2026-03-28','Recurrent infection ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6730,975,'2026-03-28','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-06'),
(6731,2643,'2026-03-28','TVS looks ovulated , ','','RTC next wks to check free fluid ,ovulation .rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-21'),
(6732,3768,'2026-03-28','5th day of menses ','','start IOO by menpure ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-24'),
(6733,4381,'2026-03-28','10th day of menses , Irregular menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-19'),
(6734,2438,'2026-03-28','still in pain ','','to do urine analysis .. rtc after 3 days , looks cyst ,,for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-19'),
(6735,1866,'2026-03-28','ask for male ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-18'),
(6736,4059,'2026-03-28','','','ovultion seen , for IOO next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6737,207,'2026-03-28','heavy menses 5 days ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6738,4386,'2026-03-29','lowe abdominal pain ','','UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-12'),
(6739,3474,'2026-03-29','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-28'),
(6740,253,'2026-03-30','looks Pregnant , check edd ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6741,2611,'2026-03-30','follow up , ','','FBS 97  HOMA 0.9,,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6742,1666,'2026-03-30','late menses , BHCG ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6743,2643,'2026-04-01','','','advice to stop breast Feed for pregnancy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6744,4006,'2026-04-01','13th day of menses','','goof ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6745,4325,'2026-04-01','15th days of menses ','','cyst 5 cm simple , not tell , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6746,2168,'2026-04-01','bhcg neg ,,,','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-18'),
(6747,1690,'2026-04-02','post perterm labour , for follow up ,, last CS was at fully check file ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6748,1131,'2026-04-02','ask for male ','','RTC at 10 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-28'),
(6749,4393,'2026-04-02','last delivery 6 month ,,, no menses ','','for BHCG then IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6750,910,'2026-04-02','prolonged menses ','','well , just rizacef ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6751,1722,'2026-04-02','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6752,4320,'2026-04-02','14th days of menses ','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6753,3426,'2026-04-02','late menses ','','for premanour m, then micorgnioyn ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6754,4077,'2026-04-02','acne , signs of PCO\'s .. prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6755,4376,'2026-04-02','prolonged menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-23'),
(6756,207,'2026-04-02','','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6757,2152,'2026-04-02','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-02-02'),
(6758,2438,'2026-04-02','','','urine incoinince  ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6759,532,'2026-04-03','4th day of menses ','','start IOO .. for prgnyl at day 10 as she want ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-31'),
(6760,4397,'2026-04-03','lower Abdominal pain , cyst hemorrgic ','','advice for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-01'),
(6761,3548,'2026-04-03','','','rit , left cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6762,1401,'2025-12-15','ازالة الحاجر الرحمي بالملكي ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6763,1401,'2026-04-04','RTC after two days for Saline exam ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-28'),
(6764,1622,'2026-04-04','diarrea ','','IBS',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-12'),
(6765,3508,'2026-04-04','','','Prolactin , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6766,4400,'2026-04-04','on IUD since 4 ys , for removal ','','removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-28'),
(6767,3685,'2026-04-04','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),
(6768,2159,'2026-04-04','dirrhea ','','IUD in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-13'),
(6769,4402,'2026-04-04','heavy Uncontrolled menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6770,538,'2026-04-04','post complicated CS. ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6771,347,'2026-04-04','','','For IUD ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6772,1540,'2026-04-04','follow up beast pain ','','US bilateral mammary duct ectasia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6773,3968,'2026-01-04','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6774,3732,'2026-04-05','check up ','','improved ..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,'2026-03-25'),
(6775,4376,'2026-04-05','','','good ovaultion ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6776,978,'2026-04-05','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6777,2352,'2026-04-06','lower abdominal pain ','','left cyst 4 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-20'),
(6778,1091,'2026-04-06','post cs (2026/03/26) check up ','','was complicated PPH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6779,2620,'2026-04-06','breast skin mass (normal ) ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6780,136,'2026-04-06','9th day of menses ,, they ask for spontaneous Pregnancy ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-29'),
