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

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KPU _____________________<br />

Obrazec br. 4<br />

- ZDRAVSTVENA SLU@BA -<br />

______________ 19 ___ god.<br />

MEDICINSKI NAOD I MISLEWE<br />

Reg.br. ___________ OSUDENIOT __________________ Pr.odd.<br />

Izve{taj od specijalisti~ki pregled na osudeniot:<br />

Neuropsihijatriski: a/ Neurolo{ki naod: .........................................<br />

.......................................................................................................................<br />

b/ Psiholo{ki naod: ..............................<br />

.......................................................................................................................<br />

___________________________________________________________<br />

v/ Zaklu~ok: ........................................................<br />

.......................................................................................................................<br />

Rentgenolo{ki naod: ..............................................................................<br />

Internisti~ki naod: ..............................................................................<br />

Oftalmolo{ki naod: .............................................................................<br />

Hirur{ki naod: .......................................................................................<br />

Te`ina: ........ kgr. Visina: ...............sm. Se: ............... Ta .....................<br />

ANAMNEZA:<br />

Naod:<br />

ZAKLU^OK:<br />

...............................................................................................<br />

lekar,<br />

Zat<strong>vo</strong>rski<br />

...........................____<br />

690

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