14.2 Bilet De Internare
This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA
Overview
Download & View 14.2 Bilet De Internare as PDF for free.
More details
- Words: 135
- Pages: 1
Judeţul ......................................
anul .............. luna ......................... ziua ........
Localitatea ............................................... Unitatea sanitară ..........................…………………........
…………………………………………………………………………………………………………….. .....................................................................................................................…………………................... ...........................................................................................................................………………….............
Codul numeric personal
…………………………………………………………………………………………………………….. .....................................................................................................................…………………................... ...........................................................................................................................………………….............
BILET DE INTERNARE
Se internează în spitalul .............................……………..…............... secţia ..............……………....
la: .....................................………………...........................…………….......................... Numele ............................................................ Prenumele ..............................……………..............
Data:
Semnătura şi parafa medicului de gardă,
anul .............. luna ......................... ziua .......
.......................................
Sexul M / F, vârsta .............. ani. Domiciliul: judeţul: ..........…………………..................... localitatea ..............……............... str. .....................................………………....................... nr. ...... Diagnosticul: .....................................…………………….…….......................................................... ...........................................................................................................………………….............................
Tratamente aplicate: ............................................................................………………….................. ..................................................................................................................................…………………...... ………………………………........................................………………….................................................
Nu a fost internat în spital pentru motivul: …………………….…………………………… …
...........................................................................................................................…………………............. …………………………………………………………………………………………………………….. ...........................................................................................................................…………………............. ……………………………………………………………………………………………………………..
.......................................................................................................................………………….................
Examene de laborat., radiologice, explorări funcţionale efectuate (data şi rezultatul): …………………………………………………………………………………………………………….. .....................................................................................................................…………………................... ...........................................................................................................................………………….............
Recomandări: .............................................................................................………………….....…… …………………………………………………………………………………………………………….. …………………………………………………………………………………………………………….. ...........................................................................................................................…………………............. ……………………………………………………………………………………………………………..
Semnătura şi parafa medicului, ....................................................................
14.2; A5; t2
- continuare -
Data:
Semnătura şi parafa medicului de gardă,
anul .............. luna ......................... ziua .......
.......................................
anul .............. luna ......................... ziua ........
Localitatea ............................................... Unitatea sanitară ..........................…………………........
…………………………………………………………………………………………………………….. .....................................................................................................................…………………................... ...........................................................................................................................………………….............
Codul numeric personal
…………………………………………………………………………………………………………….. .....................................................................................................................…………………................... ...........................................................................................................................………………….............
BILET DE INTERNARE
Se internează în spitalul .............................……………..…............... secţia ..............……………....
la: .....................................………………...........................…………….......................... Numele ............................................................ Prenumele ..............................……………..............
Data:
Semnătura şi parafa medicului de gardă,
anul .............. luna ......................... ziua .......
.......................................
Sexul M / F, vârsta .............. ani. Domiciliul: judeţul: ..........…………………..................... localitatea ..............……............... str. .....................................………………....................... nr. ...... Diagnosticul: .....................................…………………….…….......................................................... ...........................................................................................................………………….............................
Tratamente aplicate: ............................................................................………………….................. ..................................................................................................................................…………………...... ………………………………........................................………………….................................................
Nu a fost internat în spital pentru motivul: …………………….…………………………… …
...........................................................................................................................…………………............. …………………………………………………………………………………………………………….. ...........................................................................................................................…………………............. ……………………………………………………………………………………………………………..
.......................................................................................................................………………….................
Examene de laborat., radiologice, explorări funcţionale efectuate (data şi rezultatul): …………………………………………………………………………………………………………….. .....................................................................................................................…………………................... ...........................................................................................................................………………….............
Recomandări: .............................................................................................………………….....…… …………………………………………………………………………………………………………….. …………………………………………………………………………………………………………….. ...........................................................................................................................…………………............. ……………………………………………………………………………………………………………..
Semnătura şi parafa medicului, ....................................................................
14.2; A5; t2
- continuare -
Data:
Semnătura şi parafa medicului de gardă,
anul .............. luna ......................... ziua .......
.......................................
Related Documents
14.2 Bilet De Internare
April 2020 3
142
November 2019 35
142
November 2019 37
142
December 2019 37
142
November 2019 34
14.1 Bilet De Trimitere
April 2020 5More Documents from "Valentin"
Faptele Apostolilor Comentariu.pdf
June 2020 20
_proiect-didactic-2.docx
June 2020 27
Coloseni._indrumar_exegetic_i_omiletic..pdf
May 2020 9
I Regi 30.docx
May 2020 30
C._terinte_probleme_traductologice_in_co.pdf
May 2020 31