| ACTIVITIES ON PARTOGRAM | Well performed | Not well performed | comment | profession | |
| Patients information | Name |
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| Gravidity formula |
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| Hospital number |
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| Date and time of admission |
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| Time of membrane rupture |
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| Foetal condition | FHR |
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| Amniotic fluid |
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| Moulding |
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| Labour condition | Dilatation |
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| Descent |
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| Timing |
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| Uterine Contractions/10mins |
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| Drugs given (oxytocin or any others) |
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