You are on page 1of 1

PATIENT REPORT ANANNYA GUHA - 09/01/2024

Requestor: DR. ARUNA T, -


REQUESTOR TYPE: REQUESTOR: FACILITY: REQUESTOR CODE:
Hospital DR. ARUNA T RAINBOW HOSPITAL 032
MARATHAHALLI

Patient MAB-00168485: ANANNYA GUHA, -


PATIENT ID: LAST NAME: FIRST NAME: BIRTH DATE:
MAB-00168485 ANANNYA GUHA - 24/01/1995
ETHNICITY: PHONE NO. 1: CITY: POSTAL CODE:
South Asian - - -

Pregnancy, Calculated EDD: 14/07/2024 (MAEDD: 29.47)


MAEDD: CALCULATED EDD: GEST. DATE: SELECTED GEST. METHOD:
29.47 14/07/2024 08/10/2023 CRL
LMP DATE: SMOKING STATUS: INSULIN DEP. DIABETIC: NO. OF FETUSES:
07/10/2023 Non smoker No 1
MONOZYGOUS: CHORIONICITY: CORRECTED BY CHORIONICITY: FERTILIZATION DATE:
No - - -
MATERNAL WEIGHT [KG]: HEIGHT [CM]: DIABETES TYPE II: INSULIN TREATMENT FOR TYPE II DIABETES:
61 148 No No
CONCEPTION METHOD: MOTHER OF PATIENT HAD PRE-ECLAMPSIA: CHRONIC HYPERTENSION: SYSTEMIC LUPUS ERYTHEMATOSUS:
Spontaneous - - -
ANTI-PHOSPHOLIPID SYNDROME: PAST NO. OF PREGNANCIES ≥ 24 WEEKS: PREV. PREG. PRE-ECLAMPSIA: PREV. PREG. DELIVERY DATE:
- - - -
INTER-PREGNANCY INTERVAL [YEARS]: PREV. PREG. GEST. AT DELIVERY: PREV. PREG. BABY WEIGHT [G]: BIRTH WEIGHT Z-SCORE:
- 0w0d - -
ASSISTANCE METHOD: TRANSFER DATE: EGG EXTRACTION DATE: EGG DONOR DOB:
- - - -
AGE AT EXTRACTION: PAST T21 - DOWN'S SYNDROME: PAST T18 - EDWARDS' SYNDROME: PAST T13 - PATAU'S SYNDROME:
- - - -
PAST CDLS - CORNELIA DE LANGE SYNDROME: PAST SLOS - SMITH-LEMLI-OPITZ SYNDROME: PAST TR - TRIPLOIDY: PAST TS - TURNER'S SYNDROME:
- - - -
RISK ASSESSED: SCREENING PROTOCOL:
At term Screening_4.0

Ultrasound
SCAN DATE: CRL: BPD: HC:
05/01/2024 62.9 - -
GEST. AT SAMPLE DATE (W + D): CRL (#2): BPD (#2): HC (#2):
12 w 5 d - - -
GEST. AT MANUAL ENTRY (W + D): WEIGHT [KG]: AC: AC (#2):
0w0d - - -

Blood pressure, Gest. at sample date (w + d): 12 w 5 d


TIME MEASURED: LEFT SYST #1: LEFT DIAST #1: LEFT SYST #2: LEFT DIAST #2: MAP [MMHG]:
05/01/2024 117 87 115 87 93.08
WEIGHT [KG]: RIGHT SYST #1: RIGHT DIAST #1: RIGHT SYST #2: RIGHT DIAST #2: CORR. MOM:
- 110 77 109 82 1.09

Tests

REPORT CREATED AT:


09/01/2024 2:49 PM

Dr.Rashida Mahreen
Consultant Biochemist 1/3

You might also like