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{\f182\fmodern\fcharset0\fprq1 MS Mincho Western{\*\falt \'82\'6c\'82\'72 \'96\'be\'92\'a9};}{\f180\fmodern\fcharset238\fprq1 MS Mincho CE{\*\falt \'82\'6c\'82\'72 \'96\'be\'92\'a9};}
{\f181\fmodern\fcharset204\fprq1 MS Mincho Cyr{\*\falt \'82\'6c\'82\'72 \'96\'be\'92\'a9};}{\f183\fmodern\fcharset161\fprq1 MS Mincho Greek{\*\falt \'82\'6c\'82\'72 \'96\'be\'92\'a9};}
{\f184\fmodern\fcharset162\fprq1 MS Mincho Tur{\*\falt \'82\'6c\'82\'72 \'96\'be\'92\'a9};}{\f187\fmodern\fcharset186\fprq1 MS Mincho Baltic{\*\falt \'82\'6c\'82\'72 \'96\'be\'92\'a9};}
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{\f193\froman\fcharset161\fprq2 Batang Greek{\*\falt \'b9\'d9\'c5\'c1};}{\f194\froman\fcharset162\fprq2 Batang Tur{\*\falt \'b9\'d9\'c5\'c1};}{\f197\froman\fcharset186\fprq2 Batang Baltic{\*\falt \'b9\'d9\'c5\'c1};}
{\f202\fnil\fcharset0\fprq2 SimSun Western{\*\falt \'cb\'ce\'cc\'e5};}{\f282\froman\fcharset0\fprq2 Century;}{\f281\froman\fcharset204\fprq2 Century Cyr;}{\f283\froman\fcharset161\fprq2 Century Greek;}{\f284\froman\fcharset162\fprq2 Century Tur;}
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\par }{\b\f1\fs22\insrsid8068412\charrsid7358689 k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid8068412 
\par }{\b\f1\fs22\insrsid7358689\charrsid7358689 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid8068412\charrsid1379051 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par }{\f1\fs22\insrsid1055582\charrsid1379051 
\par }{\f1\fs22\insrsid8068412\charrsid1379051 k\'f3d PZS:  
\par }{\f1\fs22\insrsid1055582\charrsid1379051 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8068412\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid8068412\charrsid1379051 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid8068412\charrsid1379051 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8068412\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid8068412\charrsid7358689 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par }{\b\f1\fs22\insrsid1055582\charrsid7358689 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid8068412\charrsid1379051 N\'e1
zov a\~adresa zdravotn\'edckeho zariadenia:              
\par }{\f1\fs22\insrsid1055582\charrsid1379051 
\par }{\f1\fs22\insrsid8068412\charrsid1379051 k\'f3d PZS:}{\f1\fs22\insrsid1055582\charrsid1379051 
\par }{\f1\fs22\insrsid8068412\charrsid1379051   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8068412\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 
\trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid8068412\charrsid1379051 Telef
\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid8068412\charrsid1379051 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8068412\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid8068412\charrsid7358689 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid1055582\charrsid1379051 Rodn
\'e9 \'e8\'edslo}{\f1\fs22\insrsid8068412\charrsid1379051 :  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8068412\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid8068412\charrsid1379051 
Adresa trval\'e9ho pobytu:
\par }{\f1\fs22\insrsid1055582\charrsid1379051 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8068412\charrsid1379051 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8068412 {\b\f1\fs22\insrsid8068412\charrsid7358689 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {\b\f1\fs22\insrsid1052567 \'8a}{
\b\f1\fs22\insrsid8068412\charrsid7358689 \'daKL k\'f3d lieku:}{\b\f1\fs22\insrsid1055582\charrsid7358689  }{\b\f1\fs22\insrsid8068412\charrsid7358689 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {
\b\f1\fs22\insrsid8068412\charrsid7358689 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {
\b\f1\fs22\insrsid8068412\charrsid7358689 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {
\b\f1\fs22\insrsid8068412\charrsid7358689 Doplnok n\'e1zvu}{\b\f1\fs22\insrsid1055582\charrsid7358689  lieku}{\b\f1\fs22\insrsid8068412\charrsid7358689 :}{\b\f1\fs22\insrsid1055582\charrsid7358689  }{\b\f1\fs22\insrsid8068412\charrsid7358689 \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 
\trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {\b\f1\fs22\insrsid8068412\charrsid7358689 Po\'9e
adovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 
\trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {
\b\f1\fs22\insrsid8068412\charrsid7358689 Na obdobie:}{\b\f1\fs22\insrsid1055582\charrsid7358689  }{\b\f1\fs22\insrsid8068412\charrsid7358689 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {
\b\f1\fs22\insrsid8068412\charrsid7358689 D\'e1vkovanie:}{\b\f1\fs22\insrsid1055582\charrsid7358689  }{\b\f1\fs22\insrsid8068412\charrsid7358689 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\b\f1\fs22\insrsid8068412\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8068412 {\b\f1\fs22\insrsid8068412\charrsid7358689 Diagn\'f3za pod\'bea MKCH:}{\b\f1\fs22\insrsid1055582\charrsid7358689  }{
\b\f1\fs22\insrsid8068412\charrsid7358689 
\par slovom:}{\b\f1\fs22\insrsid1055582\charrsid7358689  }{\b\f1\fs22\insrsid8068412\charrsid7358689 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8068412\charrsid7358689 
\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2053701 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid2053701\charrsid7358689 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2053701 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid2053701\charrsid7358689 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid2053701\charrsid7358689  }{\f1\insrsid2053701\charrsid7358689 D\'e1tum:}{\f1\insrsid1975373\charrsid7358689  ..............................}{\f1\insrsid2053701\charrsid7358689 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid204954 {\f1\insrsid204954\charrsid7358689 Liek:}{\f1\insrsid2053701\charrsid7358689 
\par }\pard \ql \li708\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid2053701 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2053701\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2053701\charrsid7358689 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2053701\charrsid7358689   Sutent L01XE04
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2053701\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2053701\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2053701\charrsid7358689   Nexavar L01XE05}{\b\f1\insrsid2053701\charrsid7358689 
\par }{\b\f1\insrsid204954\charrsid7358689 
\par }{\f1\insrsid204954\charrsid7358689 Lie\'e8ba:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid204954 {\b\f1\insrsid204954\charrsid7358689 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2053701\charrsid7358689  FORMCHECKBOX }{
\f1\insrsid2053701\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2053701\charrsid7358689  Adjuvantn\'e1 lie\'e8ba
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid204954 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2053701\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2053701\charrsid7358689 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2053701\charrsid7358689  Lie\'e8ba pokro\'e8il\'e9ho ochorenia
\par L\'ednia....................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2053701 {\f1\insrsid2053701\charrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid2053701\charrsid7358689 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid15346169 {\b\f1\insrsid2053701\charrsid7358689 
Z\'e1kladn\'e9 klinick\'e9 \'fadaje, prim\'e1rna diagnostika}{\f1\insrsid2053701\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15346169 {\b\f1\insrsid15346169\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15346169 {\f1\insrsid15346169\charrsid7358689 Diagn\'f3za pod\'be
a MKCH ..............................  slovom......................................................
\par D\'e1tum diagn\'f3zy:.......................................... oper\'e1cia d\'f2a:............................................
\par TNM v\~\'e8ase diagn\'f3zy:................................   typ:............  stupe\'f2: ................................
