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Davolash so`nggida:
Diaskintest sinamasi qo`yilgan sana: ____/____/_______ seriya raqami_____/_____/_________ natijasi___________ Obzor rentgenografiya, flyuorografiya yoki MSKT xa yo`q sana: _____/_____/__________ natijasi___________
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Dorilarni berilish dozalari






N-Izoniazid

R.Rifampisin

P-Rifapentina







1 kunlik dozasi (grammda)




































Dorilarni berilish kunlari
Belgilash tartibi: ” dorilarni ichganligi “-” dori qabul qilmagan kun “Ya” yakshanba kuni “B” bayram kunlari





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Davo natijasi davolash tugatilgan sana: _____/_____/_______



1. Davolandi □ 2. O`ldi □ o`lgan kuni _____/_____/______ 3.Samarasiz davo □ 4.bemorni davolovchi vrach yo`qotib qo`ydi □

Izohlar: ___________________________________________________________________________________________________


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Davolovchi vrach : __________________________________________ imzo:______________
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