KING EDWARD MEMORIAL HOSPITAL

Seth Gordhandas Sunderdas Medical College

Acharya Donde Marg, Parel,
Mumbai 400 012. India.
Tel.: 91-22-2410 7000 Fax: 91-22-2414 3435

Department of Obstetrics and Gynaecology

Background History

 

The Department of Obstetrics and Gynaecology offers
comprehensive services for the reproductive health and gynaecological
needs of women. It has one of the highest workloads in the entire
country and admission into the residency training programme is highly
coveted. Being a tertiary care centre, patients are referred from all
over with a fascinating array of obstetric and gynaecological
conditions.

Every year, approximately 23,000 new patients attend the
outpatient department. There are 13,000 inpatients and 5000 surgeries.
Annually, over 8000 women deliver in this centre. Large proportions of
these women have some high risk factor complicating pregnancy. Critical
care and medical disorders in obstetrics are areas of special focus.
Babies requiring intensive care are transferred to an excellent
Neonatal Intensive Care Unit. Complete contraceptive services and
facilities for medical termination of pregnancy are also available.

Microsurgery, endoscopy and oncological surgeries are
performed routinely. The department is one of only three centres
recognised by the Government of Maharashtra for training in
laparoscopic sterilization.

There is a vigorous teaching programme for undergraduate and
postgraduate medical students as well as nursing trainees. The
department also accepts observers through the programme offered by the
college. Research is actively encouraged and in fact, the department
has the privilege of being a Human Reproduction Research Centre of the
Indian Council of Medical Research and has actively participated in
various pioneering academic studies.

Staff

 

Faculty at K.E.M Hospital

 

Dr. S.V.
Parulekar
Professor and
Head
Dr. N.M.
Mayadeo
Professor
Dr. A.S. Gupta Professor
Dr. P.Y. Samant Additional
Professor
Dr. H.
K.Chaudhari
Associate
Professor
Dr. H. S Warke Associate
Professor
Dr. Priti Hatkar Associate Professor
Dr.
Sachin Pardeshi
Assistant
Professor
Dr. Vibha More Assistant
Professor
Dr. Shruti Panchbudhe Assistant
Professor
Dr. Harshada Thakur Assistant
Professor
Dr. Kimaya Mali Assistant
Professor
Dr. Munira Ansari Assistant
Professor
Dr. Mayur Dayagavhane Assistant
Professor
Dr. Durga Valvi Assistant
Professor
Dr. Namrata Tiwari Assistant
Professor
Dr. Dipti Shende Assistant
Professor
Dr. Madva Prasad Assistant
Professor
Dr. Rahi Pednekar Assistant
Professor
Dr. Kalyani Kale Assistant
Professor
Dr. Priyanka Honavar Assistant
Professor
Dr Raviraj Tiruke Assistant
Professor
Dr Gaurav Desai Assistant
Professor
Dr Pratima Wagh Assistant
Professor

 

Resident and Staff Development:

Courses offered: 
Research
methodology
Stress management.
Time management.
Communication skills.
Anger management.
CPCR.
Computers in the department: Total
number: seven desktops, two laptops. All desktops are connected with
LAN and have internet access.
Recreational
Facilities for residents & Staff: 

Separate Gymnasium facilities for staff members, female and male
resident doctors.

Facilities,
Equipments & Special services

Educational Facilities

Department Library:

We
have a well equipped departmental library. It contains:

Books: Reference and standard text books. Total number is 808.

Journals
and Periodicals: Total number 249. These include:

1. The Journal of Obstetrics and Gynecology of
India.(1950-2006).
2. Journal of Post graduate Medicine.
3. Population Reports
4. Obstet Gynec Today (few issues)
5. The Journal of the International Federation of Gynecology and
Obstetrics (1963 – 2000).
6. American Journal of Obstetrics and Gynecology (older issues)
7. British Journal of Obstetrics and Gynecology. (From 1954-1987).
Total 91 issues.
8. Obstetrics and Gynecology. (older issues).
9. Asia- Oceania Journal of Obstetrics and Gynecology. (1970- 1975).
10. The Fertility and Sterility. (1984 – 2001).
11. Bombay Hospital Journal. (1989-1992).
12. NAMS Journal. (1988-2000)
13. Indian Journal of Cancer Chemotherapy. (1986-1991).

