Pasportga oid ma’lumotlar. Bemorning ism sharifi familiyasi

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Касаллик тарихи ИКП

Zararli odatlari:_________________________________________________________ ______________________________________________________________________

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Mehnat faoliyati:_______________________________________________________

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Zararli odatlari:_________________________________________________________

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Bemorning boshidan kechirgan kasalliklari:_________________________________
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