diff --git a/src/main/resources/db/migration/dbiemr/V91__add_column_adolescent.sql b/src/main/resources/db/migration/dbiemr/V91__add_column_adolescent.sql
new file mode 100644
index 0000000..01d51cf
--- /dev/null
+++ b/src/main/resources/db/migration/dbiemr/V91__add_column_adolescent.sql
@@ -0,0 +1,52 @@
+USE db_iemr;
+
+SET @schema = 'db_iemr';
+
+SET @table = 'adolescent_health';
+
+SET @col = 'is_sanitary_napkin_used';
+SET @sql = (
+  SELECT IF(COUNT(*) = 0,
+    CONCAT('ALTER TABLE `', @schema, '`.`', @table, '` ADD COLUMN `', @col, '` TINYINT(1) NOT NULL DEFAULT 0'),
+    'SELECT "is_sanitary_napkin_used already exists"')
+  FROM INFORMATION_SCHEMA.COLUMNS
+  WHERE TABLE_SCHEMA = @schema
+    AND TABLE_NAME   = @table
+    AND COLUMN_NAME  = @col
+);
+PREPARE stmt FROM @sql; EXECUTE stmt; DEALLOCATE PREPARE stmt;
+
+alter table db_iemr.elderly_health_assessment add column referral_priority varchar(250);
+alter table db_iemr.mental_health_screening add column case_status varchar(250);
+alter table db_iemr.mental_health_screening add column date_of_death timestamp;
+
+CREATE TABLE IF NOT EXISTS user_fcm_tokens (
+    id BIGINT  NOT NULL AUTO_INCREMENT,
+    user_id INT NOT NULL,
+    token VARCHAR(500) NOT NULL,
+    updated_at TIMESTAMP NOT NULL DEFAULT CURRENT_TIMESTAMP
+        ON UPDATE CURRENT_TIMESTAMP,
+    PRIMARY KEY (id),
+    INDEX idx_user_id (user_id)
+);
+
+CREATE TABLE IF NOT EXISTS `notification` (
+   `id` bigint NOT NULL AUTO_INCREMENT,
+   `app_type` varchar(50) DEFAULT NULL,
+   `sender_user_id` int DEFAULT NULL,
+   `receiver_user_id` int NOT NULL,
+   `title` varchar(255) DEFAULT NULL,
+   `body` text,
+   `notification_type` varchar(100) DEFAULT NULL,
+   `nav_id` varchar(100) DEFAULT NULL,
+   `redirect` varchar(255) DEFAULT NULL,
+   `priority` varchar(20) DEFAULT NULL,
+   `is_read` tinyint(1) NOT NULL DEFAULT '0',
+   `created_date` timestamp NOT NULL DEFAULT CURRENT_TIMESTAMP,
+   `read_date` timestamp NULL DEFAULT NULL,
+   PRIMARY KEY (`id`),
+   KEY `idx_receiver_user_id` (`receiver_user_id`),
+   KEY `idx_sender_user_id` (`sender_user_id`),
+   KEY `idx_is_read` (`is_read`),
+   KEY `idx_created_date` (`created_date`)
+ );
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