Abu Ali ibn Sino nomidagi Buxoro Davlat tibbiyot instituti

Abu Ali ibn Sino nomidagi

Buxoro Davlat tibbiyot

instituti

FAKULTET: DAVOLASH ISHI

KAFEDRA: UMUMIY XIRURGIYA

FAN: UMUMIY XIRURGIYA

KASALLIK TARIXI

Bajardi:_____________________________________________

Qabul qildi:__________________________________________
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 ____________________________________________________
   

_____________________________________________________________________________________

8. 
   Dastlabki diagnoz _________________________________________________________________
   

_____________________________________________________________________________________

9. 
   Kelgan vaqti – ________20_____, ketgan vaqti – ________20_____
   

1. 
   Bemorning kasalxonaga tushgandagi shikoyatlari: