Jondor tuman tibbiyot birlashmasiga qarashli Muasassa nomi Bepul beriladigan dori vositalati uchun resept

Dori vositalarini qabul qilish, saqlash
va aholiga tarqatish tartibiga ILOVA
Jondor tuman tibbiyot birlashmasiga qarashli
Muasassa nomi
Bepul beriladigan dori vositalati uchun
RESEPT
Sana, oy, kun_______________________________
Bemorning F.I.SH_________________________________________
Yoshi:_____________________________________
Dorini nomi:

1. 
   ________________________________________________________________
   
2. 
   ________________________________________________________________
   
3. 
   ________________________________________________________________
   

Shifokor_________________________________________________
M.U