Shifokor Xulosa, imzo

--------*93 Bolalarni ko`p tarmoqli davlat ixtisoslashtirilgan maktabgacha ta’lim tashkilotlariga va qo`shma tipdagi maktabgacha ta’lim tashkilotlariga yo`llash bo`yicha tibbiy-psixologik-pedogogik komissiyasi
Bolaning

F.I.Sh____________________________________________________________

Kun, oy,yil. _______________________________________________________

Manzili __________________________________________________________

Tel:_____________________ __________________

№	Shifokor	Xulosa, imzo
1.	Pediatr
2.	Nevrolog
3.	Psixonevrolog
4.	Psixonevrolog
5.	Ortoped
6.	Otolaringolog
7.	Oftalmolog
8.	Defektolog
9.	Logoped
10.	Psixolog

Tavsiyalar:

Xulosa:

KTDIMTT:

Muddat:

To’lov:

Surxonadaryo viloyati maktabgacha

ta’lim bosh boshqarmasi
boshlig`i, qabul komissiyasi
raisi Sh.Xolliyevaga
____________________________
____________________maxallasi

____________kucha ________uy

__________ xonadonda yashovchi

_________________________dan

ARIZA
Sizdan shuni iltimos qilamanki, ________yil __________________ kuni tug`ilgan farzandim

________________________________________________________________________ga

______________________________________ shahridagi __________-sonli ko`p tarmoqli

ixtisoslashtirilgan maktabgacha ta’lim tashkilotiga yo`llanma berishingizni so‘rayman.

F.I.Sh.___________________________________________________________

imzo___________________________

Sana____________________________