\par 
\par Doteraj\'9aia lie\'e8ba:
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15346169\charrsid7358689  FORMCHECKBOX }{\f1\insrsid15346169\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15346169\charrsid7358689  oper\'e1cia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15346169\charrsid7358689  FORMCHECKBOX }{\f1\insrsid15346169\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15346169\charrsid7358689  r\'e1dioterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15346169\charrsid7358689  FORMCHECKBOX }{\f1\insrsid15346169\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15346169\charrsid7358689  chemoterapia: }{\f1\cf6\insrsid15346169\charrsid7358689 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15346169 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\field\flddirty\fldpriv{\*\fldinst {\insrsid15346169\charrsid7358689 
 FORMCHECKBOX }{\insrsid15346169\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\insrsid15346169\charrsid7358689  po zlyhan\'ed predch\'e1dzaj\'facej terapie interfer\'f3nom alfa alebo interleuk\'ednom-2

\par }{\field\flddirty\fldpriv{\*\fldinst {\insrsid15346169\charrsid7358689  FORMCHECKBOX }{\insrsid15346169\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20
{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\insrsid15346169\charrsid7358689  nevhodn\'e1
 terapia interfer\'f3nom alfa alebo interleuk\'ednom-2
\par 
\par }{\lang1024\langfe1024\noproof\insrsid15346169\charrsid7358689 Predch\'e1dzaj\'faca lie\'e8ba 1. l\'ednie:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par 
\par \'cfal\'9aie l\'ednie lie\'e8by:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15346169 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid15346169\charrsid7358689 
\par Hodnota TNM v\~\'e8ase }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15346169\charrsid7358689  FORMCHECKBOX }{\f1\insrsid15346169\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15346169\charrsid7358689  indikovania }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15346169\charrsid7358689  FORMCHECKBOX }{\f1\insrsid15346169\charrsid7358689 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid15346169\charrsid7358689  pokra\'e8ovania 
\par biologickej lie\'e8by.....................................}{\f1\cf6\insrsid15346169\charrsid7358689           }{\f1\insrsid15346169\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15346169 {\f1\insrsid15346169\charrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid15346169\charrsid7358689 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid15346169 {
\b\f1\insrsid15346169\charrsid7358689 Aktu\'e1lny celkov\'fd zdravotn\'fd stav pacienta}{\f1\insrsid15346169\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\b\f1\insrsid2697775\charrsid7358689 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 Sk\'f3re pod\'bea:
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2697775\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2697775\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2697775\charrsid7358689   Karnofsky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2697775\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2697775\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2697775\charrsid7358689   ECOG WHO
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid2053701\charrsid7358689 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid2697775 {\b\f1\insrsid2053701\charrsid7358689 
Zobrazovacie met\'f3dy}{\f1\insrsid2053701\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\b\f1\insrsid2697775\charrsid7358689 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid2697775 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2697775\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2697775\charrsid7358689 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2697775\charrsid7358689   RTG vy\'9aetrenie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2697775\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2697775\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2697775\charrsid7358689   CT vy\'9aetrenie
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 d\'e1tum:\tab ..............................  
\par v\'fdsledok:...........................................................................................................................................................................................}{\f1\insrsid7737891\charrsid7358689 .}{
\f1\insrsid2697775\charrsid7358689 .....................................................................
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 USG vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 d\'e1tum:\tab ..............................  
\par v\'fdsledok:...........................................................................................................................................................................................}{\f1\insrsid7737891\charrsid7358689 ..}{
\f1\insrsid2697775\charrsid7358689 ....................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 
\par In\'e9 vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 d\'e1tum:\tab ..............................  
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7737891 {\f1\insrsid2697775\charrsid7358689 v\'fdsledok:......................................................................
...................................................}{\f1\insrsid7737891\charrsid7358689  ........................................................................................................................................
\par }{\f1\insrsid2697775\charrsid7358689  }{\b\f1\insrsid2697775\charrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid2697775\charrsid7358689 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid2697775 {\b\f1\insrsid2697775\charrsid7358689 
Biochemick\'e9 parametre}{\f1\insrsid2697775\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\b\f1\insrsid2697775\charrsid7358689 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh306\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 leukocyty\cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 x10}{\f1\fs22\super\insrsid2697775\charrsid7358689 9}{\f1\fs22\insrsid2697775\charrsid7358689 /l     \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh306\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh343\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 hemoglob\'edn\cell }\pard 
\qr \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 g/l                       \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh343\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh354\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl
\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 trombocyty\cell }\pard 
\qr \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 x10}{\f1\fs22\super\insrsid11288098\charrsid7358689 9}{\f1\fs22\insrsid2697775\charrsid7358689 /l\cell 
}\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh354\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 bilirub\'edn\cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f83\fs22\insrsid2697775\charrsid7358689 \'ecmol/l\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh331\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 kreatin\'edn\cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f83\fs22\insrsid2697775\charrsid7358689 \'ecmol/l\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh331\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh356\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 AST\cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f83\fs22\insrsid2697775\charrsid7358689 \'eckat/l\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh356\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh352\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 ALT\cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f83\fs22\insrsid2697775\charrsid7358689 \'eckat/l\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh352\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh348\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f1\fs22\insrsid2697775\charrsid7358689 ALP\cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7737891 {\f83\fs22\insrsid2697775\charrsid7358689 \'eckat/l\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid2697775\charrsid7358689 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh348\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1842\clshdrawnil \cellx2202\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2406\clshdrawnil \cellx4608
\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2697775 {\f1\insrsid2697775\charrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid2053701\charrsid7358689 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid2697775 {\b\f1\insrsid2053701\charrsid7358689 
\'dadaje o\~doteraj\'9aej lie\'e8be}{\b\f1\insrsid8477413\charrsid7358689  v pr\'edpade pokra\'e8ovania lie\'e8by}{\f1\insrsid2053701\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\b\f1\insrsid8477413\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\f1\insrsid8477413\charrsid7358689 d\'e1tum za\'e8atia lie\'e8by:......................................
\par v d\'e1vke:..........................................................\tab \tab \tab \tab 
\par po\'e8et podan\'fdch d\'e1vok:..................................
\par po\'e8et podan\'fdch cyklov:..................................
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid8477413 {\f1\insrsid8477413\charrsid7358689 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\f1\insrsid8477413\charrsid7358689 Redukcia d\'e1vky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8477413\charrsid7358689  FORMCHECKBOX }{\f1\insrsid8477413\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8477413\charrsid7358689   \'c1NO  
\par d\'f4vod: ..................................................................................
\par hodnota redukovanej d\'e1vky: ................................................
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8477413\charrsid7358689  FORMCHECKBOX }{\f1\insrsid8477413\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8477413\charrsid7358689   NIE
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\f1\insrsid8477413\charrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid8477413\charrsid7358689 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid8477413 {\b\f1\insrsid8477413\charrsid7358689 
Zhod}{\b\f1\insrsid2053701\charrsid7358689 notenie}{\b\f1\insrsid8477413\charrsid7358689  efektivity lie\'e8by a }{\b\f1\insrsid2053701\charrsid7358689 pos\'fadenie ne\'9eiaducich \'fa\'e8inkov}{\b\f1\insrsid8477413\charrsid7358689  v pr\'edpade pokra\'e8
ovania lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\b\f1\insrsid8477413\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8477413\charrsid7358689  FORMCHECKBOX }{\f1\insrsid8477413\charrsid7358689 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid8477413\charrsid7358689    toxicita miernej intenzity, nez\'e1va\'9en\'e1  
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8477413\charrsid7358689  FORMCHECKBOX }{\f1\insrsid8477413\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8477413\charrsid7358689    toxicita strednej intenzity, neohrozuj\'faca pacienta          
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8477413\charrsid7358689  FORMCHECKBOX }{\f1\insrsid8477413\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8477413\charrsid7358689    toxicita, ktor\'e1 bola  d\'f4vodom na preru\'9aenie lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\b\f1\insrsid8477413\charrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid2053701\charrsid7358689 \hich\af1\dbch\af0\loch\f1 7.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid8477413 {\b\f1\insrsid2053701\charrsid7358689 
Typ navrhovanej lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\b\f1\insrsid8477413\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2053701 {\f1\insrsid2053701\charrsid7358689 Sutent: }{\f1\insrsid8477413\charrsid7358689 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2053701\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2053701\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2053701\charrsid7358689  monoterapia
\par }{\f1\insrsid1467185\charrsid7358689 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2053701\charrsid7358689  FORMCHECKBOX }{\f1\insrsid2053701\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2053701\charrsid7358689  kombin\'e1cia      }{\f1\insrsid8477413\charrsid7358689 
\par }{\f1\insrsid2053701\charrsid7358689 s\~}{\f1\insrsid8477413\charrsid7358689 liekom}{\f1\insrsid2053701\charrsid7358689 :................................................................................}{\f1\insrsid8477413\charrsid7358689 
..........................}{\f1\insrsid2053701\charrsid7358689 
\par }{\f1\insrsid8477413\charrsid7358689 d}{\f1\insrsid2053701\charrsid7358689 \'e1vkovanie: ....................................................................................................
