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Dermatologisches Blatt
Dermatologisches Blatt
VII. DIAGNOSE:
DIAGNOSEBOGEN
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I PERSONENBEZOGENE DATEN
_____________________________________________________________________________________________
_____________________________________________________________________________________________ Nombres y
Apellidos:__________________________________________________________________________
VII. BEHANDLUNG: CHEMISCHES ABZIEHEN Fecha de Nacimiento:_____________________________________________________________
_____________________________________________________________________________________________ Estado Civil:_______________________________________________________________________
_____________________________________________________________________________________________
Direcció n:__________________________________________________________________________
_____________________________________________________________________________________________
Teléfono:___________________________________________________________________________
DATUM CHEMISCHES TOLERANZZEIT EFFEKT Correo Electró nico:_______________________________________________________________
PRODUKT
Tratamiento:______________________________________________________________________
Profesió n:__________________________________________________________________________
II. PATHOLOGISCHE DATEN V. EIGENSCHAFTEN
Color Rosada:_________________________Palida:_____________________________________________
Gris:_____________________________Amarillenta:____________________________________________
Amarilla:_________________________Enrojecida:____________________________________________