2022 yil 17 yanvardagi №16-sonli Muaccaca nomi buyrug’i bilan tasdiqlangan


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ALMASHISH KARTASI 025.2

_______________________________________________________________________________
14. Chanoqning hajmi: ____________________________________________________________
D_____________________________________D________________________________________
Bo’yi________________________________Vazni______________________________________
15. Homilaning joylashish holati _________________________________kelib turgan qism: boshi,
dumbachasi, aniqlab bo’lmadi_______________________________________________________
Homila yurak urishi: aniq, ravon ______________________ yurak urishlari soni______________
Chap, o’ngda_____________________________________________________________________
Laborator va boshqa tekshiruvlar: ____________________________________________________
1 «_____» _________________ 20____ yil.;
2 «_____»_________________ 20____ yil
Rezus - musbat, manfiy, qon turi, antitelalar titri ________________________________qon guruhi
Erining qonini rezusi______________________________________________________________
Toksoplazmoz: (KBR), teridagi sinov ________________________________________________
Klinik tahlillar: qon_______________________________________________________________

VR I ____________________________ VR II______________________________


OIV ________________________________________20 ____yil
Hbs ag I _____________________________________20 ____yil
Hbs ag II ____________________________________20 ____yil
Gonokokk ______________________________ Toksoplazmoz __________________________
boshqa tekshiruv _________________________ siydik ________________________________
qindagi surtma taxlili (mazok) ______________________________________________________
Gijja tuxumlarini aniqlash uchun axlat taxlili _________________________________________
16. Jismoniy tarbiya __________________________ Mashg’ulotlar soni____________________
17. Psixoprofilaktik tayyorlov _________________ Mashg’ulotlar soni____________________
18. Onalar maktabi _____________________________________________________________
19. Stafilokokk anatotoksini yuborilgandagi sana: I marta________________________________
II marta________________________________ III marta________________________________

AK/B

























20. Sana






















21. Tug’ruqqa qadar ta’til bo`yicha mehnatga layoqatsizlik varog’ini berish sanasi « ____ » __________________20___yil


22. Tug’ishning taxminiy muddati «_____»______________________20____ y.

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