(6781,2162,'2026-04-06','late menses ','','to do Bhcg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-03'),
(6782,4188,'2026-04-06','2nd day of menses ','','start IOO .. for male ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-05'),
(6783,3258,'2026-04-06','check IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6784,4071,'2026-04-06','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6785,3732,'2026-04-08','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6786,3474,'2026-04-08','12th day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6787,3172,'2026-04-08','','','start microgynon ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6788,3167,'2026-04-08','irrequral mesnes ,.with discharge Itching ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6789,2168,'2026-04-08','still no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6790,4408,'2026-04-08','post AP repair abcesss ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6791,2179,'2026-04-08','post BTL 7 yrs ago  ,heavy menses ','','RTC after one wks ,,, for Speculum and TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6792,4409,'2026-04-08','menapuse ,,, 2 yr ago ,, urinary incontenince ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6793,19,'2026-04-08','10th day of menses ','','RTC after 3 days , for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-29'),
(6794,3987,'2026-04-08','post deliveryu brest pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6795,567,'2026-04-09','on IUD , came to check ','','iUD out , removed ,,, new one applied ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6796,1992,'2026-04-09','check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6797,2620,'2026-04-09','TVS well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6798,825,'2026-04-09','termor , and chck implanon ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6799,4412,'2026-04-09','irrqural menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-02'),
(6800,1632,'2026-04-09','Discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-21'),
(6801,532,'2026-04-10','12th day of menses ','','for prgnyl ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6802,3548,'2026-04-10','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6803,4413,'2026-04-11','2 menses , in last month , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-14'),
(6804,211,'2026-04-11','Discharge , thick Endometrium ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6805,12,'2026-04-11','','','small breast  for wight gian ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6806,51,'2026-04-11','','','anal fissure ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6807,4414,'2026-04-11','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6808,19,'2026-04-11','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6809,4415,'2026-04-11','ask for fertility ','','RTC at d10 for ovaulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-06'),
(6810,3968,'2026-04-11','11th day of menses ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-01'),
(6811,4417,'2026-04-11','UTI over 100 , honeymoon Cystitis ','','normal uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-18'),
(6812,597,'2026-04-11','','','pco\'s increased ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6813,1111,'2026-04-11','on IUD ','','lt cyst 3 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-27'),
(6814,4418,'2026-04-12','lower abdominal pain ,, discharge ','','nl US ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-20'),
(6815,4419,'2026-04-12','flank pain ','','iud in situ ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-04'),
(6816,3048,'2026-04-12','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-10'),
(6817,3021,'2026-04-12','check up before IVF ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-30'),
(6818,4421,'2026-04-12','12th day of menses ..seek fertility ','','given moupure ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-01'),
(6819,4422,'2026-04-13','IUD removed 9 month , ask for fertility ','','RTC at day 2 ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-22'),
(6820,2481,'2026-04-13','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-11'),
(6821,1526,'2026-04-13','9th day of menses ','','ttt infection then for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-05'),
(6822,4095,'2026-04-13','1st day of menses  ','','for IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-13'),
(6823,4285,'2026-04-13','still no menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6824,4394,'2026-04-13','follow up abortion , well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6825,3603,'2026-04-13','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-03'),
(6826,4059,'2026-04-13','1st day of menses ','','Look\'s biciurnate uterus ,,, for cerclage upon pregnancy ..start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-13'),
(6827,1866,'2026-04-13','lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6828,4424,'2026-04-13','lower abdominal pain ','','Signs of PCO\"S ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-26'),
(6829,4412,'2026-04-13','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6830,188,'2026-04-15','DISCHARGE, was on IUD removed 4 month ','','seek fertility ..to ttt infection , then for IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-13'),
