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  • Date AOG BP Weight FH FHT CR RR Temp Remarks: in Weeks

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    Ladonna Andrea Escueta RM
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    This document contains a patient's personal information, medical history, and notes from prenatal visits including age, address, birth date, last menstrual period, and estimated date of confinement. Health issues are noted as well as tetanus toxoid vaccination dates. Key details from prenatal checkups like blood pressure, weight, fetal heart tone, and remarks are logged by date and age of gestation in weeks.

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    SAMPLE OF PRENATAL RECORD

    Original Title

    PRENATAL RECORD

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    This document contains a patient's personal information, medical history, and notes from prenatal visits including age, address, birth date, last menstrual period, and estimated date of confinement. Health issues are noted as well as tetanus toxoid vaccination dates. Key details from prenatal checkups like blood pressure, weight, fetal heart tone, and remarks are logged by date and age of gestation in weeks.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    21 views2 pages

    Date AOG BP Weight FH FHT CR RR Temp Remarks: in Weeks

    Uploaded by

    Ladonna Andrea Escueta RM
    This document contains a patient's personal information, medical history, and notes from prenatal visits including age, address, birth date, last menstrual period, and estimated date of confinement. Health issues are noted as well as tetanus toxoid vaccination dates. Key details from prenatal checkups like blood pressure, weight, fetal heart tone, and remarks are logged by date and age of gestation in weeks.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 2

    Name: ___________________________________________________________ LMP: _____________________

    Address: __________________________________________________________ EDC: _____________________


    Contact No.: ___________________Birth Date: __________________ Age: ___ G ___ P___ (___________)

    DATE AOG BP WEIGHT FH FHT CR RR TEMP REMARKS


    IN WEEKS
    DATE AOG BP WEIGHT FH FHT CR RR TEMP REMARKS
    IN WEEKS

    PRESENT HEALTH PROBLEMS TETANUS TOXOID GIVEN


    Tuberculosis (14 days + of cough) 1. _________________
    Heart Disease 2. _________________
    Diabetes 3. _________________
    Bronchial Asthma 4. _________________
    Goiter 5. _________________
    Hypertension

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