tugruqlar bayonnomasi

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shzbekiston respublikasi bxut bshyicha shakil 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 096- raqamli tibbiy xujjat shakli tug'ruqlar bayonnomasi № familiya, ismi, otasining ismi___________________________________________________ millati ____________________________________________________________________________ qabul qilingan vaqti 20___yil “____”___________ ___________ __________ soat daqiqa qon guruhi ______ gemoglobini___________ rezus mansublik________________________ antitelolar miqdori____________________ tug'ruqxonadan chiqish vaqti 20___yil “___”__________ ___________ __________ soat daqiqa allergik ta'sirchanligi____________________ yotgan kunlar soni______________________________ rw_________________________________ xona №_____________________________________ so'zak bo'yicha tekshiruv___________________ kim tomonidan yuborildi________________________________________________________________ doimiy yashash joyi: shahar, qishloq (tagiga chizilsin)___________________________________________ manzili (to'liq yozilsin)_______________________________________________________________ ________________________________________________________telefoni_____________________ oilaviy axvoli, nikoxdan o'tganmi, yolg'iz (tagiga chizing) homiladorning, tuqqan ayolning ish joyi, kasbi lavozimi________________________________________ ___________________________________________________________________________________ xomiladorlik vaqtida shifokor (doya) nazoratida bo'lganmi: ha, yo'q (tagiga chizing) necha marta______________ akusher-ginekolog tibbiy ko'rigi soni____________________________ qabul qilingan vaqtidagi tashhisi ________________________________________________________ klinik tashhis _______________________________________________________________________ yakuniy tashhis_________

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______________________________________________________________ tug'ish jarayonida, tug'ruqdan keyingi asoratlar _________________________________________________ _________________________________________________________________________________________ o'tkazilgan jarrohlik amaliyoti nomi _________________________________________________ javob berildi: boshqa joyga o'tkazildi, vafot etdi: homiladorligicha, tug'ruq vaqtida, tug'ruqdan so'ng (tagiga chizing) ___________________________________________________________________________________ (ayolning o'zidan olingan ma'lumotlar) umumiy xastaliklar __________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ____________________________________________________ _____________________________________________________ erining salomatligi __________________________________ _____________________________________________________ hayz ko'rishi __________ yoshdan boshlangan_______________ ____________________________________________________ _____________________________________________________ jinsiy hayoti _________________________ yoshdan boshlangan (turmushga chiqqan) ____________________________________ ginekologik kasalliklar ______________________________ ____________________________________________________ ____________________________________________________ ____________________________________________________ avvalgi homiladorliklari (tuqqan, bola oldirgan, asoratga uchragani, jarrohlik tadbirlarining sanasi, chaqaloqlarning vaznlari) _____________________________________

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________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ______________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ____________________________________________________ _____________________________________________________ _____________________________________________________ nechta bolasi hayot _____________________________________ o'lik tug'ilganlari ____________________________________ nobud bo'lganlari _____________________________________ _____________________________________________________ bo'yi _______ sm. vazni ________________________________ _____________________________________________________ harorati ____________________________________________ nechanchi homiladorlik ________________________________ nechanchi tug'ishi ______________________________________ oxirgi hayz ko'rishi __________________________________ homilaning birinchi bor qimirlashi ____________________ _____________________________________________________ d. sp __________ d. cr_____________ d. tr_______________ chanog'i: s. ext/ _________________ c/diag ________________ t. vera______________________________________________ qorin aylanasi ________________________________ sm bachadon tubining balandligi____________________ sm homila joylan

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ishi, o'rni va ko'rinishi __________________ ____________________________________________________ homilaning yurak urishi, joyi, soni ____________________________________________________ homilaning oldin kelgan qismi _______________________ ____________________________________________________ joylashgan joyi ____________________________________ tug'ish faoliyati ____________________________________ homilaning taxminiy og'irligi _______________________ vrach _______________________________________________ doya ________________________________________________ chaqaloq gonoblenoreyaga qarshi muhofazalandi ____________________________________________________ (nima bilan) chaqaloqning apgar shkalasi bo'yicha bahosi holati _______________ ball tug'ruqdan ______________ soat _____________ daqiqadan so'ng yo'ldosh tushdi, o'zi ajraldi, qo'l bilan olindi, vosita qo'llanildi (tagiga chizing) bolalik joyi butun, shubhali _________________________ qag'anog'i butun, shubhali _____________________________ kindik: uzunligi _____________ sm ____________________ atrofiga o'ralib qolgan: ______________________________ xususiyati __________________________________________ tug'ruq paytida ketgan qon ________________________ ml mazkur homiladorlikning kechishi va asoratlari _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ tug'ruqxonaga tushgan vaqtidagi holati _______________________________________

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______________ _____________________________________________________ ko'zdan kechirish natijalari ___________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ______________________________________________________ ______________________________________________________ yuragi ________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ tomir urishi __________________________________________ ______________________________________________________ o'ng qo'lidagi arterial qon bosimi________________________ chap qo'lidagi arterial qon bosimi _______________________ nafas olish a'zolari __________________________________ _____________________________________________________ _____________________________________________________ ovqat hazm qilish tizimi a'zolari ____________________________ ____________________________________________________ siydik –tanosil tizimi a'zolari _____________________________ ____________________________________________________ peshob tsentrafugasi __________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ _____________________________________________________ ________________________________________________

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О "tugruqlar bayonnomasi"

shzbekiston respublikasi bxut bshyicha shakil 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 096- raqamli tibbiy xujjat shakli tug'ruqlar bayonnomasi № familiya, ismi, otasining ismi___________________________________________________ millati ____________________________________________________________________________ qabul qilingan vaqti 20___yil “____”___________ ___________ __________ soat daqiqa qon guruhi ______ gemoglobini___________ rezus mansublik________________________ antitelolar miqdori____________________ tug'ruqxonadan chiqish vaqti 20___yil “___”__________ ___________ __________ soat daqiqa...

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