เลขที่บัตรผู้ป่วย : AN.CA.63/176
ชื่อ - สกุล (Name - Surname) : นาย ทองสา บุญถึง
อายุ (Age) : 52 ปี 4 เดือน 8 วัน
การวินิจฉัยโรค CA Liver ระดับผู้ป่วย Stage 4
การตรวจร่างกาย (PE)
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ซีด (Pale) :
เหลือง (Jaundice) :
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ต่อมน้ำเหลืองที่ไหปลาร้าซ้าย (Virchow node) :
ไม่มี (No) :
มี (Yes)
ขนาด (Size) :
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ศีรษะ (Head) :
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Diagnosis.............................................
STAGE...........................