Образец лист учета водного баланса

O`ZBEKISTON RESPUBLIKASI
SOGLIQNI SAQLASH VAZIRLIGI


ANDIJON DAVLAT TIBBIYOT INSTITUTI


KAFEDRA:_______________________________________________ ______________________________________________________




OMX faqul’teti talabalari uchun
Bajardi: ___________________
Tekshirdi: _______________


Andijon
_____________Sana:
Kasalxona nomi: ______________________
Bo`lim: __________________palata №____
F.I.SH._______________________________
Tugilgan yili: ________________________
Yashash joyi: __________________________
Tana ogirligi:__________jinsi_________
Kasbi: _______________________________


Tashxis:______________________________________________________________________________________________________________________________________


Sub’ektiv axborot mazmuni:

• 
  Bemor xaqida umumiy ma’lumotlar: ________________________________
  

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Bemor so`rovi, bemor xaqida axborot: _______________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Bemorning xozirdagi shikoyatlari _________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

•