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HB.FR.003 - HEMŞİRE GÖZLEM FORMU

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Demo Hastanesi (Prokalite.Com) HEMŞİRE GÖZLEM FORMU

Doküman Kodu: HB.FR.003

Yayın Tarihi: 24.09.2021

Revizyon Tarihi: 06.09.2022

Revizyon No: 1

Sayfa: Otomatik

BARKOD

DOKTORU

BOY/KİLO

ODA NO:

TANISI

KAN GRUBU

DİYETİ

ALERJİ

TARİH:

SAAT

ATEŞ

NABIZ

TANSİYON

KAN ŞEKERİ

SPO2

SOL.

UYGULAMA

DREN1

DREN2

DREN3

M.SONDASI

DOKTOR NOTU

T

G.T

TARİH:

SAAT

ATEŞ

NABIZ

TANSİYON

KAN ŞEKERİ

SPO2

SOL.

UYGULAMA

DREN1

DREN2

DREN3

M.SONDASI

DOKTOR NOTU

T

G.T

TARİH:

SAAT

ATEŞ

NABIZ

TANSİYON

KAN ŞEKERİ

SPO2

SOL.

UYGULAMA

DREN1

DREN2

DREN3

M.SONDASI

DOKTOR NOTU

T

G.T

TARİH:

SAAT

ATEŞ

NABIZ

TANSİYON

KAN ŞEKERİ

SPO2

SOL.

UYGULAMA

DREN1

DREN2

DREN3

M.SONDASI

DOKTOR NOTU

T

G.T

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<table style="border-collapse: collapse; width: 1292px;" class=" cke_show_border" cellspacing="0"><tbody><tr><td colspan="5" rowspan="3" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; height:18px; text-align:left; vertical-align:top; width:384px"><span style="font-size:10px"><span style="color:black">BARKOD</span></span></td><td colspan="3" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:203px"><span style="font-size:10px"><span style="color:black">DOKTORU</span></span></td><td colspan="6" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:346px"><span style="font-size:10px"><span style="color:black">BOY/KİLO</span></span></td><td colspan="3" rowspan="3" style="border-bottom:.7px solid black; border-left:1px solid black; border-right:.7px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:192px"><span style="font-size:10px"><span style="color:black">ODA NO:</span></span></td></tr><tr><td colspan="3" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:6px; text-align:left; vertical-align:top; width:203px"><span style="font-size:10px"><span style="color:black">TANISI</span></span><br></td><td colspan="6" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:346px"><span style="font-size:10px"><span style="color:black">KAN GRUBU</span></span></td></tr><tr><td colspan="3" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; height:6px; text-align:left; vertical-align:top; width:203px"><span style="font-size:10px"><span style="color:black">DİYETİ</span></span></td><td colspan="6" style="border-bottom:1px solid black; border-left:none; border-right:.7px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:346px"><span style="font-size:10px"><span style="color:black">ALERJİ</span></span></td></tr><tr><td rowspan="7" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:42px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TARİH:</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SAAT</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">ATEŞ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">NABIZ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TANSİYON</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">KAN ŞEKERİ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SPO2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><strong><span style="color:black">SOL.</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">UYGULAMA</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black"> </span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN1</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN3</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">M.SONDASI</span></strong></span></td><td colspan="3" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:192px"><span style="font-size:10px"><strong><span style="color:black">DOKTOR NOTU</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td rowspan="4" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td colspan="3" rowspan="6" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">G.T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td rowspan="7" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:42px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TARİH:</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SAAT</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">ATEŞ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">NABIZ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TANSİYON</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">KAN ŞEKERİ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SPO2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><strong><span style="color:black">SOL.</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">UYGULAMA</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black"> </span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN1</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN3</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">M.SONDASI</span></strong></span></td><td colspan="3" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:192px"><span style="font-size:10px"><strong><span style="color:black">DOKTOR NOTU</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td rowspan="4" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td colspan="3" rowspan="6" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">G.T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td rowspan="7" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:42px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TARİH:</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SAAT</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">ATEŞ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">NABIZ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TANSİYON</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">KAN ŞEKERİ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SPO2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><strong><span style="color:black">SOL.</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">UYGULAMA</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black"> </span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN1</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN3</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">M.SONDASI</span></strong></span></td><td colspan="3" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:192px"><span style="font-size:10px"><strong><span style="color:black">DOKTOR NOTU</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td rowspan="4" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td colspan="3" rowspan="6" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">G.T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td rowspan="7" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; height:42px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TARİH:</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SAAT</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">ATEŞ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">NABIZ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">TANSİYON</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">KAN ŞEKERİ</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">SPO2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><strong><span style="color:black">SOL.</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">UYGULAMA</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black"> </span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN1</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN2</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">DREN3</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><strong><span style="color:black">M.SONDASI</span></strong></span></td><td colspan="3" style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top; width:192px"><span style="font-size:10px"><strong><span style="color:black">DOKTOR NOTU</span></strong></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td rowspan="4" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td colspan="3" rowspan="6" style="border-bottom:1px solid black; border-left:1px solid black; border-right:1px solid black; border-top:1px solid black; text-align:left; vertical-align:top"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr><tr><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; height:6px; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:75px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:26px"><span style="font-size:10px"><strong><span style="color:black">G.T</span></strong></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td><td style="border-bottom:1px solid black; border-left:none; border-right:1px solid black; border-top:none; text-align:left; vertical-align:top; width:64px"><span style="font-size:10px"><span style="color:black"> </span></span></td></tr></tbody></table>