tіbbiy hujjat shakli, 053-raqamli

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bxut bshyicha shakl kodi __________ format a–4 o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyrug'i bilan tasdiqlangan 053 -raqamli tibbiy xujjat shakli harbiy xizmatga chaqiriluvchining davolanish kartasi varag'iga № _____ 1. ismi, sharifi___________________________________________________________ 2. tug'ilgan sana kun_____oy__________________yil __________ 3. chaqiriluvchining tug'ilgan joyi ____________________________________________________ ___________________________________________________________________________________ 4. ishlash joyi ___________________________________________________________ 5. egallab turgan lavozimi ___________________________________________________ 6. kasallik nomi (hisobga olish vaqtida tibbiy hay'atning xulosasi) ____________________ ___________________________________________________________________________________ ___________________________________________________________________________________ 7. qabulga kelish muddati ___________________________________________________________ qabulga kelash vaqti 200___ yil _________________ ga belgilandi. 200___ yil ____________ da qabulga kelishi haqida eslatma yuborildi. 200____ yil _______ da qabulga keldi. 8. 200___ yil _____________________ da vrach nazoratida bo'ladi. 9. kasallikning diagnozi (davolash muassasasida qo'yilgan) ____________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________ 10. ob'ektiv tekshiruv natijalari _____________________________________________ ________________________________________________________________________________________________________________________________________________________________________________________________________________

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___________ 11. rentgenologik tekshiruv natijalari ___________________________________________ _________________________________________________________________________ 12. laboratoriyadagi tekshiruv natijalari ________________________________________ __________________________________________________________________________________________________________________________________________________13. boshqa tekshiruvlarning natijalari __________________________________________________________________________________________ 14. qilingan muolajalar __________________________________________________________ _______________________________________________________________________________ 15. muolaja natijalari ______________________________________________________ _________________________________________________________________________ 16. davolash muassasasi hisobidan chiqishda salomatligi ahvoli va harbiy loyiqligi to'g'risidagi dastlabki tibbiy xulosa ______________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 17. davolash muassasasi hisobidan chiqarildi _______________________________________ muhr o'rni _____________ 200 ___ yil __________________ davolovchi shifokor ___________________________________________ familisi, imzo bosh shifokor _______________________________________________ familiyasi, imzo o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyrug'i bilan tasdiqlangan 053- raqamli tibbiy xujjat shakli harbiy xizmatga chaqiriluvchining davolanish kartasi varag'iga № _____ kesma talon (chaqiriluvchini davolash ro'yxatidan o'chirilganda to'ldiriladi va tuman sog'liqni saqlash bo'limi orqali ray.voenkomatga yuboriladi) _________________________________________________________________________ 1

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. ismi, familiya___________________________________________________________ ________________________________________________________________________ 2. tug'ilgan sana ___________________________________________________________ 3. chaqiriluvchining turar joyi _________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ 4. ishlash joyi ___________________________________________________________ 5. egallab turgan lavozimi ___________________________________________________ 6. kasallik nomi (hisobga olish vaqtida tibbiy hayoatning xulosasi) ____________________ _________________________________________________________________________ _________________________________________________________________________ 7. qabulga kelish muddati qabulga kelash vaqti 200__ y _____ ga belgilandi. 200___ yil ____________ da qabulga kelishi haqida eslatma yuborildi. 200____ yil _______ da qabulga keldi. ______________________________________________________________________________ 8. 200___ yil _____________________ da vrach nazoratida bo'ladi. davolash jarayoni. 9. anamnezi: oldingi kuzatuv maolumotlari va dastlabki ko'rik dalillari _________________ __________________________________________________________________________________________________________________________________________________ 10. rentgenologik va laboratoriya tekshiruv natijalari _______________________________ __________________________________________________________________________________________________________________________________________________ 11. diagnozi: ______________________________________________________ ________________________________________________________________________________________________________________________________ 12. davolash muassasasi hisobidan chiqishda salomatligi ahvoli

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bxut bshyicha shakl kodi __________ format a–4 o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyrug'i bilan tasdiqlangan 053 -raqamli tibbiy xujjat shakli harbiy xizmatga chaqiriluvchining davolanish kartasi varag'iga № _____ 1. ismi, sharifi___________________________________________________________ 2. tug'ilgan sana kun_____oy__________________yil __________ 3. chaqiriluvchining tug'ilgan joyi ____________________________________________________ ___________________________________________________________________________________ 4. ishlash joyi ___________________________________________________________ 5. egallab turgan lavozimi ____________________________...

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