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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Diagnostic:______________________________________________________________________________________________________________________________________________________________________________________

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Plan de tratament :_______________________________________________________________

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7/23/2019 Form TX Plan Worksheet w Teeth (1)

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Agend :

Data Etapele de tratament A efectuat singur A efectuat cuajutorul medicului