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  • Pregnancy Verification: Patient Information

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    Kiran Kutti
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    This document contains a pregnancy verification for an 8-year-old patient named Roseanne Dimitrov. It lists her estimated date of conception as December 4, 1971 and estimated date of delivery also on December 4, 1971 when she will be 8 weeks pregnant with 8 fetuses. Medical information is provided for both the mother and babies' condition. The attending doctor is listed as Roseanne Dimitrov who can be contacted at their phone number or email provided.

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    Original Title

    201901567415048

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    This document contains a pregnancy verification for an 8-year-old patient named Roseanne Dimitrov. It lists her estimated date of conception as December 4, 1971 and estimated date of delivery also on December 4, 1971 when she will be 8 weeks pregnant with 8 fetuses. Medical information is provided for both the mother and babies' condition. The attending doctor is listed as Roseanne Dimitrov who can be contacted at their phone number or email provided.

    Copyright:

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

    Pregnancy Verification: Patient Information

    Uploaded by

    Kiran Kutti
    This document contains a pregnancy verification for an 8-year-old patient named Roseanne Dimitrov. It lists her estimated date of conception as December 4, 1971 and estimated date of delivery also on December 4, 1971 when she will be 8 weeks pregnant with 8 fetuses. Medical information is provided for both the mother and babies' condition. The attending doctor is listed as Roseanne Dimitrov who can be contacted at their phone number or email provided.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 2

    PREGNANCY VERIFICATION

    Patient Information

    Patient Name Email


    Roseanne Dimitrov mcraigw@example.com

    Age Phone Number


    8 +60 (5) 333-7524

    Address Allergies or Existing illnesses


    96 Karstens Crossing, 37 Fisk Park Vestibulum ante ipsum primis in faucibus
    Richmond, Virginia, 23293 orci luctus et ultrices posuere cubilia
    United States Curae; Donec pharetra, magna
    vestibulum aliquet ultrices, erat tortor
    sollicitudin mi, sit amet lobortis sapien
    sapien non mi. Integer ac neque. Duis
    bibendum.

    Pregnancy Details

    Estimated Date of Conception Estimated Date of Delivery


    December 4, 1971 December 4, 1971

    Age of Gestation (Weeks) Number of Fetuses


    8 8

    Medical Condition of the Mother Medical Condition of the Baby


    Vestibulum ante ipsum primis in faucibus Vestibulum ante ipsum primis in faucibus
    orci luctus et ultrices posuere cubilia orci luctus et ultrices posuere cubilia
    Curae; Donec pharetra, magna Curae; Donec pharetra, magna
    vestibulum aliquet ultrices, erat tortor vestibulum aliquet ultrices, erat tortor
    sollicitudin mi, sit amet lobortis sapien sollicitudin mi, sit amet lobortis sapien
    sapien non mi. Integer ac neque. Duis sapien non mi. Integer ac neque. Duis
    bibendum. bibendum.

    OB-Gyne Information

    Doctor's Name Doctor's Phone Number


    Roseanne Dimitrov +60 (5) 333-7524

    Doctor's Email
    mcraigw@example.com

    Acknowledgment
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    1

    Mother & Child OB-GYN Clinic     (123) 1234567 - info@abcobgyn.com

    2698 University Hill Road, Decatur, IL, 62522         www.abcobgyn.com

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