Prior to 2018: Past
While growing up, Manpreet always felt her younger sister Meena would always get things given to her and get her own way, while Manpreet had to work for everything she got, Manpreet felt slightly jealous of her spoilt sister.
Manpreet married Dennis and the two later had a daughter, Aiesha. Manpreet later became bored of her marriage and started to live a double life by dating Charles Anderson and calling her self "Saira". Manpreet became attached to Charles and his young son, Ethan, and planned an expensive wedding, which caused great debt for Charles, however on the day of the wedding Manpreet realised she had made a complete mistake and went back to Dennis and Aiesha.
Manpreet and Dennis later divorced as she discovered Dennis had been seeing many other women behind her back, including Meena. In the aftermath, Manpreet became estranged from her sister and a shopping addiction took hold, causing Manpreet to become thousands of pounds in debt.
2018-: Becoming a Sharma
Dr Jutla covered for Dr Cavanagh at the Abbott Lane Surgery in July 2018. Rishi Sharma arrived for his health check, and took a fancy towards the doctor. He tells her about the successful family business and asks if she has any children. She reveals that she has a daughter, and Rishi sets Manpreet's daughter up on a date with his son Jai.
Manpreet and Rishi started dating and she got along well with his two children, Jai and Priya. By January 2019, Manpreet considered moving closer to the village in order to be closer to work and Rishi eventually asked her to move in with him. In February, Manpreet moved into Holdgate Farm but Jai started getting suspicious when she brought a box of things she didn't want him to touch. He then caught her trying to reason with debt collectors as they seized her car and eventually discovered she had a spending addiction. With Jai's himself having a history of addiction, he tried to help her get her to visit a support group. The following week, Manpreet stole from the factory accounts and eventually came clean to Rishi.
In July 2019, desperate to help Manpreet with her mounting debts, Rishi had let the factory pay the prize when he entered a deal with the ruthless Kim Tate, taking a secret loan from her. Things turned even worse when a fire broke out at the factory the following month, forcing Rishi and Priya to give up their shares in the business and sell to Kim. Manpreet struggled with her guilt for how much Rishi had given up because of her problems and attempted to leave the village because of it but Priya and Jai found her before and convinced her to stay.
Manpreet and Rishi enjoyed a rather quiet 2020, until September when Manpreets estranged sister Meena showed up. Manpreet was immediately opposed to Meena becoming part of her life again, however Rishi suggested that the two sisters reconcile, but Manpreet revealed that the reason they were estranged was because Meena had an affair with her ex-husband Dennis. Meena later made a public apology to Manpreet and Manpreet eventually forgave her. The two sisters then began to work alongside other when Meena got a job at the surgery.