sanatoriya-kurort karmakari

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$bxut bshyicha shakl kodi __________ format a–5 o'zbekiston respublikasi sog'liqni saqlash vazirligi ______________________ muassasa nomi o'zbekiston respublikasi sog'liqni saqlash vazirining 2017 yil 25 dekabrdagi № 777-sonli buyrug'i bilan tasdiqlangan 072- raqamli tibbiy xujjat shakli sanatoriya-kurort karmaci sanatoriya-kurort muassasalarida davolanishga kelgan shaxslar yullanma bilan birgalikda taqdim etadilar. ushbu karta bo'lmagan taqdirda yullanma haqiqiy qisoblanmaydi tuldirilgan sana “ ” 20 y. sanator-kurort karta № dam oluvchi f.i.sh. kartani bergan davolash muassasasining nomi viloyat tuman uy shaxar v kucha kv sanator -kurort kartani tuldirgan shifokorning f.i.sh dam oluvchi f.i.sh. tugilgan yili jinsi erkak (ayol), yashash manzili kasbi shikoyati: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ anamnesis morbi: shikoyatlar kachoidan buyon bezovta qilmoqda__________________________________________________ ushbu shikoyatlar bo'yicha oxirgi marta qachon statsionar yoki ambulator davo olgan: -------------------------------------------------------------------------------------------------------------------------------------------- qaysi dori -darmon va oziq -ovqat mahsulotlariga allergik ta'sirchanligi bor: -------------------------------------------------------------------------------------------------------------------------------------------- ob'ektiv kurik:(tagiga chizib ko'rsatilsin) tana tuzilnshi: normostenik, astenik, giperstenik shishlar: yuzda, korin bushligida, oyovda, anasarka, astsit terisi: so g lom, okargan, sargaygan, k\ruk. nam, …$

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auskultativ: vezikulyar nafas, bronxial nafas xirillash: kuruk, nam, xushtaksimon, tarkalgan yurak-qon tomir tizimi: kb mm.sm.ust; puls 1minutda marta- ritmik, aritmik, auskultativ: yurak tonlari ritmik, aritmik, bug'iq, tiniq, botnik nuktasida 2 ton aktsenta bor, yuk til: toza, nam, quruq. karashlangan qorin bushligi: og'riqsiz, og'riqli jigar va taloq; palpatsiyada: kattalashmagan, kattalashgan ich kelishi: muntazam, qabziyatli, buzilgan buyrak: pasternak simptomi ijobiy, salbiy ikki tomonlama, ung, chap peshob kelishi_______________________ davo muolajalari tartib parxez terrenkur sana muolaja nomi buyurilish tartibi soni mineral suv vanna (mineral, marjonli, fito) dushlar (tsirkulyar, sharko, kutariluvchi, yomg'irsimon) gai shifobaxsh balchiq parafin-ozokerit massaj djm fitochoy pcht yucht darsenval magnito-lazer dori-darmon spa basseyn qo'shimcha muolajalar izox: 1 kunda dam oluvchiga o'rtacha 1-2ta suv muolajalari, 1 ta pcht, 1 ta yucht, magnito-lazer, 1ta issiqliq muolajalari ketma-ketlik va bir-biriga moyilligiga qarab buyurilishi kerak, uqalash 1-1,5 birlikda, ma'danli ichimlik suvi, terrenkur, djm, gai xar kuni umumiy axvoli va tekshiruv natijalariga karab belgilanishi mumkin. sanatoriy ixtisosiga …

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____ tashxis: asosiy__________________________________________________________________________________________________________________________________________ xamrox kasalliklar ______________________________________________________ ________________________________________________________________________ asorati_________________________________________________________________________________________________________________________________________ tavsiya kilingan sanatoriya-kurort _______________________________________ sanatoriya yunalishi ____________________________________________ davolovchi shifokor_____________________________ bulim mudiri _______________________________ m.u dam oluvchining sog'lomlashtirish bayoni №___ yo'llanma (kursovka)№ muddati dan gacha dam oluvchining f.i.sh._________ xona_____bulim______________________ ______________________________ davolovchi shifokori___________________ tug'ilgan yili__________________ kelgan kuni________________ millati _ ketgan kuni________________ jinsi_________________________ muddatidan oldin ketgan kuni___________ ish joyi. kasbi________________ sababi_______________________________ ______________________________ qo'shimcha uzaytirilgan kunlar___________ ______________________________ umumiy davolangan kunlar______________ uy manzili_________________________________________________________________ __________________________________________________________________________ telefon raqami_______________________pasport seriyasi_____№________________ qaysi davlat fuqarosi ______________________________________________________ sanatoriyaga yuborilgan tashxis ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ qabulxonada quyilgan birlamchi tashxis: asosiy ____________________________________________________________________ _________________________

