Anamnesis vitae:
Go’daklik, bolalik va o’smirlik davri:________________________________________________
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Jinsiy va oilaviy xayoti:___________________________________________________________
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Turmush sharoiti:
Uy sharoiti: ___________________________________________________________________ __________________________________________________________________________________
Moddiy sharoiti: _______________________________________________________________
Ovqatlanishi:____________________________________________________________________________________________________________________________________________________
Mexnat faoliyati: _________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Zararli odatlari: _________________________________________________________________
Bemorning boshidan kechirgan kasalliklari: __________________________________________
_____________________________________________________________________________________
Nasliy ma’lumotlar: ____________________________________________________________ __________________________________________________________________________________
Allergologik anamnez:______________________________________________________________
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8. Epidemiologik anamnez: _____________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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