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Manisha (centre) and Nita (right), both ex-surrogate mothers who have continued to work with Dr. Patel's Akanksha clinic as a nannies for new-born test tube babies, with twins in the Neonatal Intensive Care Unit (NICU) at the Apara Nursing Home. Babies from the Akanksha clinic are often sent for neonatal and other post-birth intensive care. Manisha, a widow and mother of 3 of her own children, has taken care of over 100 babies for Dr Patel's surrogacy clients, making up to 15000 Rupees (GBP 150) per month.