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he" Ph: 08725-254226, 9440474164 SHIVASAI SCANNING CENTRE Near: New Bus Stand, KORATLA. Dr. B. Srilatha Dr. A. Praveen Kumar MBBS, 0.6.0. (Osm.) A.D. Radiologist Name Smt Qpnpatan. “lo Vesadey Ag spy Dates_VE Village: 40-eu9s, wi USG OF GRAVID UTERUS Sang — i igle/Multiple, Viable, Intrauterine Foetus Presentation/Lie: Cephalic/Breech/Oblique/Transverse Foetal Heart Rate: (as Boo Foetal Movements : Active/Mild Ni Foetal Gestational Age Measurements:- Gs. mm, Ws, Days CRL__\g-_mm__&"_Whs_2-_Days BPD. mm, Ws, Days HC, mm, Ws, Days AC. mm, Whs, Days FL. mm, Wis. Days EF Wt gms. EDD 2-7|°\|2020 Average Gestational age Wks._ © ado4a Amniotic Fluid: Adequate/Excess/Less/Nill Placental Position : | Fundal/Anterior/Posterior/Right/Left/Previa Maturity: Gr/O/MUI Foetal Spine Normal/Abnormal ‘Any Obvious Congenital Anomalies IMPRESSION: SSuqu- Auton utewie gest _Suc_T ferel Qele T geeh Codie J 0 J asthe Tan Ge a euts 2 Sows Kindly corelate with Clinical Findings. ‘Advised Repeat Scan to assess interval growth Note: Sensitivity & Specificity of Sonography is 75% to 95% - Suggest TIFFA for fetal Anomalies ‘DECLARATION OF PREGNANT WOMEN : I Mrs. Accept for the sean and do not want to know sex of my fetus Neither Doctor (or) staff has reveal sex of my fetus. Patient Signature pam ‘Scanned wih CemScanner ‘Scanned wih CamScanner

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