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PREGNANCY REPORT

PATIENT INFORMATION

Name : Mrs Paula HISTORY OF PRESENT ILNESS RELATED TO THE CHIEF COMPLAINT
Age : 35 Years old
Religion : Muslim
Nationality : Indonesian Date and time : 7th, 2013
Marital Status : Married Specific Location : in uterus
Occupation : Teacher Type of pain : dull
Addresse : Mekarsari 26, Cianjur Frequency of pain :
West Sumatra, Indonesia

OBSTETRIC HISTORY MENSTRUAL HISTORY

G2P1A0 Age of menarche : 13 years old


Gravida : 2 Reguler every month, normal
Paritas : 1 Duration : -
A :0 Dysmenorrhhea : Never Had Problem
Last menstrual period : 13 th March 2013

Find Words EACH PREGNANCY


Toothache : Sakit Gigi
Backache : Sakit punggung Date of Termination : 5 th March 2010
Headahce:Sakit Kepala Weeks of gestation : Full term, 40 Weeks
Soar arm : Mengangkat tangan Place of Delivery : At Independent Midwife
Soar Knee : Mengangkat lutut Problem during pregnancy, labour and Post Partum Period : No
Weight of baby Birth : 3000gr
Sex of baby : Boy
Any Complication : No
Status of Infant At Birth : Normal Healthiness
Present contrapceptive Method : never use any contraceptives
1D_F422395_Pitriyani

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