Post on 11-Feb-2018
7/23/2019 Anamnesis Obs
1/2
ANAMNESIS OBS
IDENTITAS
Nama :____________________________ Umur/ Tgl.Lahir:_____________/_______________
Alamat :____________________________ Pekerjaan:_____________________________
BB/TB :____________________________ Rujukan :_____________________________Menikah_________ lama________ Alergi !"at :_____________________________
RPS#eluhan:
_________________________________________________________________________
Sakit $erut % & /' (:________________________________________________________
#eluar air $er)aginum % & /' (:______________________________________________
*erak anak % Baik / menurun /tia+a (:________________________________________
,P,T:_____________________________ TP:_________________________________ AN-:______________________________US*:________________________________ TU :___________ P:___________ D00:_____________
RPD
:______________________________________________________________________________
RP# :_____________________________________________________________________________
#B % 1a /ti+ak (:_____________________________________________2t3$_______"ulan/tahunAB!RTUS % 1a / ti+ak (
STATUS PRESENT
TD:________________ RR:____________ N:__________Suhu:____________
RI4A5AT !BSTETRI
ANAK 1 2 3 4 5 6J.KBBL
USIA KELAHIRAN
(ATERM/PRETERM/POST
ERM)TEMPAT LAHIR
7/23/2019 Anamnesis Obs
2/2
(RS/BIDAN)DILAHIRKAN OLEH
(DOKTER/BIDAN)JENIS LAHIR
(SPONTAN/SC/VAKUM/F
ORCEP)USIA SAAT INI
-3$1right A!"#$%#& Peri3+e 67.68.7869 7;.68.7869