Please note recent issues of Journals listed in No. 6-8 are available
in the central library.

Audio visual equipment and teaching aids:

LCD
Projector.

Computers with software to create presentations
35 mm slide projector.
Overhead Projector (OHP)
VCD player with monitor.
Audio library database : Total number: 7.
Includes lecture on medicolegal aspects and Heart sounds.
Video library database: Total number: 81

MD Dissertations 

Reading
Hall – seating capacity of 40

Lecture
hall –
seating
capacity of 40

Approximately
20 new books are added every year in our library.

Educational software for use by residents and staff members.

Pelvitrainer

Model
to self training in assessment of cervical dilatation

Model
to self training in assessment of fetal station

Teaching set of gynecological and obstetric instruments

Investigation FacilitiesThe
department has facilities for investigations required in the management
of Obstetric and Gynecologic conditions. The following tests are
available.

Cytology VDRL Semen analysis
Hemogram Indirect
Coombs’ test
Ultrasonography
Blood grouping Amniotic fluid
analysis
Fetal
monitoring
Coagulation
profile
Sperm
washing


In addition, the patients have access to investigations like CT scan,
hormone assays, karyotyping, immunological tests, biochemical tests,
microbiological tests, and histopathological tests within the
hospital. 

 

Surgical Services

There
are four operation theaters in the department, which offer the
following services.

 

Operation
Theater
Operative
Services
Gynecologic
operation theater
Conventional
gynecologic operations, major and minor
Microsurgery
Laparoscopic surgery
Cystoscopy
Obstetric
operation theater
Conventional
obstetric operations, major and minor Emergency obstetric operations
Female sterilization
Medical termination of pregnancy
Laparoscopy
Hysteroscopy
Colposcopy
Cryosurgery
Family
planning operation theater
Medical
termination of pregnancy
Insertion of intrauterine devices
Colposcopy
Endoscopy
operation theater
Endoscopic
surgery

For Patients

Information for Patients
The Department runs daily outpatient clinics for gynaecological
patients in the morning and obstetric patients in the afternoon. New
registration papers are issued between 8.00am and 10.30 a.m. and 12.30
noon and 2.00 p.m. Emergency care is available all day and night.
The
Gynecology Outpatient Clinic is held every day from 8.30 a.m. and 12.30
p.m. in Clinic No. 109. The case papers are available only between 8.30
a.m. and 10.30 a.m. The following services are offered at this clinic.

  • Pap smear for
    screening of the genital tract cancer.
  • Endometrial
    aspiration cytology for screening for uterine cancer
  • Gynecologic
    examination.
  • Counseling.
  • Colposcopy.

The
Infertility Outpatient Clinic is held every day from 10.30 a.m. and
12.30 p.m. in Clinic No. 109A. Patients referred to this clinic from
the Gynecology clinic can attend it on any day other than Sunday. The
following services are offered at this clinic.

  • Ovulation
    study.
  • Cervical
    mucus study.
  • Postcoital
    test.
  • Sperm
    washing.
  • Intrauterine
    insemination.

The Obstetric
Outpatient Clinic is held every day from 1.30 a.m. and 4.00 p.m. in
Clinic No. 109. The case papers are available only between 12.30 p.m.
and 3.00 p.m. The following services are offered at this clinic.

  • Antenatal
    care.
  • Pap
    smear for screening of the genital tract cancer during pregnancy.
  • Blood
    testing for hemoglobin, blood group, VDRL, and HIV after counseling.
  • Colposcopy.

The Family
Planning Outpatient Clinic is held every day from 9.00 a.m. and 12.30
p.m. in 
Clinic No. 109. The case papers are available only
between 7.30 a.m. and 10.30 a.m. The following services are offered at
this clinic.

  • Counseling
    for contraception.
  • Family
    planning methods like sterilization, intrauterine device insertion,
    condoms, combination contraceptive pills, Depot medroxyprogesterone
    injections etc.
  • Follow-up
    examination and care for users of contraceptive methods.
  • Medical
    termination of pregnancy.

The Postnatal
Outpatient Clinic is held every day from 1.30 a.m. and 4.00 p.m. in the
Family Planning Center. The case papers are available only between
12.30 p.m. and 4.00 p.m. The following services are offered at this
clinic.

  • Postnatal
    care to mothers.
  • Counseling
    for contraception.
  • Colposcopy

The Department
has six units, headed by four professors and two associate professors,
the working of which is as follows: (Updated Version as of 1st September 2017)

UNIT NAME UNIT COMPOSITION Monday Tuesday Wednesday Thursday Friday Saturday
SVP UNIT Dr.S.V.Parulekar#

Dr.PreetiHatkar@

Dr.Munira Ansari*

Dr.DurgaValvi*

Dr.RahiPednekar*

OPD Emergency Clinical Rounds OBOT GYOT Infertility OPD
HKC UNIT Dr.H K Chaudhari@

Dr. Vibha More*

Dr. Namrata Tiwari *

Infertility OPD OPD Emergency Clinical Rounds OBOT GYOT
ASG UNIT Dr.A.S.Gupta$

Dr Sachin Pardeshi*

Dr.Madhva Prasad*

Dr.Dipti Shende*

GYOT Infertility OPD OPD Emergency CLINICAL ROUNDS OBOT
NMM UNIT Dr.N.M.Mayadeo$

Dr. Shruti Panc

hbudhe*

Dr RavirajTiruke*

Dr Gaurav Desai*

Dr Pratima Wagh*

OBOT GYNOT Infertility OPD OPD EMERGENCY CLINICAL ROUNDS
PYS UNIT Dr.PadmajaSamant@

Dr.Harshada Thakur *

Dr.MayoorDaigavane*

Dr. Priyanka Honavar*

Clinical Rounds OBOT GYOT Infertility OPD OPD EMERGENCY
HSW UNIT H.S Warke@

Dr.Kimaya Mali*

Dr. Kalyani Kale*

 

EMERGENCY CLINICAL ROUNDS OBOT GYNOT Infertility OPD OPD

# – Professor and HOD

$- Professor

@- Associate professor

*- Assistant professor

 (Postnatal Clinic is not open on Saturday, and those patients attend it on
Wednesday. Emergency services on Sunday are given by the six units in
rotation.)

Specialty Clinics: Room number 4, Clinic No. 109.

Specialty OPD Schedule

Weekday Specialty OPD Doctors(*Assistant Professor)
Monday Oncology Dr. Vibha More*

Dr. Namrata Tiwari *

Residents of HKC unit

Tuesday Assisted reproductive techniques

 

*Dr.SachinPardeshi

*Dr.Madhva Prasad

Residents of ASG Unit

Wednesday Gynecological endocrinology Dr. Shruti Panchbudhe*

Dr RavirajTiruke*

Dr Gaurav Desai*

Dr Pratima Wagh*

Residents of NMM unit

Thursday Sexually transmitted infections Dr.Harshada Thakur *

Dr.MayoorDaigavane*

Dr. Priyanka Honavar*

Residents of PYS unit

Friday Adolescent gynecology Dr.Kimaya Mali*

Dr. Kalyani Kale*

Residents of HSW unit

Saturday Menopause *Dr. DurgaValvi

*Dr. Munira Ansari

Dr RahiPednekar

Residents of SVP unit

 

Other

Vision and Mission

Vision Statement

Our
constant endeavor has been to create a medical college that provides
state of the art medical knowledge and skills to undergraduate and
postgraduate students so that the department will be one among the top
in the world.

Our
department shall provide quality health care services to all and shall
be the final referral center for all professionals and all sections of
the society.

It
will be our duty to include these values in every activity we undertake
and inspire all the medical students and professionals to do the same.

Mission statement

We
endeavor to provide quality medical education to all students and
quality health care to the society. We are committed to serve our
patients with compassion, care and integrity, free of cost. Our
research will be highly ethical and targeted towards constant
improvement in patient care. We shall always strive to improve our
facilities, knowledge and skills to offer our patients unmatched
medical services.

It
will be our duty to include these values in every activity we undertake
and inspire all the medical students and professionals to do the same.

Residency Training
Programme

Result

The
residency
training programme is one of the most sought after and admissions are
made on the basis of existing regulations laid down by the state
government of Maharashtra and the Mumbai municipal corporation. The
postgraduate students for both the M.S. and the D.G.O. programme are
posted in King Edward Memorial
Hospital and Nowrosjee Wadia Maternity Hospital on merit. The
postgraduate training program is exhaustive. It includes didactic
lectures which cover the entire syllabus in each unit over three years,
small group teaching, maternal mortality audits, perinatal
mortality audits, journal clubs, seminars, symposia, case discussions,
and quiz programs. Training on operative techniques is both extensive
and intensive.

