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មន�ីរស��កព���ល និងសម�ព េន�

NESA CLINIC & MATERNITY

Protocole d’opération
Le: ………/………/………

Le Patient: ………………………………………………………………… Sex: ………………… Age: ……………………………


Diagnostic Pre opération: ……………………………………………………………………………………………………………………….
Diagnostic Per opération: ……………………………………………………………………………………………………………………….
Diagnostic Post opération: …………………….……………………………………………………………………………………………….
Technique: ..………………………………………………………………………………………………………………………………..
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Istrumentisme: Anesthe Opérateur
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