Certificat Medical
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Transcript of Certificat Medical
Nr. de nregistrare:
Data eliberrii:EXTRAS MEDICAL DE LA DOMICILIUn legtur cu participarea la concursul pentru ocuparea funciei de procuror, se solicit certificatul medical pentru concurentul _______________________________
(nume, prenume, anul naterii,
_____________________________________________________________________
domiciliul)
Medicul de familie:
Medicul_______________________________L..___________________________
Medicul narcolog:
Prin prezentul se confirm, c cet._____________________________________________La eviden narcologic____________________
_______________________________________
_______________________________________
Medicul_______________L..____________
Medicul psihiatru:
Prin prezentul se confirm, c cet.____________
_________________________________
La eviden la psihiatru____________________
_______________________________________
_______________________________________
Medicul_______________L..____________
Medicul ftiziolog:
Prin prezentul se confirm, c cet.____________
_________________________________
La eviden la ftiziolog____________________
_______________________________________
_______________________________________
Medicul_______________L..____________
Medicul infecionistPrin prezentul se confirm, c cet.____________
_________________________________
La eviden la infecoinist_________________________________________________________
_______________________________________
Medicul_______________L..____________
eful policlinicii
_________________L..____________