This
department has a very comprehensive residency training program. It is
both mentally challenging and physically taxing. Resident doctors are
expected to awake at the crack of dawn and see patients before the
treating physicians arrive. The residency years can be gruelling, as it
requires that residents take call and spend the entire day and night in
the hospital to care for sick patients.

Each
year the resident is allowed increasing responsibility and to attempt
more difficult procedures and surgeries. The training is both extensive
and intensive and also, becoming a skilled surgeon takes practice.
Patients coming to KEM Hospital are usually the sickest patients in and
around Mumbai. Residency is both very difficult and very rewarding. The
resident has to spend countless hours caring for sometimes hostile and
violent patients, dying patients, counselling parents if their baby has
no heart beat, as well getting the joy of bringing babies into this
world and saving lives of many babies and their mothers. A young doctor
who chooses a career in ob/gyn should have a passion for the specialty,
since the hours during training are painfully long.

During
the residency years, the 
M.S. resident has also to submit a Dissertation
which is made after detailed research and review into the topic
undertaken under his/her Guide. This is a demanding process. The
academic session for residents also includes preparing and presenting
seminars, teaching the medical school students, taking part in various
workshops and conferences and also publishing one’s research work. The
resident is held accountable for the way he/she manages a patient in
the regularly held maternal and perinatal mortality and morbidity
audits in the department.’

Resident
Involvement Program

Post
Graduate Seminar Database: Seminar topics are selected, researched by a
team of 6-8 residents and then it is presented by them to the
department post graduate residents, students and faculty members.

In
order to instill in them administrative skills resident doctors are
part of
1. Seminar committee.
2. Labour ward committee.
3. Residents welfare committee.

The recognised postgraduate teachers of the Seth G. S. Medical
College are as follows:

KEM Hospital
Designation
Dr. S.V.
Parulekar
Professor
Dr. N.M.
Mayadeo
Professor
Dr. A.S. Gupta Professor
Dr. P. Y.
Samant
Associate
Professor
Dr. H. K. Chaudhari Associate
Professor
Dr. H. S.
Warke
Associate
Professor
Dr. Sachin Pardeshi Assistant Profeesor
Shruti Panchbudhe
Harshada Thakur
Kimaya Mali
Vibha More
Nowrosjee
Wadia Maternity Hospital
Designation
Dr. K.R.
Damania
Professor
Dr. P.R.
Satoskar
Professor
Dr. N.M.
Narvekar
Hon. Associate
Professor
Dr.
Geetha Balsarkar
Associate
Professor
Dr. Trupti Nadkarni Associate
Professor
Dr. Pooja Bandekar Associate
Professor
Dr. Amol Pawar

Dr. P.D.Lakhani

Associate
Professor
Dr Hemraj Narkhede

Dr Anagha Chattrapati

Assistant
Professor

 

List of Senior Residents

Non-bonded

 

Bonded
1.       Archana Kshirsagar

2.       Rani Daruwale

3.       Santosh Jagtap

4.       Vaishali Sakpal

5.       Avirupa Roy

 

6.       Parul Gupta

7.       Vishnu Tarse

8.       Aditi Joshi

9.       GirijaSwaminathtan

 

Research

The
department has Gynecologic and Obstetric Research Center, where a
number of investigations can be done. It also has access to a large
number of laboratories in the hospital, making advanced research
possible. Clinical research is done on different aspects of Obstetrics
and Gynecology all round the year. There is a center of the Indian
Council of Medical Research (ICMR) in the department, where clinical
trials of ICMR are done. Clinical research is also done in association
with other departments of the hospital, and institutes like Institute
for Research in Reproduction.

A large number of drug trials are done in association with
Pharmaceutical companies. All research activity is carried out only
after approval from the Ethics Committee of the institute.

