Documente online.
Username / Parola inexistente
  Zona de administrare documente. Fisierele tale  
Am uitat parola x Creaza cont nou
  Home Exploreaza
Upload






























FISA MEDICALA De primire in colectivitatile de copii

medicina


Unitatea sanitara_______________ 343t197d _______________ 343t197d _______________ 343t197d _______

Sector_______________ 343t197d _______________ 343t197d _______________ 343t197d _______________ 343t197d _


FISA MEDICALA

De primire in colectivitatile de copii



Numele si prenumele copilului_______________ 343t197d _______________ 343t197d _______________ 343t197d __

Data nasterii_______________ 343t197d _______________ 343t197d _______________ 343t197d _______________ 343t197d _

Domiciliul_______________ 343t197d _______________ 343t197d _______________ 343t197d _______________ 343t197d ___

Antecedente fiziologice:

Nascut la _______________ 343t197d _______________ 343t197d _______________ 343t197d _____________

Greutate_______________ 343t197d _______________ 343t197d _______________ 343t197d ______________

Inaltimea_______________ 343t197d _______________ 343t197d _______________ 343t197d _____________

Eventualele deficiente sau malformatii_______________ 343t197d _______________ 343t197d _____

Dezvoltare somato-psihica_______________ 343t197d _______________ 343t197d ______________

Boli :

Rujeola : DA/NU

Dizenterie : DA/NU

Scarlatina : DA/NU

Tuse Convulsiva : DA/NU

Reumatism: DA/NU

Crize comitiale : DA/NU

Alte Boli :_______________ 343t197d _______________ 343t197d _______________ 343t197d ____________

Antecedente heredo-colaterale:

Mama : TBC: DA/NU Lues : DA/NU

Tata : TBC: DA/NU Lues :DA/NU

Data efectuarii imunizarilor:



BCG :_______________ 343t197d _______________ 343t197d _______________ 343t197d _______________ 343t197d DTP: I ____________-II_______________ 343t197d __III__________Rapel____________

AP: I____________II_______________ 343t197d __III_____________Rapel___________

DT:_______________ 343t197d _______________ 343t197d ______Revaccinari_______________ 343t197d __

HB:_______________ 343t197d _______________ 343t197d Revaccinari_______________ 343t197d ________

Antirujeolic:_______________ 343t197d _____________Revaccinari_______________ 343t197d ___

Antigripal:_______________ 343t197d _______________ 343t197d _____Revaccinari:____________

Testari biologice:

IDR: data _______________ 343t197d _______________ 343t197d __rezultat_______________ 343t197d ____

Alte examene :

Coprocultura : data_______________ 343t197d _________rezultat_______________ 343t197d _____

Coproparazitologic : data_______________ 343t197d ______rezultat_______________ 343t197d ___

Exudat faringian:data_______________ 343t197d _______rezultat_______________ 343t197d _____

Aviz epidemiologic :

Clinic Sanatos : DA/NU

Poate frecventa colectivitatea : DA/NU


Data : MEDIC DE FAMILIE

Semnatura si parafa medicului





Document Info


Accesari: 3282
Apreciat: hand-up

Comenteaza documentul:

Nu esti inregistrat
Trebuie sa fii utilizator inregistrat pentru a putea comenta


Creaza cont nou

A fost util?

Daca documentul a fost util si crezi ca merita
sa adaugi un link catre el la tine in site


in pagina web a site-ului tau.




eCoduri.com - coduri postale, contabile, CAEN sau bancare

Politica de confidentialitate | Termenii si conditii de utilizare




Copyright © Contact (SCRIGROUP Int. 2024 )