\par 
\par Nexavar:}{\f1\insrsid8477413\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8477413 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8477413\charrsid7358689  FORMCHECKBOX }{\f1\insrsid8477413\charrsid7358689 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid8477413\charrsid7358689  monoterapia
\par }{\f1\insrsid1467185\charrsid7358689 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8477413\charrsid7358689  FORMCHECKBOX }{\f1\insrsid8477413\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8477413\charrsid7358689  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2053701 {\f1\insrsid2053701\charrsid7358689 
\par 
\par }{\f1\insrsid1975373\charrsid7358689 
\par 
\par }{\f1\insrsid2053701\charrsid7358689 
\par }{\f1\insrsid8477413\charrsid7358689 Odtla\'e8ok pe\'e8iatky}{\f1\insrsid2053701\charrsid7358689  a\~podpis }{\f1\insrsid8477413\charrsid7358689 navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra}{\f1\insrsid2053701\charrsid7358689 :}{
\f1\insrsid8477413\charrsid7358689 
\par 
\par 
\par }{\f1\insrsid2053701\charrsid7358689 D\'e1tum: ...............................
\par 
\par 
\par 
\par }{\f1\insrsid1975373\charrsid7358689 
\par }{\f1\insrsid2053701\charrsid7358689 N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid8477413\charrsid7358689 
\par }{\f1\insrsid2053701\charrsid7358689 
\par ........................................................................................................................................
\par 
\par 
\par }{\f1\insrsid8477413\charrsid7358689 Odtla\'e8ok pe\'e8iatky a\~podpis }{\f1\insrsid2053701\charrsid7358689 indikuj\'faceho lek\'e1ra:                             }{\f1\insrsid8477413\charrsid7358689 
\par 
\par 
\par }{\f1\insrsid2053701\charrsid7358689 D\'e1tum: .................................
\par 
\par 
\par }{\f1\insrsid2053701\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\insrsid7280116\charrsid1975373 
\par }{\f1\insrsid5579395\charrsid1975373 
\par 
\par 
\par 
\par 
\par }{\f1\insrsid8477413\charrsid1975373 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 {\b\f1\insrsid8068412 Vzor \'e8. 2}{\b\f1\insrsid8068412\charrsid1975373 
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid8068412 {\b\f1\insrsid8068412\charrsid1975373 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8068412 {\b\f1\insrsid8068412\charrsid1975373    K\'f3d zdravotnej pois\'9dovne:
\par }\pard \ql \li900\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin900\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8068412 {\b\f1\fs32\ul\insrsid5579395\charrsid8068412 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by }{\b\f1\fs32\ul\insrsid2231460 
\par }{\b\f1\fs32\ul\insrsid5579395\charrsid8068412 karcin\'f3mu prsn\'edka
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 \tab }{\f1\insrsid8068412 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8068412 {\f1\insrsid8068412\charrsid1975373 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid8068412\charrsid1975373 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8068412\charrsid1975373  FORMCHECKBOX }{\f1\insrsid8068412\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8068412\charrsid1975373  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8068412\charrsid1975373  FORMCHECKBOX }{\f1\insrsid8068412\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8068412\charrsid1975373  pokra\'e8ovanie lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 \tab \tab \tab }{\b\f1\insrsid5579395\charrsid1975373 \tab \tab \tab \tab }{
\f1\insrsid5579395\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid1467185\charrsid7358689 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid1467185\charrsid1379051 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid1467185\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid1467185\charrsid1379051 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid1467185\charrsid1379051 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid1467185\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid1467185\charrsid7358689 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid1467185\charrsid1379051 N\'e1
zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid1467185\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid1467185\charrsid1379051 Telef
\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid1467185\charrsid1379051 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid1467185\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid1467185\charrsid7358689 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid1467185\charrsid1379051 Rodn
\'e9 \'e8\'edslo:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid1467185\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 
\trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid1467185\charrsid1379051 
Adresa trval\'e9ho pobytu:
\par 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid1467185\charrsid1379051 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1467185 {\b\f1\fs22\insrsid1467185\charrsid7358689 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid1467185\charrsid7358689 \'8a\'da
KL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid1467185\charrsid7358689 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid1467185\charrsid7358689 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid1467185\charrsid7358689 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid1467185\charrsid7358689 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid1467185\charrsid7358689 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid1467185\charrsid7358689 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid1467185\charrsid7358689 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid1467185\charrsid7358689 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\fs22\lang1024\langfe1024\noproof\insrsid5579395\charrsid1975373 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1467185 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid1467185\charrsid1975373 \tab }{
\f1\fs22\lang1024\langfe1024\noproof\insrsid1467185\charrsid1975373  }{\f1\insrsid1467185\charrsid1975373 D\'e1tum: ..............................
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid5579395 {\f1\insrsid5579395 
\par }\pard \ql \li708\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid1467185 {\f1\insrsid1467185\charrsid1975373 Liek:
\par }\pard \qj \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1467185 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1467185  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1467185 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid5579395\charrsid1467185  Herceptin L01XC03}{\f1\insrsid1467185\charrsid1467185 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1467185  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1467185 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1467185  Avastin L01XC07
\par }\pard \ql \li708\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid5579395 {\f1\insrsid5579395 
\par }{\f1\insrsid1467185 Lie\'e8ba:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1467185 {\b\f1\insrsid1467185\charrsid1975373 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1467185\charrsid1975373  FORMCHECKBOX }{
\f1\insrsid1467185\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1467185\charrsid1975373  Adjuvantn\'e1 lie\'e8ba
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1467185 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1467185\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1467185\charrsid1975373 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1467185\charrsid1975373  Lie\'e8ba }{\f1\insrsid1580245 v\'e8asn\'e9ho karcin\'f3mu prsn\'edka}{
\f1\insrsid1467185\charrsid1975373 
\par L\'ednia....................................}{\f1\insrsid1467185 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1467185\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1467185\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1467185\charrsid1975373  Lie\'e8ba }{\f1\insrsid1580245 metastatick\'e9ho karcin\'f3mu prsn\'edka}{\f1\insrsid1467185 
\par }{\f1\insrsid1467185\charrsid1975373 L\'ednia....................................}{\f1\insrsid1467185 
\par }\pard \ql \li1416\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin1416\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373                                                                       
\par {\listtext\pard\plain\b\f1\insrsid1467185\charrsid1975373 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin360\itap0\pararsid1467185 {\b\f1\insrsid1467185\charrsid1975373 Z
\'e1kladn\'e9 klinick\'e9 \'fadaje, prim\'e1rna diagnostika}{\f1\insrsid1467185\charrsid1467185 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1467185 {\f1\insrsid1467185 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\f1\insrsid7358689\charrsid7358689 Diagn\'f3za pod\'be
a MKCH ..............................  slovom......................................................
\par D\'e1tum diagn\'f3zy:.......................................... oper\'e1cia d\'f2a:...........................................
\par TNM v\~\'e8ase diagn\'f3zy:................................   typ:............  stupe\'f2: ................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1467185 {\f1\insrsid7358689\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid7358689 In\'e1 doteraj\'9aia lie\'e8ba:..................................................................
