DATE PACIENT
Nume si prenume: PIRVU IUSTINA
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Data nașterii: 23.06.1977
_________________ 0723764411
Telefon ______________________________
DATE PROGRAMARE
Diagnostic principal: POLIP ENDOMETRIAL
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Procedura propusă: HISTEROSCOPIE CU BIOPSIE
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Durata estimativă: 30 MIN
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Tip anestezie: IV
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Perioada propusă: 25.09.2020 ORA 8
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(consilier + chirurg)
PROGRAMARE: ____________________________
ECHIPA OPERATORIE
Chirurg Principal LIANA PLES
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Chirurg Ajutor 1: ____________________________
Chirurg Ajutor 2: ____________________________
SUPORT
Examen extemporaneu: ______________________________________________________
Examen parafina: da
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Suport logistic: ______________________________________________________
Instrumentar special: histeroscop ecograf
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Alte materiale speciale: ______________________________________________________