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Zoran Sulejmanov - Penitencijarni ustanovi vo Makedonija (p.717)

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KPU __________________<br />

A M B U L A N T A<br />

Soba br. ____________________<br />

Osuden _____________________<br />

Osloboden na _______________<br />

Prit<strong>vo</strong>ren _________________<br />

Upaten <strong>vo</strong> _______ na ________<br />

654<br />

ZDRAVSTVEN KARTON<br />

Na ______________________________________ roden-a<br />

____________<br />

(ime, tatko<strong>vo</strong> ime i prezime)<br />

<strong>vo</strong> _____________________ `ivee <strong>vo</strong> __________________,<br />

zanimawe _____________<br />

Po~etok na prit<strong>vo</strong>rot-kaznata<br />

______________________________<br />

Primen na ________________ <strong>vo</strong> ambulanta.<br />

Familijarna anamneza ______________________________________<br />

__________________________________________________________________<br />

Li~na anamneza, so minati zaboluvawa _____________________<br />

__________________________________________________________________<br />

__________________________________________________________________<br />

Operacii i povredi ________________________________________<br />

__________________________________________________________________<br />

Naviki: pu{i: da-ne, upotrebuva alkohol: da-ne, droga: dane,<br />

tableti: da-ne,<br />

Sega{na sostoja: Te`ina: __________ kgr. Visina __________ sm.<br />

Konstitucija: asteni~en, pikni~en, atletski ________________<br />

Ko`a: ___________________________ kosa: ______________<br />

Glava: ____________________________________________________<br />

O~i: _________________________________ vid: _______________<br />

U{i: ____________________________ sluh: ______________<br />

Nos, usta, grlo: ____________________________________________<br />

Vrat: _____________________________________________________<br />

Graden ko{ i beli drobovi: ________________________________<br />

__________________________________________________________________<br />

__________________________________________________________________<br />

Srce: ______________________________________________________<br />

_________________________________ RR: ___________ Puls: ___________

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