..................................}{\f1\insrsid7358689\charrsid7358689 ..}{\f1\insrsid5579395\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7358689\charrsid7358689  FORMCHECKBOX }{\f1\insrsid7358689\charrsid7358689 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7358689\charrsid7358689  oper\'e1cia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7358689\charrsid7358689  FORMCHECKBOX }{\f1\insrsid7358689\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid7358689\charrsid7358689  r\'e1dioterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7358689\charrsid7358689  FORMCHECKBOX }{\f1\insrsid7358689\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid7358689\charrsid7358689  chemoterapia: }{\f1\cf6\insrsid7358689\charrsid7358689 
\par {\listtext\pard\plain\f10\insrsid5579395\charrsid7358689 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\tx3060\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid7358689 {
\f1\insrsid5579395\charrsid7358689 Adjuvantn\'e1 lie\'e8ba:
\par }\pard\plain \s16\ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 
liekmi: ................................................................................................................
\par d\'e1tum od \endash  do: ..................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid5579395\charrsid7358689 
\par {\listtext\pard\plain\s16 \f10\lang1024\langfe1024\noproof\langfenp1033\insrsid7358689\charrsid7358689 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard\plain \s16\ql \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid7358689 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 Predch\'e1dzaj\'faca lie\'e8
ba 1. l\'ednie:
\par }\pard \s16\ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 
liekmi: ................................................................................................................
\par d\'e1tum od \endash  do: ..................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid7358689\charrsid7358689 
\par {\listtext\pard\plain\s16 \f10\lang1024\langfe1024\noproof\langfenp1033\insrsid7358689\charrsid7358689 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard\plain \s16\ql \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid7358689 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 \'cfal\'9aie l\'ednie lie\'e8by:

\par }\pard \s16\ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 
liekmi: ................................................................................................................
\par d\'e1tum od \endash  do: ..................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid5579395\charrsid7358689  
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid7358689  FORMCHECKBOX }{\f1\insrsid5579395\charrsid7358689 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid7358689   hormon\'e1lna lie\'e8ba:
\par {\listtext\pard\plain\f10\insrsid7358689\charrsid7358689 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\tx3060\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid7358689 {
\f1\insrsid7358689\charrsid7358689 Adjuvantn\'e1 lie\'e8ba:
\par }\pard\plain \s16\ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 
liekmi: ................................................................................................................
\par d\'e1tum od \endash  do: ..................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid7358689\charrsid7358689 
\par {\listtext\pard\plain\s16 \f10\lang1024\langfe1024\noproof\langfenp1033\insrsid7358689\charrsid7358689 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard\plain \s16\ql \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid7358689 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 Predch\'e1dzaj\'faca lie\'e8
ba 1. l\'ednie:
\par }\pard \s16\ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 liekmi: ......................................
..........................................................................
\par d\'e1tum od \endash  do: ..................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid7358689\charrsid7358689 
\par {\listtext\pard\plain\s16 \f10\lang1024\langfe1024\noproof\langfenp1033\insrsid7358689\charrsid7358689 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard\plain \s16\ql \fi-360\li720\ri0\widctlpar
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin720\itap0\pararsid7358689 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 \'cfal\'9aie l\'ednie lie\'e8by:

\par }\pard \s16\ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\lang1024\langfe1024\noproof\insrsid7358689\charrsid7358689 liekmi: .....................................
...........................................................................
\par d\'e1tum od \endash  do: ..................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid5579395\charrsid1975373 
\par TNM v\~\'e8ase }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  indikovania }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid5579395\charrsid1975373   pokra\'e8ovania 
\par biologickej  lie\'e8by.....................................}{\f1\cf6\insrsid5579395\charrsid1975373           }{\f1\insrsid5579395\charrsid1975373 
\par }\pard \qj \li0\ri-709\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par }{\f1\insrsid7358689 
\par {\listtext\pard\plain\b\f1\insrsid7358689\charrsid12262358 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin360\itap0\pararsid7358689 {
\b\f1\insrsid7358689\charrsid12262358 Aktu\'e1lny celkov\'fd zdravotn\'fd stav pacienta}{\f1\insrsid7358689\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\b\f1\insrsid7358689\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid7358689 {\f1\insrsid7358689\charrsid12262358 Sk\'f3re pod\'bea:
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7358689\charrsid12262358  FORMCHECKBOX }{\f1\insrsid7358689\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid7358689\charrsid12262358   Karnofsky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7358689\charrsid12262358  FORMCHECKBOX }{\f1\insrsid7358689\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid7358689\charrsid12262358   ECOG WHO
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid7358689\charrsid12262358 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin360\itap0\pararsid7358689 {
\b\f1\insrsid7358689\charrsid12262358 Zobrazovacie met\'f3dy}{\f1\insrsid7358689\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7358689 {\f1\insrsid7358689\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid15618410 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid15618410\charrsid12262358   RTG vy\'9aetrenie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15618410\charrsid12262358   CT vy\'9aetrenie
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:........................................................................................................................................................................................
.........................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid15618410 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 USG vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:....................................................................................................................
.............................................................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 
\par In\'e9 vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:................................................
......................................................................... ........................................................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395 
\par {\listtext\pard\plain\b\f1\insrsid15618410\charrsid1975373 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin360\itap0\pararsid15618410 {
\b\f1\insrsid15618410\charrsid1975373 Predikt\'edvne faktory resp. biochemick\'e9 markery}{\f1\insrsid15618410\charrsid7358689 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par Expresia HER2 neu receptora:  }{\f1\insrsid15618410 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373   \'c1NO             }{\f1\insrsid15618410 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373   NIE 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid5579395\charrsid1975373 V\'fdsledok:}{\f1\insrsid15618410 \tab }{\f1\insrsid5579395\charrsid1975373 
.....................................}{\f1\insrsid15618410 ............................................................................}{\f1\insrsid5579395\charrsid1975373 
\par Pracovisko: }{\f1\insrsid15618410 \tab }{\f1\insrsid5579395\charrsid1975373 ......................................................................................................}{\f1\insrsid15618410 ...........}{\f1\insrsid5579395\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par Hormon\'e1lne receptory:              }{\f1\insrsid15618410 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  pozit\'edvne       }{\f1\insrsid15618410 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373   negat\'edvne
\par }{\b\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid15618410\charrsid12262358 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin360\itap0\pararsid15618410 {
\b\f1\insrsid15618410\charrsid12262358 \'dadaje o\~doteraj\'9aej lie\'e8be v pr\'edpade pokra\'e8ovania lie\'e8by}{\f1\insrsid15618410\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 d\'e1tum za\'e8atia lie\'e8by:......................................
\par v d\'e1vke:..........................................................\tab \tab \tab \tab 
\par po\'e8et podan\'fdch d\'e1vok:..................................
\par po\'e8et podan\'fdch cyklov:..................................
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 Redukcia d\'e1vky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15618410\charrsid12262358   \'c1NO  
\par d\'f4vod: ..................................................................................
\par hodnota redukovanej d\'e1vky: ................................................
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15618410\charrsid12262358   NIE
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par 
\par {\listtext\pard\plain\b\f1\insrsid15618410\charrsid12262358 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin360\itap0\pararsid15618410 {
\b\f1\insrsid15618410\charrsid12262358 Zhodnotenie efektivity lie\'e8by v pr\'edpade pokra\'e8ovania lie\'e8by}{\b\f1\insrsid15618410 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\b\f1\insrsid15618410\charrsid12262358 
\par }{\f1\insrsid5579395\charrsid1975373 Onkomarkery....................................................................}{\f1\insrsid15618410 ....................................................................................................................
..................................................................}{\f1\insrsid5579395\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid15618410\charrsid12262358 \hich\af1\dbch\af0\loch\f1 7.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls9\adjustright\rin0\lin360\itap0\pararsid15618410 {
\b\f1\insrsid15618410\charrsid12262358 Typ navrhovanej lie\'e8by}{\b\f1\insrsid15618410 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\b\f1\insrsid15618410\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 Herceptin: }{\f1\insrsid15618410 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid15618410\charrsid12262358  monoterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15618410\charrsid12262358  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par Avastin: }{\f1\insrsid15618410 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid15618410\charrsid12262358  monoterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15618410\charrsid12262358  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395 
\par }{\f1\insrsid15618410 
\par 
\par 
\par }{\f1\insrsid15618410\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par 
\par D\'e1tum: ...............................
