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RANDEVU VE SONUÇ VERMEDE GECİKME SÜRECİ BİLDİRİM FORMU
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Tarih
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Gecikmenin yaşandığı birim
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Hastanın Adı Soyadı
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Randevu verildiği  Tarih
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Randevu verildiği  Saat
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İşlemin gerçekleştiği Tarih
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İşlemin gerçekleştiği Saat
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Gecikme nedeni ( Açıklamalar)
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