Остаточний (клінічний) діагноз

DIAGNOSIS DEFINITA.

Основне захворювання: ________________________________________________________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Супутні захворювання: _______________________________________________________________________

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Лікування хвороби

CURATIO.

1.________________________________________________________________________________________

2. _______________________________________________________________________________________

3. _______________________________________________________________________________________

4. _______________________________________________________________________________________

5._______________________________________________________________________________________ ________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Лікування хворого

CURATIO AEGROTAE NOSTRAE.

Рецепти хворому.

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Щоденники

DECURSUS MORBI.

Дата	Стан хворого	Призначення
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