\par 
\par 
\par 
\par 
\par N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:
\par 
\par ........................................................................................................................................
\par 
\par 
\par Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par 
\par D\'e1tum: .................................
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\b\f1\insrsid15618410 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 {\b\f1\insrsid15618410 Vzor \'e8. 3}{\b\f1\insrsid15618410\charrsid12262358 
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid15618410 {\b\f1\insrsid15618410\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\b\f1\insrsid15618410\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }\pard \ql \li900\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin900\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\b\f1\fs32\ul\insrsid5579395\charrsid15618410 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by }{\b\f1\fs32\ul\insrsid2231460 
\par }{\b\f1\fs32\ul\insrsid5579395\charrsid15618410 karcin\'f3mu p\'be\'fac}{\f1\fs32\insrsid5579395\charrsid15618410 
\par }\pard \qj \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 \tab \tab                  \tab \tab \tab }{\f1\insrsid15618410 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid15618410\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15618410\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15618410\charrsid12262358  FORMCHECKBOX }{\f1\insrsid15618410\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15618410\charrsid12262358  pokra\'e8ovanie lie\'e8by
\par }\pard \qj \fi708\li708\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid5579395 {\b\f1\insrsid15618410\charrsid12262358 \tab \tab \tab \tab \tab }{\b\f1\insrsid5579395\charrsid1975373 \tab \tab \tab \tab }{
\f1\ul\insrsid5579395\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid15618410\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid15618410 
\par }{\b\f1\fs22\insrsid15618410\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid15618410\charrsid1379051 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid15618410\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid15618410\charrsid1379051 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid15618410\charrsid1379051 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid15618410\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid15618410\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid15618410\charrsid1379051 N
\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid15618410\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid15618410\charrsid1379051 
Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid15618410\charrsid1379051 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid15618410\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid15618410\charrsid12262358 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid15618410\charrsid1379051 Rodn
\'e9 \'e8\'edslo:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid15618410\charrsid1379051 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 
\trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid15618410\charrsid1379051 
Adresa trval\'e9ho pobytu:
\par 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid15618410\charrsid1379051 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\b\f1\fs22\insrsid15618410\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid15618410\charrsid12262358 \'8a
\'daKL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid15618410\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid15618410\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid15618410\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid15618410\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid15618410\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid15618410\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid15618410\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid15618410\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid15618410\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid15618410\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid15618410\charrsid12262358  }{\f1\insrsid15618410\charrsid12262358 D\'e1tum: ..............................
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 Liek:
\par }\pard \ql \li708\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid1784049 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1784049  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1784049 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid1784049  Tarceva}{\f1\insrsid6046706  L01XE03}{\f1\insrsid1784049\charrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1784049  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1784049 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid1784049  Avastin}{\f1\insrsid6046706  L01XC07}{\f1\insrsid1784049\charrsid1784049 
\par }{\b\f1\insrsid1784049\charrsid12262358 
\par }{\f1\insrsid1784049\charrsid12262358 Lie\'e8ba:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\b\f1\insrsid1784049\charrsid12262358 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{
\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358  Adjuvantn\'e1 lie\'e8ba
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358  Lie\'e8ba pokro\'e8il\'e9ho ochorenia
\par L\'ednia....................................
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15618410 {\f1\insrsid15618410\charrsid15618410 
\par {\listtext\pard\plain\b\f1\insrsid1784049\charrsid12262358 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0\pararsid1784049 {
\b\f1\insrsid1784049\charrsid12262358 Z\'e1kladn\'e9 klinick\'e9 \'fadaje, prim\'e1rna diagnostika}{\f1\insrsid1784049\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid1784049 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 Diagn\'f3za pod\'be
a MKCH ..............................  slovom......................................................
\par D\'e1tum diagn\'f3zy:.......................................... oper\'e1cia d\'f2a:............................................
\par TNM v\~\'e8ase diagn\'f3zy:................................   typ:............  stupe\'f2: ................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid1784049 
\par }{\f1\insrsid5579395\charrsid1975373 In\'e1 doteraj\'9aia lie\'e8ba: 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358  oper\'e1cia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358  r\'e1dioterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358  chemoterapia: }{\f1\cf6\insrsid1784049\charrsid12262358 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid1784049\charrsid12262358 Predch\'e1dzaj
\'faca lie\'e8ba 1. l\'ednie:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par 
\par \'cfal\'9aie l\'ednie lie\'e8by:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid1784049\charrsid12262358 
\par Hodnota TNM v\~\'e8ase }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358  indikovania }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358  pokra\'e8ovania 
\par biologickej lie\'e8by.....................................}{\f1\cf6\insrsid1784049\charrsid12262358           }{\f1\insrsid1784049\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid1784049\charrsid12262358 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0\pararsid1784049 {
\b\f1\insrsid1784049\charrsid12262358 Aktu\'e1lny celkov\'fd zdravotn\'fd stav pacienta}{\f1\insrsid1784049\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\b\f1\insrsid1784049\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 Sk\'f3re pod\'bea:
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358   Karnofsky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358   ECOG WHO
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid1784049 
\par }{\f1\insrsid5579395\charrsid1975373 Hemopt\'fdza
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  \'c1NO
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  NIE
\par }{\b\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid1784049\charrsid12262358 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0\pararsid1784049 {
\b\f1\insrsid1784049\charrsid12262358 Zobrazovacie met\'f3dy}{\f1\insrsid1784049\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\b\f1\insrsid1784049\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid1784049 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358   RTG vy\'9aetrenie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358   CT vy\'9aetrenie
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:....................................................................................................................................................................................................................................
.............................
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 USG vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:................................................................................................................................................................
.................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par CNS metast\'e1zy}{\f1\insrsid1784049 :
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  \'c1NO     }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  NIE                                           
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 In\'e9 vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:......................................................................................................................... ......................................................................................................................
..................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid1784049\charrsid12262358 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0\pararsid1784049 {
\b\f1\insrsid1784049\charrsid12262358 \'dadaje o\~doteraj\'9aej lie\'e8be v pr\'edpade pokra\'e8ovania lie\'e8by}{\f1\insrsid1784049\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\b\f1\insrsid1784049\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 d\'e1tum za\'e8atia lie\'e8by:......................................
\par v d\'e1vke:..........................................................\tab \tab \tab \tab 
\par po\'e8et podan\'fdch d\'e1vok:..................................
\par po\'e8et podan\'fdch cyklov:..................................
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 Redukcia d\'e1vky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358   \'c1NO  
\par d\'f4vod: ..................................................................................
\par hodnota redukovanej d\'e1vky: ................................................
