Scribd Logo
Upload

Welcome to Scribd!

  • Buku Bantu Kehamilan

    Uploaded by

    Ade irma sri mulyani
    9 views9 pages
    This document appears to be a medical record template containing fields for patient information such as name, age, address, medical history, pregnancy details, examination details, lab results, treatment, and advice. The template includes sections for recording information at multiple visits.

    Original Description:

    buku bantu kehamilan

    Original Title

    BUKU BANTU KEHAMILAN

    Copyright

    © © All Rights Reserved

    Available Formats

    XLSX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    This document appears to be a medical record template containing fields for patient information such as name, age, address, medical history, pregnancy details, examination details, lab results, treatment, and advice. The template includes sections for recording information at multiple visits.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    9 views9 pages

    Buku Bantu Kehamilan

    Uploaded by

    Ade irma sri mulyani
    This document appears to be a medical record template containing fields for patient information such as name, age, address, medical history, pregnancy details, examination details, lab results, treatment, and advice. The template includes sections for recording information at multiple visits.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 9

    NO.KK : ……………………………………………… HPHT : ……………………………………………… NO.

    KK
    NIK : ……………………………………………… HPL : ……………………………………………… NIK
    no.JKN : ……………………………………………… LILA : ……………………………………………… no.JKN
    nama : ……………………………………………… GOLDAR : ……………………………………………… nama
    TTL : ……………………………………………… ALKON : ……………………………………………… TTL
    hamil ke : ……………………………………………… riw.penyakit : ……………………………………………… hamil ke
    pekerjaan : ……………………………………………… riw.alergi : ……………………………………………… pekerjaan
    alamat : ……………………………………………… jarak kehamilan : ……………………………………………… alamat
    no.HP : ……………………………………………… riw.persalinan : ……………………………………………… no.HP
    TB : ……………………………………………… skrining TT : ……………………………………………… TB
    IMT : ……………………………………………… BB sebelum hamil : ……………………………………………… IMT

    Tgl Keluhan TD BB UK TFU Letak janin DJJ LAB Tindakan Nasehat KET Tgl
    NO.KK : ……………………………………………… HPHT : ………………………………………………
    NIK : ……………………………………………… HPL : ………………………………………………
    no.JKN : ……………………………………………… LILA : ………………………………………………
    nama : ……………………………………………… GOLDAR : ………………………………………………
    TTL : ……………………………………………… ALKON : ………………………………………………
    hamil ke : ……………………………………………… riw.penyakit : ………………………………………………
    pekerjaan : ……………………………………………… riw.alergi : ………………………………………………
    alamat : ……………………………………………… jarak kehamilan : ………………………………………………
    no.HP : ……………………………………………… riw.persalinan : ………………………………………………
    TB : ……………………………………………… skrining TT : ………………………………………………
    IMT : ……………………………………………… BB sebelum hamil : ………………………………………………

    Keluhan TD BB UK TFU Letak janin DJJ LAB Tindakan Nasehat KET

    `
    DESA GUNUNG BENTANG
    NO TANGGAL POSYANDU NAMA ANAK UMUR NAMA ORANG ALAMAT JENIS KET NO TANGGAL
    TUA IMUNISASI

    BUK
    DES
    POSYANDU NAMA ANAK UMUR NAMA ALAMAT JENIS KET
    ORANG TUA IMUNISASI

    BUKU BANTU IMUNISASI


    DESA GUNUNG BENTANG
    Tgl Keluhan TD BB UK TFU Letak janin DJJ LAB Tindakan Nasehat KET

    You might also like