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  • Format Isi Askeb Hamil

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    Deffy Hanif Aryani
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    Format Isi Askeb Hamil

    Diunggah oleh

    Deffy Hanif Aryani

    Hak Cipta:

    © All Rights Reserved
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 1

    ASUHAN KEBIDANAN PADA IBU HAMIL

    NY. “…” …. Tahun G…P…A…Ah… dengan UK …………….minggu


    Di Ruang……… PUSKESMAS ………

    No. Register : ..................................... Tanggal Pengkajian :..........................


    Tanggal masuk : ..................................... Waktu Pengkajian :..........................
    Waktu masuk : ..................................... Tempat Pengkajian :..........................

    A. DATA SUBJEKTIF
    1. Identitas Pasien
    Nama : .................................... Nama Suami : .....................................
    Umur : .................................... Umur : .....................................
    Pekerjaan : .................................... Pekerjaan : .....................................
    Agama : .................................... Agama : .....................................
    Pendidikan : .................................... Pendidikan : .....................................
    Suku / bangsa: ................................... Suku / bangsa : .....................................
    Alamat : .................................... Alamat : .....................................
    .................................... .....................................
    No. HP : .................................... No. HP : .....................................

    2. Alasan Kunjungan
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    3. Keluhan Utama
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    4. Riwayat Kesehatan
    a. Riwayat Kesehatan Dahulu
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    Menurun : ...............................................................................................................
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    Menular : .................................................................................................................
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    Menahun : ...............................................................................................................
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