(6831,723,'2026-04-15','3rd day of menses ','','RTC a23,, check ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-13'),
(6832,4188,'2026-04-15','11th day of menses ','','for ovatrill ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6833,567,'2026-04-15','check IUD ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6834,4197,'2026-04-15','follow up , lighy menses ','','said was cyst ! ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-24'),
(6835,4405,'2026-04-15','husband for check up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6836,2674,'2026-04-15','spottimng ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6837,4006,'2026-04-15','check up ','','still no missed menses ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6838,4408,'2026-04-15','improved ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6839,4415,'2026-04-16','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6840,4325,'2026-04-16','','','cyst 5 cm simple ,  , free fluid ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6841,4097,'2026-04-16','late menses,, bhcg weak Positive ','','RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-07'),
(6842,4071,'2026-04-16','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-15'),
(6843,4421,'2026-04-16','16th 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),
(6844,4397,'2026-04-17','lower abdominal pain ','','signs of hypothyrdism , advcie to see endocrine ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-05'),
(6845,3548,'2026-04-17','still have pain ','','rt cyst ,, 5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6846,3943,'2026-04-17','post delivery ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6847,2508,'2026-04-17','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6848,4431,'2026-04-18','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-17'),
(6849,1462,'2026-04-18','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-12'),
(6850,4432,'2026-04-18','lower abdominal pain , ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-30'),
(6851,4433,'2026-04-18','Ùي الملكي دوالي على الرحم حكيت ','','left cyst 5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-05'),
(6852,4006,'2026-04-18','','','rt cyst ,, for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-18'),
(6853,4126,'2026-04-18','check up ','','RTC after menses , for TVS : well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-18'),
(6854,443,'2026-04-18','heavy menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-16'),
(6855,2013,'2026-04-18','UTI ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-20'),
(6856,775,'2026-04-18','lower abdominal pain ','','cyst , rt 4 cm simple ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-11'),
(6857,4260,'2026-04-19','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-18'),
(6858,4186,'2026-04-19','5th day of menses ','','الزوج لايريد الاستمرار بالمراجعات ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-14'),
(6859,1070,'2026-04-19','husband Visit ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6860,4422,'2026-04-19','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6861,4422,'2026-04-19','2nd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-18'),
(6862,1385,'2026-04-19','Multiple menses ..said she had fibriofd ','','left dermoid cyst , 4 cm , for lap 4500 شيكل',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6863,2193,'2026-04-19','scar pain , no menses brestfeed ','','us well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6864,4421,'2026-04-19','','','TVS good ovulatiopn ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6865,3967,'2026-04-20','follow up . same','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6866,1287,'2026-04-20','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-19'),
(6867,535,'2026-04-20','flank pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6868,1866,'2026-04-20','stii complain form pain ','','pregnanct |!',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6869,1280,'2026-04-20','UTI , lower back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-07'),
(6870,4097,'2026-04-20','','','titer 62 RTC after one wk',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6871,332,'2026-04-22','after induced abortion12/2024 ,,, irrequral menses ','','in malaki ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-29'),
(6872,4342,'2026-04-22','','','well, Instruction given ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-24'),
(6873,4059,'2026-04-22','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),
(6874,1071,'2026-04-22','referd as ehvay menses, as fibriod ','','looks fibriod , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-20'),
(6875,528,'2026-04-22','follow up IUD ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6876,2481,'2026-04-22','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),
(6877,4380,'2026-04-22','came for cytocele, grade 2 ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-25'),
(6878,4325,'2026-04-22','3rd day of menses ','','cyst 5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-20'),
(6879,2680,'2026-04-23','heavy menses ','','RTC for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6880,4081,'2026-04-23','3rday of menses , seek fertility ','','Hormonals profile normal , seminal analysis , high vesicity , 23 mil ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-21'),
(6881,723,'2026-04-23','11th day of menses ','','no good ovaultiobn ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6882,2674,'2026-04-23','still spotting ','','for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6883,4445,'2026-04-23','post abrtion , follow up ','','for cytotec , RTC after 3 days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6884,4446,'2026-04-23','ask for fertility ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-08'),
