*
indicates a required field
|
Temperature |
|
Pulse Rate |
|
B.P. |
/
mmHg
|
Respiratory Rate |
|
Oxygen Saturation |
|
Weight |
|
Height |
|
BMI |
|
MUAC |
|
|
Other Vitals Recorded Recently
Temperature:
Pulse:
B.P.:
/
Respiratory Rate:
Oxygen Saturation:
Weight:
Height:
MUAC:
|
|
|
H.b.: |
|
Pallor: |
|
Maturity: |
|
Fundal Height (Weeks): |
|
Presentation: |
|
Lie: |
|
Foetal Heart Rate: |
|
Foetal Movement: |
|
|
|
|
Urine Microscopy |
|
Urinary Albumin |
mg/dL
|
Glucose Measurement (Qualitative) |
|
Urine pH |
|
Urine Specific Gravity |
|
Urine Nitrite Test |
|
|
Urine Leukocyte Esterase Test |
|
Urinary Ketone |
mg/dL
|
Urine Bile Salt Test |
mg/dL
|
Urine Bile Pigment Test |
|
Urine Color |
|
Urine Turbidity |
|
Urine Dipstick for Blood |
|
|
|
|
|