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358   NIE
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid1784049\charrsid12262358 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0\pararsid1784049 {
\b\f1\insrsid1784049\charrsid12262358 Zhodnotenie efektivity lie\'e8by a pos\'fadenie ne\'9eiaducich \'fa\'e8inkov v pr\'edpade pokra\'e8ovania lie\'e8by
\par }\pard \qj \li709\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin709\itap0\pararsid5579395 {\f1\fs22\insrsid5579395\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358    toxicita miernej intenzity, nez\'e1va\'9en\'e1  
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358    toxicita strednej intenzity, neohrozuj\'faca pacienta          
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358    toxicita, ktor\'e1 bola d\'f4vodom na preru\'9aenie lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid1784049 {\f1\insrsid1784049 Myelosupresia }{\f1\insrsid5579395\charrsid1975373 3}{\f1\insrsid1784049 .}{\f1\insrsid5579395\charrsid1975373  stup\'f2
a:   }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049  }{\f1\insrsid5579395\charrsid1975373 \'e1no   }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  nie   }{\f1\insrsid1784049 
\par Myelosupresia}{\f1\insrsid5579395\charrsid1975373  4}{\f1\insrsid1784049 .}{\f1\insrsid5579395\charrsid1975373  stup\'f2a: }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049  }{\f1\insrsid1784049\charrsid1975373 \'e1no   }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid1975373  nie   }{\f1\insrsid1784049 
\par Neutrop\'e9nia }{\f1\insrsid5579395\charrsid1975373 3}{\f1\insrsid1784049 .}{\f1\insrsid5579395\charrsid1975373  stup\'f2a:   }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049  }{\f1\insrsid1784049\charrsid1975373 \'e1no   }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid1975373  nie   }{\f1\insrsid1784049 
\par Neutrop\'e9nia }{\f1\insrsid5579395\charrsid1975373 4}{\f1\insrsid1784049 .}{\f1\insrsid5579395\charrsid1975373  stup\'f2a: }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049  }{\f1\insrsid1784049\charrsid1975373 \'e1no   }{\f1\insrsid1784049 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid1975373  FORMCHECKBOX }{\f1\insrsid1784049\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid1975373  nie   }{\f1\insrsid1784049 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid1784049\charrsid12262358 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin360\itap0\pararsid1784049 {
\b\f1\insrsid1784049\charrsid12262358 Typ navrhovanej }{\b\f1\insrsid1784049 (pokra\'e8uj\'facej) }{\b\f1\insrsid1784049\charrsid12262358 lie\'e8by}{\b\f1\insrsid1784049 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\b\f1\insrsid1784049\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 Tarceva:}{\f1\insrsid1784049 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358  monoterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par Avastin: }{\f1\insrsid1784049 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid1784049\charrsid12262358  monoterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid1784049\charrsid12262358  FORMCHECKBOX }{\f1\insrsid1784049\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid1784049\charrsid12262358  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395 
\par }{\f1\insrsid1784049 
\par }{\f1\insrsid1784049\charrsid1975373 
\par }{\f1\insrsid5579395\charrsid1975373 
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\f1\insrsid1784049\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par 
\par D\'e1tum: ...............................
\par 
\par 
\par 
\par 
\par N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:
\par 
\par ........................................................................................................................................
\par 
\par 
\par Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395 
\par }{\f1\insrsid1784049 
\par 
\par 
\par 
\par 
\par }{\f1\insrsid1784049\charrsid1975373 
\par }{\f1\insrsid5579395\charrsid1975373 
\par }{\f1\insrsid5579395 
\par }{\f1\insrsid1784049 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\f1\insrsid1784049\charrsid1975373 
\par }{\f1\insrsid10107937 
\par }{\f1\insrsid1784049 
\par }\pard \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 {\b\f1\insrsid1784049 Vzor \'e8. 4}{\b\f1\insrsid1784049\charrsid12262358 
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid1784049 {\b\f1\insrsid1784049\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1784049 {\b\f1\insrsid1784049\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }\pard \ql \li900\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin900\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\b\f1\fs32\ul\insrsid5579395\charrsid2231460 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by }{\b\f1\fs32\ul\insrsid2231460 
\par }{\b\f1\fs32\ul\insrsid5579395\charrsid2231460 karcin\'f3mu hrub\'e9ho \'e8reva
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 \tab \tab \tab \tab }{\b\f1\insrsid5579395\charrsid1975373 \tab \tab \tab \tab }{
\f1\insrsid5579395\charrsid1975373 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid2231460\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358  pokra\'e8ovanie lie\'e8by
\par }\pard \qj \fi708\li708\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 \tab \tab \tab \tab \tab }{\f1\ul\insrsid5579395\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid2231460\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid2231460 
\par }{\b\f1\fs22\insrsid2231460\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid2231460\charrsid879716 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2231460\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid2231460\charrsid879716 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid2231460\charrsid879716 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2231460\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 
\trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid2231460\charrsid12262358 Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1
ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid2231460\charrsid879716 N\'e1
zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2231460\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid2231460\charrsid879716 Telef
\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid2231460\charrsid879716 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2231460\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 
\trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid2231460\charrsid12262358 Meno a priezvisko pacienta:  \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid2231460\charrsid879716 Rodn\'e9 \'e8\'edslo:  \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2231460\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid2231460\charrsid879716 Adresa trval\'e9ho pobytu:
\par 
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid2231460\charrsid879716 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\b\f1\fs22\insrsid2231460\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid2231460\charrsid12262358 \'8a\'da
KL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid2231460\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid2231460\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid2231460\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid2231460\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid2231460\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid2231460\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid2231460\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid2231460\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid2231460\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid2231460\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid2231460\charrsid12262358  }{\f1\insrsid2231460\charrsid12262358 D\'e1tum: ..............................
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 Liek:
\par }\pard \ql \li708\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid2231460 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid2231460  FORMCHECKBOX }{\f1\insrsid2231460\charrsid2231460 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2231460\charrsid2231460  Avastin }{\f1\insrsid2231460\charrsid2231460 L01XC07 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid2231460  FORMCHECKBOX }{\f1\insrsid2231460\charrsid2231460 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid2231460  Erbitux }{\f1\insrsid2231460\charrsid2231460 L01XC06 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid2231460  FORMCHECKBOX }{\f1\insrsid2231460\charrsid2231460 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid6046706  Vectibix L01XC}{\f1\insrsid2231460\charrsid2231460 08
\par }{\b\f1\insrsid2231460\charrsid12262358 
\par }{\f1\insrsid2231460\charrsid12262358 Lie\'e8ba:
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2231460  Neoa}{\f1\insrsid2231460\charrsid12262358 djuvantn\'e1 lie\'e8ba
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358  Adjuvantn\'e1 lie\'e8ba
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358  Lie\'e8ba pokro\'e8il\'e9ho ochorenia
\par L\'ednia....................................
\par }\pard \ql \li708\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid5579395 {\f1\insrsid2231460 
\par {\listtext\pard\plain\b\f1\insrsid2231460\charrsid12262358 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin360\itap0\pararsid2231460 {
\b\f1\insrsid2231460\charrsid12262358 Z\'e1kladn\'e9 klinick\'e9 \'fadaje, prim\'e1rna diagnostika}{\f1\insrsid2231460\charrsid2231460 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 Diagn\'f3za pod\'bea MKCH ......................
........  slovom......................................................
\par D\'e1tum diagn\'f3zy:.......................................... oper\'e1cia d\'f2a:............................................
\par TNM v\~\'e8ase diagn\'f3zy:................................   typ:............  stupe\'f2: ................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid1052567 
\par }{\f1\insrsid5579395\charrsid1975373 In\'e1 doteraj\'9aia lie\'e8ba: 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2231460\charrsid12262358  oper\'e1cia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358  r\'e1dioterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358  chemoterapia: }{\f1\cf6\insrsid2231460\charrsid12262358 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid1052567 
\par }{\lang1024\langfe1024\noproof\insrsid2231460\charrsid12262358 Predch\'e1dzaj\'faca lie\'e8ba }{\lang1024\langfe1024\noproof\insrsid2231460 neoadjuvantn\'e1}{\lang1024\langfe1024\noproof\insrsid2231460\charrsid12262358 :
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid2231460 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid2231460\charrsid12262358 Predch\'e1dzaj
\'faca lie\'e8ba 1. l\'ednie:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid5579395\charrsid1975373 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid2231460\charrsid12262358 \'cfal\'9aie l
\'ednie lie\'e8by:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid5579395\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 Hodnota TNM v\~\'e8ase }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358 
 FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2231460\charrsid12262358  indikovania }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358 
 FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2231460\charrsid12262358  pokra\'e8ovania 
\par biologickej lie\'e8by.....................................}{\f1\cf6\insrsid2231460\charrsid12262358           }{\f1\insrsid2231460\charrsid12262358 
\par }\pard \qj \li0\ri-709\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 {\f1\insrsid2231460 
\par {\listtext\pard\plain\b\f1\insrsid2231460\charrsid12262358 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin360\itap0\pararsid2231460 {
\b\f1\insrsid2231460\charrsid12262358 Aktu\'e1lny celkov\'fd zdravotn\'fd stav pacienta}{\f1\insrsid2231460\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\b\f1\insrsid2231460\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 Sk\'f3re pod\'bea:
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358   Karnofsky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358   ECOG WHO
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 
\par {\listtext\pard\plain\b\f1\insrsid2231460\charrsid12262358 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin360\itap0\pararsid2231460 {
\b\f1\insrsid2231460\charrsid12262358 Zobrazovacie met\'f3dy}{\f1\insrsid2231460\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\b\f1\insrsid2231460\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid2231460 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2231460\charrsid12262358   RTG vy\'9aetrenie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid12262358  FORMCHECKBOX }{\f1\insrsid2231460\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid12262358   CT vy\'9aetrenie
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:................................................................................................................................................................
