Bog'liq 1.Dermatovenerologiya kasallik tarixi shablon
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O’ZBEKISTON RESPUBLIKASI SOG’LIQNI SAQLASH VAZIRLIGI TOSHKENT TIBBIYOT AKADEMIYASI FAKULTET: Davolash ishi II
KAFEDRA: Dermatovenerologiya va kosmetologiya.
FAN: Ddermatovenerologiya.
KAFEDRA MUDIRI: TALABA: O’QITUVCHI: KASALLIK TARIXI BEMOR:_____________________________________________ ASOSIY TASHXIS:_____________________________________________ Toshkent- 2023
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I. Pasportga oid ma’lumotlar: 1. Bemorning familiyasi, ismi, otasining ismi __________________________________________
2. Yoshi __________
3. Ma’lumoti _______________________________________________________________________
4. Ish joyi _________________________________________________________________________
5. Millati _________________________________________________________________________
6. Turar joyi _______________________________________________________________________
7. Bemorning yo'llanmadagi diagnozi ________________________________________________
_____________________________________________________________________________________ 8. Dastlabki diagnoz ________________________________________________________________
_____________________________________________________________________________________
9. Kelgan vaqti – ________2023, ketgan vaqti – ________2023
II. Bemorning kasalxonaga tushgandagi shikoyatlari: Asosiy shikoyatlar:
_____________________________________________________________________________________