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    Republic of The Philippines

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    RoxanneGailBigcasGolero
    The document appears to be forms from Gov. Celestino Gallares Memorial Hospital listing patient information for different obstetric and gynecological procedures. The forms include fields for patient name, age, admission date, admitting diagnosis, final diagnosis, operative procedures performed, outcome, and resident in charge. The procedures listed include normal spontaneous delivery with or without episiotomy, serving as first or second assistant in major surgery, and bilateral tubal ligation with fractional dilatation and curettage. A separate form is for pre-natal care and lists fields for patient name, age, pre-natal diagnosis, and resident in charge.

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    Republic of The Philippines

    Uploaded by

    RoxanneGailBigcasGolero
    19 views5 pages
    The document appears to be forms from Gov. Celestino Gallares Memorial Hospital listing patient information for different obstetric and gynecological procedures. The forms include fields for patient name, age, admission date, admitting diagnosis, final diagnosis, operative procedures performed, outcome, and resident in charge. The procedures listed include normal spontaneous delivery with or without episiotomy, serving as first or second assistant in major surgery, and bilateral tubal ligation with fractional dilatation and curettage. A separate form is for pre-natal care and lists fields for patient name, age, pre-natal diagnosis, and resident in charge.

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    Republic of the Philippines

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    The document appears to be forms from Gov. Celestino Gallares Memorial Hospital listing patient information for different obstetric and gynecological procedures. The forms include fields for patient name, age, admission date, admitting diagnosis, final diagnosis, operative procedures performed, outcome, and resident in charge. The procedures listed include normal spontaneous delivery with or without episiotomy, serving as first or second assistant in major surgery, and bilateral tubal ligation with fractional dilatation and curettage. A separate form is for pre-natal care and lists fields for patient name, age, pre-natal diagnosis, and resident in charge.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    19 views5 pages

    Republic of The Philippines

    Uploaded by

    RoxanneGailBigcasGolero
    The document appears to be forms from Gov. Celestino Gallares Memorial Hospital listing patient information for different obstetric and gynecological procedures. The forms include fields for patient name, age, admission date, admitting diagnosis, final diagnosis, operative procedures performed, outcome, and resident in charge. The procedures listed include normal spontaneous delivery with or without episiotomy, serving as first or second assistant in major surgery, and bilateral tubal ligation with fractional dilatation and curettage. A separate form is for pre-natal care and lists fields for patient name, age, pre-natal diagnosis, and resident in charge.

    Copyright:

    © All Rights Reserved
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    Republic of the Philippines

    Department of Health Regional Office No. VII


    GOV. CELESTINO GALLARES MEMORIAL HOSPITAL
    Miguel Parras St., Tagbilaran City, 6300, Bohol Tel. No.: (038) 411-4868, (038) 411-4869
    Email-add: gcgmh_bohol@yahoo.com.ph

    NORMAL SPONTANEOUS DELIVERY WITH/WITHOUT EPISIOTOMY

    DATE
    NAME OF PATIENT AGE ADMITTED ADMITTING DIAGNOSIS FINAL DIAGNOSIS OPERATIVE OUTCOME RESIDENT-IN-
    HOSPITAL CASE NO. S/CS PROCEDURES CHARGE
    DATE
    DISCHARGED
    Republic of the Philippines
    Department of Health Regional Office No. VII
    GOV. CELESTINO GALLARES MEMORIAL HOSPITAL
    Miguel Parras St., Tagbilaran City, 6300, Bohol Tel. No.: (038) 411-4868, (038) 411-4869
    Email-add: gcgmh_bohol@yahoo.com.ph

    OR-MAJOR SECOND ASSIST

    DATE
    NAME OF PATIENT AGE ADMITTED ADMITTING DIAGNOSIS FINAL DIAGNOSIS OPERATIVE OUTCOME RESIDENT-IN-
    HOSPITAL CASE NO. S/CS PROCEDURES CHARGE
    DATE
    DISCHARGED
    Republic of the Philippines
    Department of Health Regional Office No. VII
    GOV. CELESTINO GALLARES MEMORIAL HOSPITAL
    Miguel Parras St., Tagbilaran City, 6300, Bohol Tel. No.: (038) 411-4868, (038) 411-4869
    Email-add: gcgmh_bohol@yahoo.com.ph

    OR-MAJOR FIRST ASSIST

    DATE
    NAME OF PATIENT AGE ADMITTED ADMITTING DIAGNOSIS FINAL DIAGNOSIS OPERATIVE OUTCOME RESIDENT-IN-
    HOSPITAL CASE NO. S/CS PROCEDURES CHARGE
    DATE
    DISCHARGED
    Republic of the Philippines
    Department of Health Regional Office No. VII
    GOV. CELESTINO GALLARES MEMORIAL HOSPITAL
    Miguel Parras St., Tagbilaran City, 6300, Bohol Tel. No.: (038) 411-4868, (038) 411-4869
    Email-add: gcgmh_bohol@yahoo.com.ph

    BILATERAL TUBAL LIGATION & FRACTIONAL DILATATION AND CURRETAGE

    DATE
    NAME OF PATIENT AGE ADMITTED ADMITTING DIAGNOSIS FINAL DIAGNOSIS OPERATIVE OUTCOME RESIDENT-IN-
    HOSPITAL CASE NO. S/CS PROCEDURES CHARGE
    DATE
    DISCHARGED
    Republic of the Philippines
    Department of Health Regional Office No. VII
    GOV. CELESTINO GALLARES MEMORIAL HOSPITAL
    Miguel Parras St., Tagbilaran City, 6300, Bohol Tel. No.: (038) 411-4868, (038) 411-4869
    Email-add: gcgmh_bohol@yahoo.com.ph

    PRE-NATAL CARE

    NAME OF PATIENT AGE PRE-NATAL DIAGNOSIS RESIDENT-IN-CHARGE


    HOSPITAL CASE NO. S/CS

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