O’zbekiston respublikasi sog’liqni saqlash vazirligi toshkent tibbiyot akademiyasi

Ikkinchi darajali shikoyatlar: _________________________________________________________ _____________________________________________________________________________________

3. Anamnesis morbid:

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4. 
   Anamnesis vitae:
   

1. 
   Go’daklik, bolalik va o’smirlik davri:________________________________________________
   

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2. 
   Jinsiy va oilaviy xayoti:___________________________________________________________
   

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3. 
   Turmush sharoiti:
   

Uy sharoiti: ___________________________________________________________________ __________________________________________________________________________________
Moddiy sharoiti: _______________________________________________________________
Ovqatlanishi:____________________________________________________________________________________________________________________________________________________

4. 
   Mexnat faoliyati: _________________________________________________________________
   

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5. 
   Zararli odatlari: _________________________________________________________________
   

6. 
   Bemorning boshidan kechirgan kasalliklari: __________________________________________
   

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Nasliy ma’lumotlar: ____________________________________________________________ __________________________________________________________________________________

7. 
   Allergologik anamnez:______________________________________________________________
   

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8. Epidemiologik anamnez: _____________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5.