เลขที่บัตรผู้ป่วย : AN.CA.63/095
ชื่อ - สกุล (Name - Surname) : นางสาว สุรัตนา จินเดหวา
อายุ (Age) : 44 ปี 2 เดือน 6 วัน
การวินิจฉัยโรค Other ระดับผู้ป่วย Stage 4
การตรวจร่างกาย (PE)
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ซีด (Pale) :
เหลือง (Jaundice) :
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ต่อมน้ำเหลืองที่ไหปลาร้าซ้าย (Virchow node) :
ไม่มี (No) :
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ขนาด (Size) :
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ศีรษะ (Head) :
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Diagnosis.............................................
STAGE...........................