บันทึกผ่าตัดผู้ป่วย
วันที่ผ่าตัด *
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DD
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YYYY
Hospital number *
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ประเภทผู้ป่วย *
เพศ *
ชื่อ *
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นามสกุล
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อายุ
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primary diagnosis *
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secondary diagonosis
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other diagnosis
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operation 1 *
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operation 2
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operation 3
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other operation
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comment
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