JL.Muhajirin, Anugrah Regensi No. A2 Kel.Sidomulyo Barat Kec. Tampan Pekanbaru LEMBAR OBSERVASI A. MASUK KAMAR BERSALIN Tgl : .............................................................................. ANAMNESA His Mulai Tgl :............................................................... Darah / Lendir :.................................................................... Ketuban pecah / utuh :......................................................... Keluhan lain :....................................................................... B. KEADAAN UMUM Tensi :............................................................................ Suhu / Nadi: .................................................................. Oedema : .............................................................................. Lain – Lain : ....................................................................... C. PEMERIKSAAN OBSTETRI 1. Palpasi :............................................................................ 2. Djj :.................................................................................. 3. His :.................................................................................. 4. VT.Tgl :............................................................................ 5. Hasil :................................................................................ 6. Pemeriksa :.................................................................. Hari / Tgl S O A P BIDAN MUTIA VARINA, Am.Keb JL.Muhajirin, Anugrah Regensi No. A2 Kel.Sidomulyo Barat Kec. Tampan Pekanbaru OBSERVASI LANJUTAN