口腔科手术知情同意书.docx

口腔科手术知情同意书

患者姓名:__________性别:____年龄:____科室:口腔科病案号:__________

联系电话:__________住址:________________________________________

紧急联系人:__________与患者关系:__________联系电话:__________

术前诊断:________________________________________________________________

拟行手术名称:________________________________________________

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