(6885,185,'2026-04-23','on yasmin ','','free ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-15'),
(6886,4440,'2026-04-24','lower abdominal pain on IUD since 18 momth ','','looks UTI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-10'),
(6887,3233,'2026-04-24','late menses ','','bhsg neg',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6888,2862,'2026-04-24','3rd day of menses ','','for hystrescopy , then IUI ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-23'),
(6889,3548,'2026-04-24','','','cyst shrink ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6890,3128,'2026-04-25','Advice foe merina ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-17'),
(6891,1242,'2026-04-25','two menses in one month ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-17'),
(6892,3768,'2026-04-25','2nd day of menses ','','for Hysteroscopy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-23'),
(6893,211,'2026-04-25','still no menses , Thick endomterium ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6894,2084,'2026-04-25','','','small breast , acne , Irregular menses , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-12'),
(6895,489,'2026-04-25','prolonged menses ','','for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6896,4253,'2026-04-25','for applied new IUD ','','deep uterus ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6897,4059,'2026-04-25','','','ovulation seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6898,4071,'2026-04-25','11th day ','','rtc after two days ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6899,3474,'2026-04-26','1st day ','','for labs , seminal analysis , and HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-26'),
(6900,4090,'2026-04-26','poly for hytstoscope ','','normal hormonal profile ,, ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-18'),
(6901,2937,'2026-04-26','on IUD , lower back pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-01'),
(6902,1462,'2026-04-26','late menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6903,2576,'2026-04-26','Post CS ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6904,2799,'2026-04-26','post CS .','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6905,4285,'2026-04-26','for labs , and HSG ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-25'),
(6906,4260,'2026-04-27','10th day of menses ','','for prgnyl next time , ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6907,2647,'2026-04-27','stopped yasmin one month .5th day of menses ','','seek fertility , RTC at day 10 لا تردي هذ الشهر حمل .. بدها توام ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-22'),
(6908,4450,'2026-04-27','suspected CA ','','for TAH ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-04'),
(6909,3172,'2026-04-27','still menses ','','for speculum exam ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6910,4381,'2026-04-27','2nd day of menses ','','start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-26'),
(6911,4417,'2026-04-27','lower abdominal pain ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-21'),
(6912,2680,'2026-04-27','TVS well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6913,2572,'2026-04-27','hypomenrrhea ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-26'),
(6914,1540,'2026-04-27','stii pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6915,4097,'2026-04-27','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6916,3685,'2026-04-27','','','8.5...337..,,,feritine very low for labs ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-14'),
(6917,4071,'2026-04-27','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6918,4260,'2026-04-29','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6919,1777,'2026-04-29','late  menses','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6920,2356,'2026-04-29','heavy menses ','','bhcg neg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6921,4422,'2026-04-29','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),
(6922,4453,'2026-04-29','3rd day of menses ,, seek fertility ','','for hycosy ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-27'),
(6923,1760,'2026-04-29','discharge , itching ','','hgb 8 for b12.vit d ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-19'),
(6924,1287,'2026-04-29','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),
(6925,532,'2026-04-29','3rd day of menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-27'),
(6926,1574,'2026-04-29','9th day of menses ','','check vaginal tinitiess, and foliciles ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-22'),
(6927,4197,'2026-04-29','5th day of menses','','for TVS ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-25'),
(6928,1930,'2026-04-29','check IUD , ','','infection ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6929,2152,'2026-04-29','follow up post abortion ','','well ... to do thrmbophila in alia ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6930,2648,'2026-04-29','check fertility ','','for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-02'),
(6931,3250,'2026-04-29','discharge ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-20'),
(6932,572,'2026-04-30','increased hair ','','for aldacton next time ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-03-08'),
