Невролог

Черепно-мозговые нервы: ___________________________________________________

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Двигательная сфера: _______________________________________________________

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Рефлексы: _________________________________________________________________

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Чувствительность: _________________________________________________________

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Вегетативная нервная система: _____________________________________________

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Диагноз: __________________________________________________________________

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Заключение: _______________________________________________________________

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"__" ________________ 20__ г. _____________ ___________________

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