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Delivery room
Rooming in care unit
Operating room
Gynecological care unit
Obstetrical care unit
Family planning out patient care unit
Obstetrical out patient care unit
Gynecological out patient care unit
FER out patient care unit
Oncology out patient care unit
Emergency care unit
NUMBER
ANTENATALCARE
Primary Midwife
TOTAL
NUMBER
CONTRACEPTIVE PLANNING
IUD
TOTAL
NUMBER
NUMBER
BREASTFEEDING (DAY)
1
2
TOTAL
NUMBER
PARITAS
NUMBER
Primi
Multi
TOTAL
OPERATING ROOM
PERIOD DECEMBER 29th- JANUARY 4th 2016
Diagnose
1
2
3
4
5
TOTAL
Number
ELECTIVE
TOTAL
CONTRACEPTIVE
METHODE
INITIAL
VISITING
Oral Contraceptive
- Combined
- Progestin Only
Injection Contraceptive
- 3 Monthly Inject
- 1 Monthly Inject
Implant
IUD
- T Cu 380 A
TOTAL
REMARKS :
Implant
: - Inserting
- Removal
- Reinserting
IUD
: - Inserting
- Removal
- Reinserting
:
:
:
:
:
:
FOLLOW
UP
NEW
ACCEPTOR
NUMBER OF
ACCEPTOR
Total Visit
High risk pregnancy
Low risk pregnancy
Hospitalization
:
:
:
:
INITIAL
FOLLOW UP
NUMBER
INITIAL
VISIT
CASES
REVISITING
NUMBER
PREGNANCY
Early pregnancy
TUMOR
Uterine myoma
Ovarial cyst
Suspect cervical Ca
INFECTION
Vulvovaginitis nonspecific
POST OP REVISITING
Curettage
TAH
SO
MISCELANEOUS
Uterine prolapsed
TOTAL
PROCEDURES
NUMBER
Biopsy
TOTAL
DIAGNOSTIC
PROCEDURE
Pap Smear
TOTAL
INITIAL VISIT
REVISITING
RESULT : CLASS
I
II
III
IV
PRIMARY
INITIAL
REVISIT
SECONDARY
INITIAL
REVISIT
A. FEMALE FACTOR
1.Cervical Factor
2.Uterine Factor
3.Tubal Factor
4.Ovarial Factor
5. Basic Examination
B. MALE FACTOR
Sperm Analysis
TOTAL
ENDOCRINOLOGY
DIAGNOSE
INITIAL
REVISIT
TOTAL
1. AUB-O
2. Hyperplasia uterus
3. Endometrioma
4. Secondary amenorrhea
5. Adenomyosis
TOTAL
STG
Post
Curettage
RTX
SITOS P.OP
POST
POST
RESIDIF
TOTAL
RTX
SITOS
Cervical Ca IA
IB
IIA
IIB
IIIA
IIIB
IVA
Ovarial Ca IA
IIA
IIIB
IIIC
IVA
Endometrial Ca
PTG
T O TAL
INPATIENT
DIAGNOSE
Cervical Ca
Endometrial Ca
Ovarial Ca
PTG
T O TAL
PRO
CURRETAGE
CHEMO
RADIATION
TOTAL
GYNECOLOGICAL CASE
MISCELLANEUS
TOTAL
OUTPATIENT
HOSPITALIZED
NUMBER