2. Anamnez va bemor holati haqida qisqacha ma’lumotlar

1. 
   Pasport qism
   

F.I.SH:_______________________________________________________Yoshi:________________________Jinsi____________________________
2. Anamnez va bemor holati haqida qisqacha ma’lumotlar:
Shikoyatlari:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________’Qisqacha kasallik anamnezi: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Hayot anamnezi: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Dori moddalar bilan bog’liq anamnez: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Kasallik davolashda qaysi dorilarga, qanday va qabul qilgandan qancha vaqtdan keyin nojo’ya ta’sirlari bo’ladi: ____________________________________________________________________________________________________________________________________________________________________________________Qaysi dorilar bilan uzoq va ko’p miqdorda davolangan: ____________________________________________________________________________________________________________________________________________________________________________________Vaksina va zardoblar qabul qilganmi va nojo’ya ta’sirlari bo’lganmi: ____________________________________________________________
________________________________________________________________________________________________________________________To’r parda va terida zamburug’li toshmalar bormi: ____________________________________________________________________________________________________________________________________________________________________________________Hayvonlar bilan bog’liq kasalliklar asoratlari bo’lganmi: ____________________________________________________________________________________________________________________________________________________________________________________Kasallik boshlanish ananezi: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Sistemalar bo’yicha ma’lumotlar (palpatsiya, auskultatsiya, perkussiya) ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Labarator va instrumental tekshiruv natijalari: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Klinik diagnoz:
Asosiy kasallik: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Asorati: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Qo’shimcha kasalliklari: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

№	Dori modda	Individual doza rejimi	Asosiy farmakokinetik parametrlari	Farmakodinamikasi va tanlovni asoslab berish

№	Dori modda	Dori moddaning farmokadinamik effektini nazorat qilish metodlari	Klinik labarator ko’rsatkichlar va farmokoeffektini baholash uchun hisoblashlar