2. Anamnez va bemor holati haqida qisqacha ma’lumotlar

1. 
   Pasport qism
   

F.I.SH:_______________________________________________________

Yoshi:________________________

Jinsi____________________________

2. Anamnez va bemor holati haqida qisqacha ma’lumotlar:

Shikoyatlari:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________’

Qisqacha kasallik anamnezi: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Hayot anamnezi: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Dori moddalar bilan bog’liq anamnez: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Kasallik davolashda qaysi dorilarga, qanday va qabul qilgandan qancha vaqtdan keyin nojo’ya ta’sirlari bo’ladi: ____________________________________________________________________________________________________________________________________________________________________________________

Qaysi dorilar bilan uzoq va ko’p miqdorda davolangan: ____________________________________________________________________________________________________________________________________________________________________________________

Vaksina va zardoblar qabul qilganmi va nojo’ya ta’sirlari bo’lganmi: ____________________________________________________________

________________________________________________________________________________________________________________________

To’r parda va terida zamburug’li toshmalar bormi: ____________________________________________________________________________________________________________________________________________________________________________________

Hayvonlar bilan bog’liq kasalliklar asoratlari bo’lganmi: ____________________________________________________________________________________________________________________________________________________________________________________

Kasallik boshlanish ananezi: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________