Pasportga oid ma’lumotlar. Bemorning ism sharifi familiyasi

__________________________________________________________________

• 
  Puls soni _________ta. ЧСС____________________________________
  

Kuratsiyada puls soni__________ta. ЧСС_______________________________

• 
  Tomir devori_________________________________________________
  

Bemorning arterial qon bosimi:

• 
  O’ng qo’lda_________________mm.sim.ust.
  
• 
  Chap qo’lda_________________mm.sim.ust.
  

7. 
   Ovqat hazm qilish sisitemasi
   

Bemorning shikoyatlari__________________________________________________

Bemorning o’g’iz bo’shlig’ini ko’zdan kechirganda: Til_______________________

_____________________________Milklar__________________________________