医院体格检查表(定稿)

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1、会宁县人民医院体格检查表第号姓名性别出生年月日半免身冠相片医院骑缝章文化程度民族籍贯既往病史家族病史毕业学校通讯地址眼科视力裸眼：右____左____矫正：右____左____医师意见签名：砂眼右____左____色觉其他眼病耳鼻咽喉科听力右耳_____m左耳_____m嗅觉医师意见签名：耳病鼻病咽喉病其它口腔科龋齿牙周炎粘膜医师意见签名：缺齿牙列不齐唇腭其他口腔疾病外科身高Cm体重Kg医师意见签名：头颈部脊柱胸腹部四肢关节泌尿皮肤病肛门淋巴其他theprovisionsofelectricpowerconstructionengineerin

2、gqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic内科血压/毫米水银柱脉搏次/分钟心率次/分医师意见签字:发育及营养状况神经及

3、精神肺及呼吸道心脏及血管腹部器管肝脾其它化验检查（附化验单）血常规肝功能检验者签字:胸部放射线检查医师签字：心电图检查医师签字：其他检查体检结论及意见医师签字：体检医院（盖章）会宁县会师镇长征南路19号体检日期：年月日theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove

4、;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic联系电话：0943-3257611theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevalu

5、ationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic