Медицинская карта ученика

Ф.И.О.___________________________________________________________________________    7 лет

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Общий анализ крови _________________________________Общий анализ мочи___________________

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Ф.И.О___________________________________________________________________________    7 лет

Дата рожд______________________Дом.адрес________________________________________________________

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Общий анализ крови _________________________________Общий анализ мочи___________________

Ф.И.О_____________________________________________________________________________________ 8 лет

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Ф.И.О_____________________________________________________________________________________ 8 лет

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Ф.И.О___________________________________________________________________________________     9 лет

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Ф.И.О__________________________________________________________________________________        9 лет

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Ф.И.О.___________________________________________________________________________________    10 лет

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Окулист_____________________________________                       ____________________________________________
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Общий анализ крови _________________________________Общий анализ мочи___________________

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Ф.И.О.___________________________________________________________________________________    10 лет

Дата рожд. __________________________ Дом. адрес__________________________________________________

Рост_______________________ Вес_______________________________________________

Невролог_____________________________________   _____________________________________________        _____________________________________________

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Окулист_____________________________________                       ____________________________________________
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Общий анализ крови _________________________________Общий анализ мочи___________________

Ф.И.О_________________________________________________________________________________         11 лет

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Ф.И.О_________________________________________________________________________________         11 лет

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Ф.И.О_________________________________________________________________________________         12 лет

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Ф.И.О_________________________________________________________________________________         12 лет

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Ф.И.О.___________________________________________________________________________________    13 лет

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Ф.И.О.___________________________________________________________________________________    13 лет

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Детский стоматолог_________________________                       _____________________________________________
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Ф.И.О.__________________________________________________________________________________    14 лет

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Стоматолог___________________________________   _____________________________________________        _____________________________________________

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Уролог-андролог (Акушер-гинеколог)____________                       _____________________________________________
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Ф.И.О.__________________________________________________________________________________    14 лет

Дата рожд. _________________________ Дом. адрес___________________________________________________

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Уролог-андролог (Акушер-гинеколог)____________                       _____________________________________________
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Ф.И.О.___________________________________________________________________________________    15 лет

Дата рожд. __________________________ Дом. адрес__________________________________________________

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Хирург ___________________________________                       _____________________________________________
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Гинеколог (Уролог-андролог)___________________                       _____________________________________________
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Ортопед _____________________________________                       _____________________________________________
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Детский эндокринолог_________________________ _____________________________________________
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Общий анализ крови ____________________________________

Общий анализ мочи_____________________________________

Электрокардиография ____________________________________________________________________________

УЗИ почек, органов брюшной полости ______________________________________________________________

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Ф.И.О.___________________________________________________________________________________    16 лет

Дата рожд. __________________________ Дом. адрес__________________________________________________

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Хирург ___________________________________                       _____________________________________________
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Психиатр____________________________________                                        

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Стоматолог___________________________________                       _____________________________________________
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Окулист____________________________________   _____________________________________________        _____________________________________________

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Гинеколог (Уролог-андролог)___________________                       _____________________________________________
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Лор_________________________________________                                        

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Ортопед-травматолог__________________________                       _____________________________________________
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Детский эндокринолог_________________________ _____________________________________________
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Педиатр_____________________________________
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Общий анализ крови ____________________________________

Общий анализ мочи_____________________________________

Ф.И.О.___________________________________________________________________________________    17 лет

Дата рожд. __________________________ Дом. адрес__________________________________________________

Вес______________________________________Рост______________________________________________

Невролог_____________________________________   _____________________________________________        _____________________________________________

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Хирург ___________________________________                       _____________________________________________
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Психиатр____________________________________                                        

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Стоматолог___________________________________                       _____________________________________________
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Окулист____________________________________   _____________________________________________        _____________________________________________

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Гинеколог (Уролог-андролог)___________________                       _____________________________________________
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Лор_________________________________________                                        

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Ортопед-травматолог__________________________                       _____________________________________________
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Детский эндокринолог_________________________ _____________________________________________
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Педиатр_____________________________________
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Общий анализ крови ____________________________________

Общий анализ мочи_____________________________________

Электрокардиография _____________________________________________________________________________

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