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_________________________________________________ xamrox ___________________________________________________________________ __________________________________________________________________________ klinik tashxis sanasi______________ asosiy ____________________________________________________________________ __________________________________________________________________________ xamrox____________________________________________________________________ __________________________________________________________________________ asorati __________________________________________________________________ __________________________________________________________________________ yakuniy tashxis: asosiy___________________________________________________________________ _________________________________________________________________________ xamrox___________________________________________________________________ __________________________________________________________________________ asorati___________________________________________________________________ __________________________________________________________________________ pedikulyozga tekshirildi: ____________________ sanatoriy ichki tartibi bilan tanishdim: _________ dam oluvchi imzosi. pul va kimmatbaho buyumlar uchun ma'muriyat javob bermaydi tanishdim: _________dam oluvchi imzosi. sanator-kurort karta №___________ to'ldirilgan sana_________ epidemiologik anamnez: oxirgi 6 oy ichida: chet elga chiqqan: ha, yuk. yuqumli kasalliklar bilan kasallangan: ha (qanday)______________________yo'k. yoki mulokatda bulgan: xa(kanday)__________________________yo'k;. stomatologik muolajalar olgan: ha, yo'k. in'ektsiya yuli bilan davo olganda bir marotaba ishlatiladigan shpritsdan foydalangan: xa,yo'q. jarroxlik operatsiyalar bo'lgan: xa, yo'q ayollarda xomilani oldirish (abort) bo'lgan: ha, yo'q tatuaj qildirgan: xa, yo'q qon quydirish yoki qon topshirish (donorlik) qilgan: xa, yo'q antropometriya kon bosimi vazni bu

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yi- kabul vaqti da qorin aylanasi ulchami tana vazni indekei qabul vaqtida davo yakuni da qabul vaqtida davo yakuni da qabul vaqtida yakunida qabul vaqtida davo yakunida qabulxona shifokori_____________________ davolovchi shifokor ko'rigi: sana vakti shikoyati_________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________ anamnesis morbi and vitae: shikoyatlar qachondan buyon bezovta qiladi_____________________________________ oxirgi marta qachon sanator-kurort davo olgan_________________________________ oxirgi marta qachon statsionar, ambulator medikamentoz davo olgan_______________ qaysi dori -darmon va oziq -ovqat maxsulotlariga allergik ta'sirchanligi bor: _________________________________________________________________________ nasliy kasalliklarga moyilligi_____________________________________________ o'tkazgan kasalliklari______________________________________________________ bajaradigan ishi: aqliy, jismoniy__________________________________________ ovqatlanishi: muntazam, nomuntazam, parxezli_________________________________ salbiy odatlari: chekadi, chekmaydi,___________________________________________ alkogol ichimliklar: ichmaydi, ichadi: gohida, muntazam ________________________ moddiy-ma'ishiy sharoitlari: yaxshi, o'rtacha, og'ir______________________________ oilaviy sharoiti:turmush qurgan, turmush qurmagan, ajrashgan, beva_______________ xayz kurishi: muntazam, nomuntazam, og'riqli, og'riqsiz__________________________ _________________________________________________________________________ ob'ektiv kurik: tana tuznlishi: normostenik, astenik, giperstenik shishlar: yuzda, qorin bo'shligida, oyokda, anasarka, astsit terisi: sog'lom. oqargan, sarg'aygan. kuruk. nam, toshmali teri osti yog katlami. normal rivojlangan, yaxshi rivojlanga

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bxut bshyicha shakl kodi __________ format a–5 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 072- raqamli tibbiy xujjat shakli sanatoriya-kurort karmaci sanatoriya-kurort muassasalarida davolanishga kelgan shaxslar yullanma bilan birgalikda taqdim etadilar. ushbu karta bo'lmagan taqdirda yullanma haqiqiy qisoblanmaydi tuldirilgan sana “ ” 20 y. sanator-kurort karta № dam oluvchi f.i.sh. kartani bergan davolash muassasasining nomi viloyat tuman uy shaxar v kucha kv sanator -kurort kartani tuldirgan shifokorning f.i.sh dam oluvchi f.i.sh. tugilgan yili jinsi erkak (ayol), yashash manzili kasbi shikoyati: _____________________________...

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