Mahsulot tavsifi:

Format A–4 T M EK ga YULLANMALAR «______»__________________20___y da berildi. 1. Familiya, ismi ______________________________________ 2. Tugilgan sani_____________________jinisi________________ 3. Bemorning yashash joyi___________________________________ 4. _____________gurux nigorini 5. Ish joyi___________________ 6. Ish joyining manzili___________________________________ 7. Kasbi______________________8. Lavozimi_________________ 9. «_____»________20___y dan davolash-profilaktika muassasasi nazorati. 10. Ainan shu kasallik tarixi (boshlanishi, rivojlanishi, kechishi, ut-kirlashuvi, utkizilgan davolash profilaktika tadbirlari, ish kobiylatini tiklash uchun tadbirlar) ___________________________________________________________ _______________________________________________________________________________________________________________________________________________________________________________________