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Pasportga oid ma’lumotlar. Bemorning ism sharifi familiyasi
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səhifə | 1/24 | tarix | 15.05.2022 | ölçüsü | 40,63 Kb. | | #58087 |
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Pasportga oid ma’lumotlar.
Bemorning ism sharifi familiyasi :________________________________________
Bemorning yoshi:_____________________________________________________
Ma’lumoti:___________________________________________________________
Ish joyi:______________________________________________________________
Millati:______________________________________________________________
Turar joyi: __________________________________________________________
Bemorning yo’llanmadagi diagnozi______________________________________
Dastlabki diagnoz:____________________________________________________
Bemorning shifoxonaga kelgan vaqti: ________________
Ketgan vaqti : _________________
Dostları ilə paylaş: |
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