 

Journal of Postgraduate Gynecology & Obstetrics

Journal
of Postgraduate Gynecology & Obstetrics is an Open Access, peer
reviewed online journal published by Department of Obstetrics and
Gynecology of Seth G. S. Medical College and K.E.M. Hospital, Parel,
Mumbai, 400012, India. It publishes articles received from all over the
world free of charges. It can be accessed at the following link.
Journal of Postgraduate Gynecology & Obstetrics

UG Record Book/Journal
format



This
is to certify that

Mr./Miss
————————————————————

has
performed his/her practical assignments in Gynaecology and Obstetrics
to my satisfaction. The student has been present during the course of
labour and personally conducted each case, making the necessary
abdominal and other examinations under the supervision of the
certifying officer.

 

Sr.
No.

Hospital

Name
of Unit

Duration
of post with dates

Number
of Delivery Cases

Pages
from to

Signature
of Head of Unit

1 NWMH Dr. From
——–

To
———–

Assisted——–

 

Conducted——From
——–

To
———–
 2NWMHDr.From
——–

To
———–

Assisted——–

 

Conducted——From
——–

To
———–
 3KEMHDr.From
——–

To
———–

Assisted——–

 

Conducted——From
——–

To
———–
 4KEMHDr.From
——–

To
———–

Assisted——–

 

Conducted——From
——–

To
———–
 5KEMHDr.From
——–

To
———–

Assisted——–

 

Conducted——From
——–

To
———–
    Total

Assisted——–

 

Conducted——  

 

 

Head
of Unit
Head
of Unit
Head
of Unit
NWMH NWMH KEMH

 

Professor
& Head Of Department

Seth
G.S.Medical College & K.E.M.Hospital

 

The
Department of Obstetrics and Gynaecology

Labour
Ward

Practice
Guidelines

Copyright © Department
of Obstetrics and Gynecology
Seth G.S. Medical College and K.E.M. Hospital , Parel, Mumbai- 400 012.
First
edition, 2002
Second edition, 2007This
publication may be reproduced and distributed in any quantity for
educational, noncommercial purposes to healthcare professionals only.
For
private circulation only

Notice

 

Obstetrics
and Gynecology are ever- changing sciences. The department has checked
with sources believed to be reliable in order to provide information
which is complete and in accordance with the standards acceptable at
the time of publication of this book. However in view of the possible
changes in these sciences and human error, neither the department nor
the publisher nor any other person involved in the publication of this
book warrants that the information contained in it is in every respect
accurate or complete, and they are not responsible for any errors or
omissions, or for the results obtained from the use of such
information. Readers are encouraged to confirm the information
contained in this book with other sources, including product
information provided by manufacturers of different drugs, so as to be
certain that changes have not been made in the recommended doses or in
contraindications for the use of those drugs.
 

Preface

 

The
following guidelines are for resident doctors and staff members working
in the receiving room and labor ward.
These
are evidence-based, based on the standard postgraduate books of
obstetrics and therapeutics, and literature survey. They are meant to
help manage the patients effectively.
The
use of these recommendations is optional. Modes of management other
than those described may be used to suit different patients. The
decision of the qualified doctor treating each patient will be final.

Abbreviations

# Gauge
@ At
the rate of
< Less
than
> Greater
than
BBO Blood
bank officer
CMO Casualty
medical officer
EMS Emergency
medical services
FFP Fresh
frozen plasma
HVS High
vaginal swab
I/O Input
output
Lect Lecturer
Lwd Labor
ward
M/C Measure
and chart
MDACS Mumbai
district AIDS control society
MICU Medical
intensive care unit
Mins Minutes
MVI Multi
vitamin injection
UA Urine
albumin
Wwd Waiting
Ward

General
Instructions

– Depilatory
cream/lotion can be used instead of shaving if the patient so desires,
but its use is subject to facilities available
-Check
list•- Confirm for all women who come to Receiving Room
-Inform
if * – All instructions for normal labor are also to be followed.
-If
woman is in labour and she has no HIV report from KEM hospital or from
Mumbai District AIDS Control Society (MDACS) then send her blood for
spot test for HIV to emergency laboratory and check the report.
-Inform
neonatologist during 1 st stage of labour in all high risk patients and
on delivery of the remaining patients.
-Prescribe
antibiotics- As per protocol.
-If
blood group of patient is not known then ask if all 8 types of blood
are available (4 +ve and 4 –ve). If any are not available, ask BBO to
check patient’s blood group and check if that blood group bag is
available. Ask availability of O+ve and O-ve blood.

Family Welfare
Department

The staff members
are as follows.

Dr. S.V.
Parulekar
Professor
and Head
Dr. H.S. Warke Associate
Professor
Dr.
Usha Kohli
Lecturer
(Health Education)

The department
offers services for family planning counseling and methods. The
outpatient clinic is held every day between 9.00 a.m. and 12.30 p.m.
The services offered are contraceptive counseling, medical termination
of pregnancy, and contraceptive methods like sterilization,
intrauterine device insertion, condoms, combination contraceptive
pills, and depot medroxyprogesterone injections. Doctors from defferent
 units are on duty in
this center too. 

 

INDIAN
COUNCIL OF MEDICAL RESEARCH
FIELD STATION, K.E.M. HOSPITAL, MUMBAI (NIRRH) 

 

Name
of the Centre
:
ICMR Regional Centre for Clinical Research in Human Reproduction
Officer-In-Charge,
Principal Investigator
  Dr. Niranjan Mayadeo
: Professor
& Head of Unit
Faculty
for Training
:
Dr. Niranjan M. Mayadeo,
: Professor
& Head of Unit
Office :
Dept. of Obstetrics & Gynaecology,
: Seth
G. S. Medical College and K.E.M. Hospital
: Parel,
Mumbai – 400012
Telephone :
(022) 24107843
Email :
icmrhrrc@kem.edu
HRRC
STAFF
PROJECT
STAFF
Post
Name
of Person
Post
Name
of Person
Research
Officer (Med)
Dr.
Kumkum Mathur
Counsellor Ms.Sharmila Kamat
     
Research
Officer
(Non. Med)
Mr.
Shrinivas Gurav
Social
Worker
Mrs.Savita Sonavane
LDC Vacant post
Driver Mr.
Vijay Kapadi

 

ONGOING PROJECTS

1. Evaluation of Progesterone Vaginal Ring as a new contraceptive option in India

2. A study of teenage pregnancy and its outcome.

3. Hospital based surveillance of female genital fistula – an ICMR task-force project

4. Sexual practices in pregnancy and puerperium 

PROJECTS COMPLETED IN LAST 10 YEARS

1. Prevalence of Infertility in India- an ICMR Task-force Study.

2. Phase III Multicentric Clinical Trial with Subdermal Single  rod Contraceptive Implant –Implanon 

3. Phase IV Multicentric Study with Centchroman. 

4. Study of Meconium stained amniotic fluid : immediate and long term effects on neonates and infants. 

5. Phase II clinical trial on Praneem polyherbal tablet for assessment of its efficacy in symptomic women with abnormal vaginal discharge.

6. National Neonatal Perinatal Database’.

7. A study of Psychosocial, Cultural & Service factors affecting reproductive morbidity among rural women in India

8. Hospital- based surveillance for Childhood Morbidity and Mortality

9. Social and Behavioural research on subjects affected with tuberculosis.

10. Study of acceptability & continuation rates of 2 monthly injectable contraceptive  Net En & DXA Study.

11. Impact of Counseling on Coping Behaviour of HIV +ve patients

12. Studying the utilisation of emergency contraceptive services through paramedics in India.

13. Care and needs of people living with HIV/AIDS (PLWHA): A diagnostic study in the context of long-term care.

14. A study of Simple Behavioral Intervention to reduce episiotomy rates (part I- baseline data   collection).

15. Baseline data on obstetric fistulae.

16. Hospital- based surveillance for Childhood Morbidity and Mortality

17. Social and Behavioural research on gender based prevalence of Tuberculosis .

18. A study of simple behavioural intervention to reduce episiotomy rates

19. Norplant

HRRC GENERATED PROJECTS

1. Registry of drugs used in pregnancy.

2. A study of menstrual pattern in tubectomised women 

3. Eclampsia Scenario in a District Hospital.

4. HIV Research in a Developing Nation – A Hurdled Path.

5. Knowledge, attitude and practices of maternal nutrition, and iron, calcium and folic acid supplementation during pregnancy in rural and urban women in Maharashtra. 

6. Awareness in nurses regarding medical methods of termination of pregnancy in three hospitals  in Maharashtra, Bihar and Jharkhand.

7. Assessment of training of women & their caregivers in rural maharashtra regarding prevention & management of post-partum haemorrhage (PPH) & care of low birth weight babies in low resource setting 

 

Location

Ground,
first, and second floors of the heritage building, gynecology wing.

Contact Detail

022-24107466