Buxoro davlat tibbiyot instituti


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O’ZBEKISTON RESPUBLIKASI SOG’LIQNI SAQLASH VAZIRLIGI

BUXORO DAVLAT TIBBIYOT INSTITUTI


FAKULTET:_______________________________________________


GURUH: __________________________________________________
KAFEDRA: ________________________________________________
FAN: _____________________________________________________
KASALLIK TARIXI

Bajardi:___________________________


Qabul qildi:__________________________

Buxoro- 2023



  1. Pasportga oid ma’lumotlar:




  1. Bemorning familiyasi, ismi, otasining ismi __________________________________________

  2. Yoshi __________

  3. Ma’lumoti____________________________________________________________________

  4. Ish joyi ______________________________________________________________________

  5. Millati _______________________________________________________________________

  6. Turar joyi ____________________________________________________________________

  7. Bemorning yo'llanmadagi diagnozi _______________________________________________

_______________________________________________________________________________

  1. Dastlabki diagnoz ______________________________________________________________

_______________________________________________________________________________



  1. Bemorning kasalxonaga tushgandagi shikoyatlari:

Asosiy shikoyatlar _______________________________________________________________ _______________________________________________________________________________

Ikkinchi darajali shikoyatlar:________________________________________________________ ________________________________________________________________________________


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