27.54 Registru Evid Bolnavi Dializati

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REGISTRUL DE EVIDENŢĂ A BOLNAVILOR DIALIZAŢI

Profesia

Boală renală

Serologie Ag

Ac anti HIV

Locul naşterii

Grup sanguin RH

HC

Data naşterii

Casa de asigurări de sănătete

HB

Nume şi prenume Iniţiala tatălui

Domiciliul actual (tel.)

HB

Nr. crt.

Codul numeric personal

Cale abordare (data,tip)

Data initierii dializei

Data si cauza intreruperii dializeii

Observaţii

27.5 4;A4; t1

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