Ph: +918368733993, +919811068333

Dr. SEEMA CHOPRA ULTRASOUND CLINIC
B-210 PRASHANT VIHAR, ROHINI, DELHI-110085

Dr. SEEMA CHOPRA
MBBS, DGO, PGD (USG)
Obstetrician & Gynaecologist
     DMC No.5130
Timings:
Morning: 9:00 a.m. - 11:30 a.m.
Evening : 5:00 p.m. -  8:00 p.m.


Date:     S.no:
Name: Age: Sex:
Referred By:

OBSTETRIC REPORT

LMP: HR: BPM. POG: Wks.
Foetus Number:

Cardiac Activity LIE and PRESENTATION .

Measurement:
BPD cm Wks Days.
HC cm Wks Days.
AC cm Wks Days.
FL cm Wks Days.
Gross dysmorphic anomaly identified in present foetal position.

Fetal Maturity Wks Days. (Variation Wks.)
EDOD by USG:
Approximate body weight at the time of scanning is gms.

Placenta: is Segment in position Grade 0/I/II/III in maturity.

Length of Cervical Canal : mm. Internal OS:
Liquor Amnii is . AFI: cm.

IMPRESSION:

Declaration of the Doctor conducting Ultrasonography / Image Scanning:
I, the undersigned declare that while conducting ultrasonography on Ms. have neither detected nor disclosed the sex of the foetus to anybody in any manner.

This is a professional report. Not Valid for medico legal purpose.
Dr. SEEMA CHOPRA
MBBS, DGO.