Farg‘ona viloyati suv sport turlariga ihtisoslashtirilgan bolalar va o‘smirlar sport maktabi tibbiyot bo‘limi suv sport turlari bilan shug‘ullanish uchun chuqurlashtirilgan tibbiy ko‘rik karta si

O‘zbekiston respublikasi Jismoniy tarbiya va sport vazirligi

Farg‘ona viloyati jismoniy tarbiya va sport boshqarmasi

Farg‘ona viloyati suv sport turlariga ihtisoslashtirilgan bolalar va o‘smirlar sport maktabi tibbiyot bo‘limi

SUV sport turlari bilan shug‘ullanish uchun chuqurlashtirilgan
TIBBIY KO‘RIK
KARTA si

Familiya, Ismi _________________________________________________

______________________________________________________________ Tug‘ilgan yili:___________________________________________________

Yashash manzili:________________________________________________

______________________________________________________________

MUTAHASISLAR KO‘RUVI

1.TRAVMATOLOG ORTOPED_________________________________________________________

2.JARROX_________________________________________________________

3.NEVROPOTOLOG_________________________________________________

4.OTORINOLARINGOLOG___________________________________________

5.OFTOLNOLOG___________________________________________________

6.DERMATOLOG___________________________________________________

7.KARDIOLOG (EKG hulosasi asosida va tasma ilova qilingan holda)_________ __________________________________________________________________

Klinik labarator tekshiruvlar natijalari:

1. 
   Qonning klinik tahlili: Hв____, Er____, Ley_____RK______ECHT_______
   

(Shtamp yoki shifokor muxri _________________imzo)

2. 
   Qonning biokimyoviy tahlili: ALT ______, AST ______.
   

(Shtamp yoki shifokor muxri _________________imzo)

3. 
   Gijjaga najas tahlili__________________________________________
   

(Shtamp yoki shifokor muxri _________________imzo)

Pediatr hulosasi:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Shifokor imzosi_______________Shifokor muxri__________________

Ushbu tibbiy kartadagi yozuvlar ma’lumotlarning xaqqoniyligi uchun uni to‘ldirilgan tibbiy muassasa javobgardir.

FVSSTIBO‘SM shifokorining hulosasi:

Bo‘yi (tik turganda)_____________ Bo‘yi (o‘tirganda)______________

Vazni__________________ Kettle Indeksi:__________________

Qo‘l kuchi(dinamometriya) Bosh aylanasi:__________________

O‘ng qo‘l______________ Ko‘krak aylanasi:_______________

Chap qo‘l______________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ALIMBAYEV K.K.

Imzo________Muxr_______Sana______________