Top of clerking- Name
- Age
- Occupation
- Parity
- LMP
- Cycle
- Cervical smear
- Contraception
History - PC
- HPC
- Menstrual history
- Menarche
- Timing
- Regularity
- How often
- How long
- Amount
- Clots
- IMB
- PCB
- Associated pain
- Obstetric history
- PMH
- Drug history
- Allergies
- Family history
- Social history
- Smoking
- Alcohol
- Accommodation
- Sexual history
- Partner
- Discharge
- STI
- PCB
- Previous contraception
|
|
