HASTA DAMAR GİRİŞ YERİ FORMU

Örnek Doküman

Dİ.FR.010 - HASTA DAMAR GİRİŞ YERİ FORMU

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Demo Hastanesi (Prokalite.Com) HASTA DAMAR GİRİŞ YERİ FORMU

Doküman Kodu: Dİ.FR.010

Yayın Tarihi: 14.05.2025

Revizyon Tarihi: -

Revizyon No: -

Sayfa: Otomatik

KATATER
ADI SOYADI
TAKILDIĞI			DOKTOR	OLUŞAN KOMPLİKASYONLAR	ÇIKARILDIĞI TARİH	KÜLTÜR SONUCU	KULLANIM SÜRESİ
TARİH	MERKEZ	BÖLGE	DOKTOR	OLUŞAN KOMPLİKASYONLAR	ÇIKARILDIĞI TARİH	KÜLTÜR SONUCU	KULLANIM SÜRESİ

FİSTÜL

AÇILDIĞI			DOKTOR	OLUŞAN KOMPLİKASYONLAR	KULLANIM TARİHİ	SONLANDIĞI TARİH	KULLANIM SÜRESİ
TARİH	MERKEZ	BÖLGE	DOKTOR	OLUŞAN KOMPLİKASYONLAR	KULLANIM TARİHİ	SONLANDIĞI TARİH	KULLANIM SÜRESİ

GREFT

YERLEŞTİRİLDİĞİ			DOKTOR	OLUŞAN KOMPLİKASYONLAR	KULLANIM TARİHİ	SONLANDIĞI TARİH	KULLANIM SÜRESİ
TARİH	MERKEZ	BÖLGE	DOKTOR	OLUŞAN KOMPLİKASYONLAR	KULLANIM TARİHİ	SONLANDIĞI TARİH	KULLANIM SÜRESİ

FİSTÜL

<table cellspacing="0" style="border-collapse:collapse; width:881px">
 <tbody>
 <tr>
 <td colspan="3" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:2px; vertical-align:bottom; width:336px">
 AÇILDIĞI
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
 DOKTOR
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:178px">
 OLUŞAN KOMPLİKASYONLAR
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:109px">
 KULLANIM TARİHİ
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:109px">
 SONLANDIĞI TARİH
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; vertical-align:bottom; width:107px">
 KULLANIM SÜRESİ
 </td>
 </tr>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:2px; vertical-align:top; width:79px">
 TARİH
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:top; width:116px">
 MERKEZ
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:top; width:113px">
 BÖLGE
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
</table>

GREFT

<table cellspacing="0" style="border-collapse:collapse; width:881px">
 <tbody>
 <tr>
 <td colspan="3" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:2px; vertical-align:bottom; width:336px">
 YERLEŞTİRİLDİĞİ
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
 DOKTOR
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:178px">
 OLUŞAN KOMPLİKASYONLAR
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:109px">
 KULLANIM TARİHİ
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:bottom; width:109px">
 SONLANDIĞI TARİH
 </td>
 <td rowspan="2" style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; vertical-align:bottom; width:107px">
 KULLANIM SÜRESİ
 </td>
 </tr>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:2px; vertical-align:top; width:79px">
 TARİH
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:top; width:116px">
 MERKEZ
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; vertical-align:top; width:113px">
 BÖLGE
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:none; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
 <tbody>
 <tr>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; height:16px; width:79px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:116px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:113px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:119px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:178px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:none; border-top:1px solid #000000; width:109px">
  
 </td>
 <td style="border-bottom:1px solid #000000; border-left:1px solid #000000; border-right:1px solid #000000; border-top:1px solid #000000; width:107px">
  
 </td>
 </tr>
 </tbody>
</table>

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Diyaliz Ünitesi - Form

Dİ.FR.010 - HASTA DAMAR GİRİŞ YERİ FORMU

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