胸腔手术知情同意书.docx

胸腔手术知情同意书

姓名:__________性别:□男□女年龄:__________科室:胸外科床号:__________住院号:__________身份证号:________________________联系地址:________________________________________

术前诊断:________________________________________________________________________________

辅助检查摘要:________________________________________________

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