form tx plan worksheet w teeth (1)
Post on 19-Feb-2018
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7/23/2019 Form TX Plan Worksheet w Teeth (1)
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Numele, prenumele: _______________________ Data: ___________
Examenul clinic:_______________________________________________________________________________________________________________________________________________
______________________________________________________________________________
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Examenul paraclinic:_____________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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______________________________________________________________________________
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Diagnostic:______________________________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Plan de tratament :_______________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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7/23/2019 Form TX Plan Worksheet w Teeth (1)
2/2
Agend :
Data Etapele de tratament A efectuat singur A efectuat cuajutorul medicului
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