Kasallik tarixi bajardi: Qabul qildi: Pasportga oid ma’lumotlar
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Karimov Kozimbek. kasallik tarixi
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Anamnesis vitae:
Go’daklik, bolalik va o’smirlik davri:________________________________________________ __________________________________________________________________________________________________________________________________________________________________________ Jinsiy va oilaviy xayoti:___________________________________________________________ _____________________________________________________________________________________ Turmush sharoiti: Uy sharoiti: ___________________________________________________________________ __________________________________________________________________________________ Moddiy sharoiti: _______________________________________________________________ Ovqatlanishi:____________________________________________________________________________________________________________________________________________________ Mexnat faoliyati: _________________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Zararli odatlari: _________________________________________________________________ Bemorning boshidan kechirgan kasalliklari: __________________________________________ _____________________________________________________________________________________ Nasliy ma’lumotlar: ____________________________________________________________ __________________________________________________________________________________ Allergologik anamnez:______________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Download 74 Kb. Do'stlaringiz bilan baham: 
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