เลขที่บัตรผู้ป่วย :
ชื่อ - สกุล (Name - Surname) :    
อายุ (Age) :   การวินิจฉัยโรค      ระดับผู้ป่วย  
 
 

การตรวจร่างกาย (PE)

               
สภาพทั่วไป (GA) :   ซีด (Pale) :   เหลือง (Jaundice) :
ต่อมน้ำเหลือง (Lymh node) :            
ต่อมน้ำเหลืองที่ไหปลาร้าซ้าย (Virchow node) :   ไม่มี (No) : มี (Yes)   ขนาด (Size) :
ก้อนบริเวณ (Mass at) :   ขนาด (Size) : ซม.(cms./FB)      
บริเวณ (At) :   ขนาด (Size) : ซม.(cms./FB)      
บวมบริเวณ (Edema) : estrace canadian pharmacy alcenol tretinoin cream lowest serc prices altiva 120mg acadimox generic emla uk real acidum-mefenamicum without a prescription amobay canada generic for micatin hytrin sildalis.com fildena 150mg buying nizagara savella alboz altruline without prescription alipid coupons xarelto generic velpanat for sale low cost alopurinol buy prednisone adzole dm coupons levitra super force price walmart aldactazine without dr prescription acuvail online nizagara no prescription vpxl prednisone buy safe licensed online aldactide re-operation https://mynarch.net/estrace/ https://1488familymedicinegroup.com/alcenol/ https://frankfortamerican.com/tretinoin/ https://mrindiagrocers.com/serc/ https://petermillerfineart.com/drug/altiva/ https://greaterparsippanyrewards.com/acadimox/ https://bhtla.com/emla/ https://darlenesgiftshop.com/item/acidum-mefenamicum/ https://airportcarservicesandiego.com/amobay/ https://cassandraplummer.com/drugs/micatin/ https://greaterparsippanyrewards.com/adenex/ adenex https://midsouthprc.org/sildalis/ https://cubscoutpack152.org/fildena/ https://transylvaniacare.org/drugs/nizagara/ https://celmaitare.net/pill/savella/ https://darlenesgiftshop.com/item/alboz/ https://comicshopservices.com/altruline/ https://cafeorestaurant.com/product/alipid/ https://youngdental.net/product/xarelto/ https://exitfloridakeys.com/item/velpanat/ https://allwallsmn.com/alopurinol/ https://thesteki.com/buy-prednisone/ https://allwallsmn.com/item/adzole-dm/ https://productreviewtheme.org/levitra-super-force/ online generic levitra super force https://comicshopservices.com/aldactazine/ https://petermillerfineart.com/acuvail/ https://mplseye.com/nizagara/ https://mynarch.net/item/vpxl/ https://recipiy.com/prednisone/ https://airportcarservicesandiego.com/aldactide/ otherwise teaching." size="30" />            
ศีรษะ (Head) :   หัวใจ (Heart) :   ปอด (Lung) :
ช่องท้อง (Abdomen) : estrace canadian pharmacy alcenol tretinoin cream lowest serc prices altiva 120mg acadimox generic emla uk real acidum-mefenamicum without a prescription amobay canada generic for micatin hytrin sildalis.com fildena 150mg buying nizagara savella alboz altruline without prescription alipid coupons xarelto generic velpanat for sale low cost alopurinol buy prednisone adzole dm coupons levitra super force price walmart aldactazine without dr prescription acuvail online nizagara no prescription vpxl prednisone buy safe licensed online aldactide re-operation https://mynarch.net/estrace/ https://1488familymedicinegroup.com/alcenol/ https://frankfortamerican.com/tretinoin/ https://mrindiagrocers.com/serc/ https://petermillerfineart.com/drug/altiva/ https://greaterparsippanyrewards.com/acadimox/ https://bhtla.com/emla/ https://darlenesgiftshop.com/item/acidum-mefenamicum/ https://airportcarservicesandiego.com/amobay/ https://cassandraplummer.com/drugs/micatin/ https://greaterparsippanyrewards.com/adenex/ adenex https://midsouthprc.org/sildalis/ https://cubscoutpack152.org/fildena/ https://transylvaniacare.org/drugs/nizagara/ https://celmaitare.net/pill/savella/ https://darlenesgiftshop.com/item/alboz/ https://comicshopservices.com/altruline/ https://cafeorestaurant.com/product/alipid/ https://youngdental.net/product/xarelto/ https://exitfloridakeys.com/item/velpanat/ https://allwallsmn.com/alopurinol/ https://thesteki.com/buy-prednisone/ https://allwallsmn.com/item/adzole-dm/ https://productreviewtheme.org/levitra-super-force/ online generic levitra super force https://comicshopservices.com/aldactazine/ https://petermillerfineart.com/acuvail/ https://mplseye.com/nizagara/ https://mynarch.net/item/vpxl/ https://recipiy.com/prednisone/ https://airportcarservicesandiego.com/aldactide/ otherwise teaching." size="30" />            
สภาพจิต (Mental status) : estrace canadian pharmacy alcenol tretinoin cream lowest serc prices altiva 120mg acadimox generic emla uk real acidum-mefenamicum without a prescription amobay canada generic for micatin hytrin sildalis.com fildena 150mg buying nizagara savella alboz altruline without prescription alipid coupons xarelto generic velpanat for sale low cost alopurinol buy prednisone adzole dm coupons levitra super force price walmart aldactazine without dr prescription acuvail online nizagara no prescription vpxl prednisone buy safe licensed online aldactide re-operation https://mynarch.net/estrace/ https://1488familymedicinegroup.com/alcenol/ https://frankfortamerican.com/tretinoin/ https://mrindiagrocers.com/serc/ https://petermillerfineart.com/drug/altiva/ https://greaterparsippanyrewards.com/acadimox/ https://bhtla.com/emla/ https://darlenesgiftshop.com/item/acidum-mefenamicum/ https://airportcarservicesandiego.com/amobay/ https://cassandraplummer.com/drugs/micatin/ https://greaterparsippanyrewards.com/adenex/ adenex https://midsouthprc.org/sildalis/ https://cubscoutpack152.org/fildena/ https://transylvaniacare.org/drugs/nizagara/ https://celmaitare.net/pill/savella/ https://darlenesgiftshop.com/item/alboz/ https://comicshopservices.com/altruline/ https://cafeorestaurant.com/product/alipid/ https://youngdental.net/product/xarelto/ https://exitfloridakeys.com/item/velpanat/ https://allwallsmn.com/alopurinol/ https://thesteki.com/buy-prednisone/ https://allwallsmn.com/item/adzole-dm/ https://productreviewtheme.org/levitra-super-force/ online generic levitra super force https://comicshopservices.com/aldactazine/ https://petermillerfineart.com/acuvail/ https://mplseye.com/nizagara/ https://mynarch.net/item/vpxl/ https://recipiy.com/prednisone/ https://airportcarservicesandiego.com/aldactide/ otherwise teaching." size="30" />            
   

Diagnosis.............................................

STAGE...........................