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Rasti klinik

Emri/Mbiemri______________________________________Mosha_____Dt____/_____/____ Koha e ardhjes____


Menyra e ardhjes_____________
Diagnoza pranimit_____________________________________________
Nr karteles__________________________________________________
Arsyeja e hospitalizimit:_________________________________________
Hospitalizime te meparshem/kirurgji:______________________________
Mjekimi:
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Vleresimi infermieror

Diagnoza infermierore
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Nderhyrjet infermierore
Nenshkrimi I studentit______________________

Pershkrimi I aktivitetit per secilen nga ditet.

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