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fe) sonweme tenn sn dsc ANH PHUC INTERNATIONAL HOSPITAL UC HTERATIONAL MEDICAL BUILD UC INTERNATIONAL MEDICAL CENTRE Singapore ai Vit Nam Ea eee TOA THUOC PRESCRIPTION Mecical Suite 1 PRN 00067114 (0B: 20:Sep-1988 (SOY 1M) Gender: FEMALE (M8 86 bénh nin) (Ngay sinh) (GiGi tinh) Patient Name : LE NGUYEN ANH PHUONG Home Tel : 0906909028 Weight : 54 kg (Tén bénh nhan) (S6 dién thoai nha) (Can nang) NOK : VO TUAN HAI (SPOUSE) Insurance No. (Sé BHYT) Address : G13 THU BUC GARDEN HOME THU BUC TP HCM (Bia chi) Diagnosis (020) Haemorrhage in ea pregnaney Ra mau tong thai nghén som (Chan dodn) (ot tna) Tem Desorption Tala ‘uantyitOM | Duration (Tén Thude) (Huong Dan Si: Dung) (S6 Luong) (Théi Gian Bibu Tri) ‘Zivomax TAB 500mg - azithromycin ]-UONG MOT LAN 2 VIEN-MOT LIEU DUY [2 Tablet INHAT (UONG SAU AN) Notes (Ghi chy) : Allergy (Théng tin dj tng): KHONG Home drug (Thudc dang dung é nha): THUOC BO Doctor's note (Loi dan): Emergency consultation whenever pegnant women has any abnormal si pain, face swelling, vaginal bleeding, contraction pain, water breakin, ‘Tai kham ngay khi cé 7 trong céc dau higu sau: nhue dau, dau t con, ra mau am dao, ra nuéc am dao, thai cir dng it. BU Headache, epigastric fecreased fetal movement mg vi, Phu mat, dau bung ting Doctor(8de s))_: Dr = Date gay): 30-Oct-2019 Hanh Phuc International Hospital HANH PHUC Clinical Laboratory Services Heise ani aeney 18 Binh Duong Boulevard beenensitiennenminnteatected Thuan An Dist, Binh Duong Prov, Vietnam Tel02743786732 Name: Lé Nguyéa Anh Phuong Request Date: 25/1/2019 10:30:31 AM Gender: Female Lab No. 318477 D.O.B. 20/09/1989 Doctor: Lé, Van Bite Hospital 1D: 00067114 Print date: 28/10/2019 2:53:52PM Page 1 of 1 Unit Reference range LS (VAGINAL) Not seen Not seen 1 ‘Not seen See below | MICROORGANISM — ‘Gram positive bacilli 1+ OTHER (VAGINAL) No bacteria growth after 48 hours of incubation ‘PCR FOR MYCOPLASMA See below Method: Real-time PCR Ureaplasma urealyticum: Negative (Detection limit: 5x10°2 copies/ml) ‘Ureaplasma parvum: Positive (Detection limit: $x10"2 copies/ml) Mycoplasma hominis: Negative (Detection limit: 5x10°2 copies/ml) Validators (): MNHU 28/10/2019 Se: Bing Thi Reviewed and QUES, sermeenences prc omnes COSCON BEng eater met cmeacore ei "Note: Some tests are performed at Referral Laboratories.

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