(6933,489,'2026-04-30','','','TVS , rt cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6934,382,'2026-04-30','no menses, breast feed ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6935,3852,'2026-04-30','IUD removed 10.2025 .. lower abdominal pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6936,4445,'2026-04-30','','','looks empty , but shadow seen ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6937,590,'2026-04-30','was on IUD for one yr post Delivery ','','5th day of menses .. start IOO ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-26'),
(6938,747,'2026-04-30','multiple menses ','','start on microgynon for 3 months ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6939,4349,'2026-05-01','post CS ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6940,532,'2026-05-01','5th day of menses ','','for removal of pessery //not removed ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6941,1345,'2026-05-01','want pregnancy  ','','reduce viscosity 1st ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-13'),
(6942,3978,'2026-05-01','prolonged menses .. after stopped yasmin ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-08'),
(6943,1574,'2026-05-01','','','vaginal angle , not good , need Repair ..good Follicle ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6944,4435,'2026-05-02','followup post abortion ,, well ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6945,4302,'2026-05-02','light menses , BHSG neg ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6946,4453,'2026-05-02','6th day of menses ','','snography done  , well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6947,4081,'2026-05-02','','','good ovulation ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6948,1784,'2026-05-02','','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6949,2424,'2026-05-02','check uterus , ','','start metformin',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-05-16'),
(6950,2686,'2026-05-02','post delivery follow up ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6951,2674,'2026-05-02','TVS , erosion ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6952,1467,'2026-05-02','multiple menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-28'),
(6953,4077,'2026-05-02','advice for weight red','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6954,4458,'2026-05-02','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-01-12'),
(6955,2609,'2026-05-03','seminal analysis : viscoity normal , 12.2 mill ,,, normal Morphology , ','','start TTT ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6956,3508,'2026-05-03','3rd day of menses ','','advice to do hsg ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-05-01'),
(6957,4459,'2026-05-03','seek fertility ','','advice for HSG ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-20'),
(6958,2690,'2026-05-03','menorrghia , ','','IUD removed advice for merina ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-20'),
(6959,3715,'2026-05-03','irrqural menses ','','well ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-27'),
(6960,4325,'2026-05-03','','','7*5 cm ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-05-01'),
(6961,2665,'2026-05-03','multiple menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6962,3551,'2026-05-03','','','',1,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6963,332,'2026-05-04','hypomenorrhea ','','well, both ovarian cyst ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6964,1787,'2026-05-04','HSG , both Blocked , Bicornuate uterus ','','Hysterosalpingogram (HSG) Report\n\nClinical Indication\nPrimary infertility\n\nTechnique\nThe examination was performed under sterile conditions with fluoroscopic guidance following the administration of contrast material into the uterine cavity.\n\nFindings\n\nThe uterine cavity demonstrates a heart-shaped configuration suggestive of a congenital uterine anomaly such as Bicornuate uterus or Septate uterus.\nNo definite filling defects are seen within the uterine cavity.\nThe right fallopian tube is not opacified with no evidence of contrast spillage into the peritoneal cavity despite adequate contrast injection.\nThe left fallopian tube is not opacified with no evidence of contrast spillage into the peritoneal cavity despite adequate contrast injection.\n\nConclusion\n\nAbnormal uterine cavity with a heart-shaped configuration, suggestive of a congenital uterine anomaly (further evaluation with 3D ultrasound or MRI is recommended for characterization).\nNo radiological evidence of contrast spillage from both fallopian tubes, suspicious for bilateral tubal obstruction; however, Tubal spasm cannot be excluded.',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6965,4461,'2026-05-04','dischage , lower pain , ttt as honey moon ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-17'),
(6966,1540,'2026-05-04','still pain ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(6967,2084,'2026-05-04','painfull menses ','','',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-05-04'),
(6968,4464,'2026-05-04','multiple Menes ,,, ','','suspected polyp for E&C ',0,2,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,'2026-04-24'),
(6969,4464,'2026-05-04','','','Medical Report\nتقرير طبي\nThe above-mentioned lady, 42 years old,\nP5+0ïƒ¨ NVD .\nLMP : 24.04.2026.\n\nShe presented complain heavy irregular menses .\nOn exam : \nUS: bulky uterus , thick endometrium , \nSuspected endometrium polyp .\n\nAdvice for E&C  \nThanks\n04.05.2026\n\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);

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