Kafedra mudiri: talaba: O’qituvchi: kasallik tarixi
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1.Dermatovenerologiya kasallik tarixi shablon
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_____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 3 IV. Anamnesis vitae: 1. Go’daklik, bolalik va o’smirlik davri:________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 2. Jinsiy va oilaviy xayoti:___________________________________________________________ _____________________________________________________________________________________ 3. Turmush sharoiti: Uy sharoiti: ______________________________________________________________________ __________________________________________________________________________________ Moddiy sharoiti: __________________________________________________________________ Ovqatlanishi:______________________________________________________________________ __________________________________________________________________________________ 4. Mexnat faoliyati: _________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 5. Zararli odatlari: _________________________________________________________________ 6. Bemorning boshidan kechirgan kasalliklari: _______________________________________ _____________________________________________________________________________________ Nasliy ma’lumotlar: ____________________________________________________________ __________________________________________________________________________________ 7. Allergologik anamnez:_____________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 8. Epidemiologik anamnez: ___________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Download 305.69 Kb. Do'stlaringiz bilan baham: 
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