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DEPARTMENT OF OBSTERTICS AND GYNECOLOGY

PASAY CITY GENERAL HOSPITAL


P. Burgos St. Pasay City
JUNIOR INTERN REQUIRED PROCEDURES

NAME:______________________________
DATE OF ROTATION:___________________

NORMAL SPONTANEOUS DELIVERY


NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL NO
1
2
3
4
5

PELVIC EXAMINATION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL NO
1
2
3
4
5
NON STRESS TEST
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL NO
1
2
3
4
5

CESAREAN SECTION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL NO
1
2
3
4
5

CURETTAGE
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL
NO
1
2
3
FOLEY CATHETER INSERTION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL
NO
1
2
3

IV INSERTION
NO. DATE PATIENT’S AGE FINAL DIAGNOSIS PERFORM/ ASSIST ASSISTED BY
HOSPITAL
NO
1
2
3

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