Irsiy: nasliy (nasliy emas)

Bolaning anamnez ma`lumotlari:

Irsiy: nasliy (nasliy emas): ______________________________________________________

Ota – onaning qarindoshligi: qarindosh (qarindosh emas):____________________________

Xomiladorlik:________________________________________________________________

Tug`ilishi:___________________________________________________________________

Psixik va jismoniy rivojlanishi: orqada qolgan (normada): ____________________________

Boshini qachondan tik tutgan: __________________________________________________

Qachon o`tirishi boshlagan : ___________________________________________________

Qachon emaklay boshlagan: ___________________________________________________

Qachon yura boshlagan:_______________________________________________________

Gugulashi qachondan boshlangan:_______________________________________________

Birinchi so`zlari qachon paydo bo`lgan:___________________________________________

Frazali nutqi qachon paydo bo`lgan:______________________________________________

Boshdan o`tkazgan kasalliklari:__________________________________________________

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Talvasa xuruji: _______________________________________________________________

O`zini o`zi boshqara olishi (boshqaradi):___________________________________________

Allergiya:___________________________________________________________________

Ko`rishi:____________________________________________________________________

Eshituvi:____________________________________________________________________

EEG:_______________________________________________________________________

MRT (qo`shimcha tekshiruv ma`lumotlari):________________________________________

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