Download as rtf, pdf, or txt
Download as rtf, pdf, or txt
You are on page 1of 1

PHÒNG KHÁM ĐA KHOA ĐỨC ANH

Địa chỉ: Số 188, Khu 1, TT Cái Rồng, Vân Đồn


PHIẾU CHỤP X – QUANG
ĐT: 02036.271.269

Họ tên người bệnh:...................................................................... Tuổi:.............................................. Nam/nữ


Địa chỉ:......................................................................................................................................................................

YÊU CẦU CHỤP


......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

KẾT QUẢ CHỤP


......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

......................................................................................................................................................................................

Ngày …… tháng …… năm 2020


BÁC SĨ CHUYÊN KHOA

You might also like