.................................................................................................
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 USG vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:............................................................................................
.....................................................................................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 
\par In\'e9 vy\'9aetrenie 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\f1\insrsid2231460\charrsid12262358 d\'e1tum:\tab ..............................  
\par v\'fdsledok:........................
................................................................................................. ........................................................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395 
\par {\listtext\pard\plain\b\f1\insrsid5579395\charrsid1975373 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin360\itap0\pararsid2231460 {\b\f1\insrsid5579395\charrsid1975373 
Predikt\'edvne faktory, biochemick\'e9 markery}{\b\f1\insrsid5579395 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\b\f1\insrsid2231460\charrsid2231460 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 Expresia EGFR receptorov :    }{\f1\insrsid2231460 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid1975373  FORMCHECKBOX }{\f1\insrsid2231460\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid1975373  }{\f1\insrsid5579395\charrsid1975373 \'c1NO      }{\f1\insrsid2231460 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid1975373  FORMCHECKBOX }{\f1\insrsid2231460\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid1975373  }{\f1\insrsid5579395\charrsid1975373 NIE  }{\f1\insrsid2231460 
\par pracovisko:.....................................................................................................................}{\f1\insrsid5579395\charrsid1975373 
\par 
\par onkomarkery:}{\f1\insrsid2231460 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid5579395\charrsid1975373  CEA:      }{\f1\insrsid2231460 
\par }{\f1\insrsid5579395\charrsid1975373 .................. posl}{\f1\insrsid2231460 edn\'e9 vy\'9aetrenie (d\'e1tum)
\par }{\f1\insrsid5579395\charrsid1975373 .................}{\f1\insrsid2231460 . predch\'e1dzaj\'face}{\f1\insrsid5579395\charrsid1975373  vy\'9aetrenie }{\f1\insrsid2231460 (d\'e1tum)}{\f1\insrsid5579395\charrsid1975373 \tab              
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5579395\charrsid1975373  FORMCHECKBOX }{\f1\insrsid5579395\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5579395\charrsid1975373  CA 19-9:}{\f1\insrsid2231460 
\par }{\f1\insrsid5579395\charrsid1975373 ................... }{\f1\insrsid2231460\charrsid1975373 posl}{\f1\insrsid2231460 edn\'e9 }{\f1\insrsid5579395\charrsid1975373 vy\'9aetrenie }{\f1\insrsid2231460 (d\'e1tum)}{\f1\insrsid5579395\charrsid1975373 
\par ..................  }{\f1\insrsid2231460 predch\'e1dzaj\'face}{\f1\insrsid2231460\charrsid1975373  }{\f1\insrsid5579395\charrsid1975373 vy\'9aetrenie }{\f1\insrsid2231460 (d\'e1tum)}{\f1\insrsid5579395\charrsid1975373 \tab                
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par KRAS:              }{\f1\insrsid2231460 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid2231460 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid1975373  FORMCHECKBOX }{\f1\insrsid2231460\charrsid1975373 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid2231460\charrsid1975373  \'c1NO      }{\f1\insrsid2231460 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid2231460\charrsid1975373  FORMCHECKBOX }{\f1\insrsid2231460\charrsid1975373 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid2231460\charrsid1975373  NIE  }{\f1\insrsid2231460 
\par pracovisko:.....................................................................................................................}{\f1\insrsid2231460\charrsid1975373 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid5339252\charrsid12262358 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin360\itap0\pararsid5339252 {
\b\f1\insrsid5339252\charrsid12262358 \'dadaje o\~doteraj\'9aej lie\'e8be v pr\'edpade pokra\'e8ovania lie\'e8by}{\f1\insrsid5339252\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\b\f1\insrsid5339252\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\f1\insrsid5339252\charrsid12262358 d\'e1tum za\'e8atia lie\'e8by:......................................
\par v d\'e1vke:..........................................................\tab \tab \tab \tab 
\par po\'e8et podan\'fdch d\'e1vok:..................................
\par po\'e8et podan\'fdch cyklov:..................................
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5339252 {\f1\insrsid5339252\charrsid12262358 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\f1\insrsid5339252\charrsid12262358 Redukcia d\'e1vky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5339252\charrsid12262358   \'c1NO  
\par d\'f4vod: ..................................................................................
\par hodnota redukovanej d\'e1vky: ................................................
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5339252\charrsid12262358   NIE
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid5339252\charrsid12262358 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin360\itap0\pararsid5339252 {
\b\f1\insrsid5339252\charrsid12262358 Zhodnotenie efektivity lie\'e8by a pos\'fadenie ne\'9eiaducich \'fa\'e8inkov v pr\'edpade pokra\'e8ovania lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\b\f1\insrsid5339252\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid5339252\charrsid12262358    toxicita miernej intenzity, nez\'e1va\'9en\'e1  
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5339252\charrsid12262358    toxicita strednej intenzity, neohrozuj\'faca pacienta          
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5339252\charrsid12262358    toxicita, ktor\'e1 bola d\'f4vodom na preru\'9aenie lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\b\f1\insrsid5579395\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid5339252\charrsid12262358 \hich\af1\dbch\af0\loch\f1 7.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin360\itap0\pararsid5339252 {
\b\f1\insrsid5339252\charrsid12262358 Typ navrhovanej }{\b\f1\insrsid5339252 (pokra\'e8uj\'facej) }{\b\f1\insrsid5339252\charrsid12262358 lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5339252 
\par }{\f1\insrsid5579395\charrsid1975373 Avastin: }{\f1\insrsid5339252 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid5339252\charrsid12262358  monoterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5339252\charrsid12262358  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par Erbitux:  }{\f1\insrsid5339252 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid5339252\charrsid12262358  monoterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5339252\charrsid12262358  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par Vectibix: }{\f1\insrsid5339252 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid5339252\charrsid12262358  monoterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid5339252\charrsid12262358  FORMCHECKBOX }{\f1\insrsid5339252\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid5339252\charrsid12262358  kombin\'e1cia      
\par s\~liekom:..........................................................................................................
\par d\'e1vkovanie: ....................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395 
\par }{\f1\insrsid5339252 
\par 
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5339252 {\f1\insrsid5339252\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par 
\par D\'e1tum: ...............................
\par 
\par 
\par 
\par 
\par N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:
\par 
\par ........................................................................................................................................
\par 
\par 
\par Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\insrsid5579395 
\par }{\f1\insrsid5339252 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 {\b\f1\insrsid3810324 Vzor \'e8. 5}{\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }\pard \ql \li900\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin900\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\fs32\ul\insrsid3810324\charrsid1929662 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by
\par karcin\'f3mu }{\b\f1\fs32\ul\insrsid3810324 hlavy a krku}{\b\f1\fs32\ul\insrsid3810324\charrsid1929662 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 \tab 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid3810324\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  pokra\'e8ovanie lie\'e8by
\par }\pard \qj \fi708\li708\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 \tab \tab \tab \tab \tab }{\f1\ul\insrsid3810324\charrsid12262358 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid3810324 
\par }{\b\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\b\f1\fs22\insrsid4002821 ov\'e1 adresa}{\b\f1\fs22\insrsid3810324\charrsid12262358 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 N
\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 
Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\b\f1\fs22\insrsid4002821 ov\'e1 adresa}{\b\f1\fs22\insrsid3810324\charrsid12262358 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 
Rodn\'e9 \'e8\'edslo:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 
Adresa trval\'e9ho pobytu:
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\fs22\insrsid3810324\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 \'8a
\'daKL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {
\b\f1\fs22\insrsid3810324\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\b\f1\fs22\insrsid3810324\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid3810324\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid3810324\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid3810324\charrsid12262358  }{\f1\insrsid3810324\charrsid12262358 D\'e1tum: ..............................
