Professional Documents
Culture Documents
( )PIH
Identifying Data:
Name
Status
Age
OB Index Gynecology History:
Religion Occupation Breast Disease Hx of breast feeding/ Plans
Address
Mammography/ Biopsy; Result
Date and Time Admitted
No. of Admission
Informant and Reliability
Chief Complaints Gynecologic Surgery
STD
History of Present Illness (HPI):
Family History:
( ) HPN ( ) DM ( ) Asthma
( ) Malignancies ( ) Multifetal ( ) Thyroid Diseases
Pregnancy