Tug’ruq tarixi Bemor: Bajardi: Tekshirdi: Buxoro – 2023 yil. Tug’ruqtarixi


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Abu Ali ibn Sino nomidagi
BuxoroDavlatTibbiyotInstituti

Kafedra: __________________________________________________

Kafedramudiri: ___________________________________________


Tug’ruq tarixi

Bemor: ________________________________________________________

Bajardi:________________________________________________________

Tekshirdi:______________________________________________________


Buxoro – 2023 yil.


Tug’ruqtarixi
O’qituvchi:_____________________________________________________
Talaba:_________________________________________________________
Kursguruh:_________________________________________________________
Fakultet:_______________________________________________________
Baho:__________________________________________________________

I.Pasportqismi

  1. Tug’ruqxonaningnomi:____________________________________________________

  2. Qabulqilingansana (sanaoyyilvaqt):_____________________________________________________

  3. Homiladorning FIO:_______________________________________________________

  4. Yoshi:_____________________________________________________

  5. Manzili:___________________________________________________

  6. Ishjoyi:_______________________________________________________

  7. Oilaviypoliklinikanazorati:__________________________________________________

  8. Homiladorlik________Tug’ruq:______________________________

  9. Sanitariyakuzatuvinio’tkazishusuli:_____________________________________________________

  10. Qabulqilingandagi shikoyatlari:__________________________________________________________________________________________________________


KELGANDAGI DIAGNOZI

  1. Asosiy:____________________________________________________

  2. Yondosh:__________________________________________________

  3. Asoratlar:_________________________________________________



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