O‘zbekiston Respublikasi IIV maxsus tibbiy komissiyasi
Mahkumni tibbiy ko‘rikdan o‘tkazilganligi haqida
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XULOSA
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Familiyasi ________________________________________________________
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Ismi, sharifi ______________________________________________________
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Tug‘ilgan yili va joyi ______________________________________________
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Kim tomondan va qachon hukm qilingan _________________________________
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O‘zR JK _________ moddasi
Jazo muddati ____________________________________
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Muddat boshlangan vaqti ___________________________
Muddatning tugash vaqti ___________________________
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Shaxsiy hujjatlarning yig‘ma jildi № _______________________________
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Sudlanguncha kim bo‘lib ishlagan ______________________________________
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(ishlamagan bo‘lsa sababi ko‘rsatilsin)
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Jazo muddatini o‘tash davrida kasal bo‘lguncha kim bo‘lib ishlagan
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(ishlamagan bo‘lsa sababi ko‘rsatilsin)
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Hozirgi kunda saqlanayotgan (davolanayotgan) muassasaning nomi ___________
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Sog‘lig‘iga shikoyatlar ________________________________________________
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