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    Fisalaborator PDF

    Uploaded by

    Amina Cristina

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    SC DENTIMAR SRL CABINET...............

    Calea Serban Voda, Nr. 258, Medic......................


    Sector 4, Bucuresti Data........................
    Tel: 021 210 99 74
    Mobil: 0748 221 534
    office@dentimarlab.ro
    www.dentimarlab.ro
    FISA LABORATOR NR. ......
    NUME PACIENT.............................. TIP LUCRARE......................................
    VARSTA................. SEX ............. CULOARE............................................

    PLAN PROTETIC.......................................................................................................................
    SE COMPLETEAZA DE
    18 17 16 15 14 13 12 11 / 21 22 23 24 25 26 27 28 LABORATOR
    ................................................................................... TEHNICIAN EXECUTANT
    METAL..............................
    48 47 46 45 44 43 42 41 / 31 32 33 34 35 36 37 38 FIZIONOMIC...................
    MOBILA............................

    FAZA I ..........................................................................................TERMEN.....................
    FAZA II .........................................................................................TERMEN.....................
    FAZA III ....................................................................................... TERMEN.....................
    FAZA IV ....................................................................................... TERMEN.....................
    OBSERVATII.....................................................................................................................

    SC DENTIMAR SRL CABINET...............


    Calea Serban Voda, Nr. 258, Medic......................
    Sector 4, Bucuresti Data........................
    Tel: 021 210 99 74
    Mobil: 0748 221 534
    office@dentimarlab.ro
    www.dentimarlab.ro
    FISA LABORATOR NR. ......
    NUME PACIENT.............................. TIP LUCRARE......................................
    VARSTA................. SEX ............. CULOARE............................................

    PLAN PROTETIC.......................................................................................................................
    SE COMPLETEAZA DE
    18 17 16 15 14 13 12 11 / 21 22 23 24 25 26 27 28 LABORATOR
    ................................................................................... TEHNICIAN EXECUTANT
    METAL..............................
    48 47 46 45 44 43 42 41 / 31 32 33 34 35 36 37 38 FIZIONOMIC...................
    MOBILA............................

    FAZA I ..........................................................................................TERMEN.....................
    FAZA II .........................................................................................TERMEN.....................
    FAZA III ....................................................................................... TERMEN.....................
    FAZA IV ....................................................................................... TERMEN.....................
    OBSERVATII.....................................................................................................................

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