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid1975373 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 Liek:
\par }\pard \ql \li708\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid3810324 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 Erbitux L01XC06}{\f1\insrsid3810324\charrsid12262358 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 in\'e9 ..............................}{\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324 
\par {\listtext\pard\plain\b\f1\insrsid3810324\charrsid12262358 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin360\itap0\pararsid3810324 {
\b\f1\insrsid3810324\charrsid12262358 Z\'e1kladn\'e9 klinick\'e9 \'fadaje, prim\'e1rna diagnostika}{\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 Diagn\'f3za pod\'bea MKCH ......................
........  slovom......................................................
\par D\'e1tum diagn\'f3zy:.......................................... oper\'e1cia d\'f2a:............................................
\par TNM v\~\'e8ase diagn\'f3zy:................................   typ:............  stupe\'f2: ................................
\par }{\f1\insrsid3810324\charrsid6635523 
\par In\'e1 doteraj\'9aia lie\'e8ba: 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  oper\'e1cia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  r\'e1dioterapia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  chemoterapia: }{\f1\cf6\insrsid3810324\charrsid12262358 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid3810324 
\par }{\lang1024\langfe1024\noproof\insrsid3810324\charrsid12262358 Predch\'e1dzaj\'faca lie\'e8ba 1. l\'ednie:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid3810324\charrsid6635523 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid3810324\charrsid12262358 \'cfal\'9aie l
\'ednie lie\'e8by:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid3810324\charrsid6635523 
\par }{\f1\insrsid3810324\charrsid12262358 Hodnota TNM v\~\'e8ase }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid12262358  indikovania }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358 
 FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid12262358  pokra\'e8ovania 
\par biologickej lie\'e8by.....................................}{\f1\cf6\insrsid3810324\charrsid12262358           }{\f1\insrsid3810324\charrsid12262358 
\par }{\f1\insrsid3810324 
\par {\listtext\pard\plain\b\f1\insrsid3810324\charrsid12262358 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin360\itap0\pararsid3810324 {
\b\f1\insrsid3810324\charrsid12262358 Aktu\'e1lny celkov\'fd zdravotn\'fd stav pacienta}{\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 Sk\'f3re pod\'bea:
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   Karnofsky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   ECOG WHO
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324 
\par {\listtext\pard\plain\b\f1\insrsid3810324\charrsid12262358 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin360\itap0\pararsid3810324 {
\b\f1\insrsid3810324\charrsid12262358 Zobrazovacie met\'f3dy}{\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324 
\par a)}{\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid12262358   RTG vy\'9aetrenie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   CT vy\'9aetrenie}{\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 MRI hrudn\'edka}{\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 d\'e1tum:\tab ..............................  }{\f1\insrsid3810324 
\par 
\par hodnotenie n\'e1lezu:
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 pozit\'edvny}{\f1\insrsid3810324\charrsid12262358 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 negat\'edvny
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324 
\par }{\b\f1\insrsid3810324\charrsid1839329 b)
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 USG}{\f1\insrsid3810324\charrsid12262358  vy\'9aetrenie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   CT vy\'9aetrenie}{\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 MRI brucha}{\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 d\'e1tum:\tab ..............................  
\par }{\f1\insrsid3810324 
\par hodnotenie n\'e1lezu:
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 pozit\'edvny}{\f1\insrsid3810324\charrsid12262358 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 negat\'edvny
\par 
\par {\listtext\pard\plain\b\f1\insrsid3810324 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin360\itap0\pararsid3810324 {\b\f1\insrsid3810324 Z\'e1kladn\'e9 aktu\'e1
lne hematologick\'e9 parametre:}{\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh306\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324 erytrocyty:}{\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh306\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh343\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324\charrsid12262358 hemoglob\'edn}{\f1\fs22\insrsid3810324 :}{\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard 
\qr \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh343\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh354\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324 leukocyty:}{\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh354\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh350\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\pard \ql \li0\ri0\widctlpar\intbl\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324 trombocyty:}{\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \qr \li0\ri0\widctlpar\intbl
\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid11731787 {\f1\fs22\insrsid3810324\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {
\f1\fs22\insrsid3810324\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh350\trleft360\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind468\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1008\clshdrawnil \cellx1787\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2592\clshdrawnil \cellx4379
\row }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\f1\insrsid3810324 
\par {\listtext\pard\plain\b\f1\insrsid3810324\charrsid12262358 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin360\itap0\pararsid3810324 {
\b\f1\insrsid3810324\charrsid12262358 \'dadaje o\~doteraj\'9aej lie\'e8be }{\b\f1\insrsid3810324 Erbituxom }{\b\f1\insrsid3810324\charrsid12262358 v pr\'edpade pokra\'e8ovania lie\'e8by}{\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 d\'e1tum za\'e8atia lie\'e8by:......................................
\par v d\'e1vke:}{\f1\insrsid3810324  }{\f82\insrsid3810324\charrsid6635523 400 mg/ m\'b2-250mg/ m\'b2}{\f1\insrsid3810324\charrsid12262358 \tab \tab \tab \tab 
\par po\'e8et podan\'fdch }{\f1\insrsid3810324 t\'fd\'9edenn\'fdch }{\f1\insrsid3810324\charrsid12262358 cyklov:..................................
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 \tab 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid12262358 Redukcia d\'e1vky
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   \'c1NO  
\par d\'f4vod: ..................................................................................
\par hodnota redukovanej d\'e1vky: ................................................
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   NIE
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324 
\par {\listtext\pard\plain\b\f1\insrsid3810324\charrsid12262358 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin360\itap0\pararsid3810324 {
\b\f1\insrsid3810324\charrsid12262358 Zhodnotenie efektivity lie\'e8by}{\b\f1\insrsid3810324  }{\f1\insrsid3810324\charrsid6635523 po ukon\'e8en\'ed 3 mesiacov lie\'e8by, popis zmeny oproti predch\'e1dzaj\'facemu vy\'9aetreniu}{\f1\insrsid3810324 :}{
\b\f1\insrsid3810324\charrsid6635523 
\par }\pard \qj \li0\ri-709\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid6635523         
\par }{\f1\ul\insrsid3810324\charrsid6635523 Lok\'e1lny n\'e1lez v\~oblasti hlavy a krku:
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid6635523  FORMCHECKBOX }{\f1\insrsid3810324\charrsid6635523 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid6635523  ORL, resp. stomatochirurgick\'e9 vy\'9aetrenie
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid6635523 
Popis:.....................................................................................................
.................................................................................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid6635523 D\'e1tum:..................................
\par + k \'9eiadosti pripoji\'9d k\'f3piu ORL, resp. stomatochirurgick\'e9ho n\'e1lezu
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   RTG vy\'9aetrenie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   CT vy\'9aetrenie}{\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 MRI 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358   }{\f1\insrsid3810324 USG v\~oblasti hlavy a\~krku: 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324\charrsid6635523 Popis:...........................................
................................................................................................................................................................................................................ 
{\shp{\*\shpinst\shpleft10314\shptop709\shpright11754\shpbottom2149\shpfhdr0\shpbxcolumn\shpbxignore\shpbypara\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz0\shplid1039{\sp{\sn shapeType}{\sv 202}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn lTxid}{\sv 720896}}{\sp{\sn hspNext}{\sv 1039}}{\sp{\sn lineColor}{\sv 16777215}}{\sp{\sn fLine}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}{\shptxt \pard\plain 
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\insrsid3810324  A1
\par }}}{\shprslt{\*\do\dobxcolumn\dobypara\dodhgt8192\dptxbx\dptxlrtb{\dptxbxtext\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {
\insrsid3810324  A1
\par }}\dpx10314\dpy709\dpxsize1440\dpysize1440\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat1\dplinew15\dplinecor255\dplinecog255\dplinecob255}}}D\'e1tum: ................................}{
\f1\cf11\insrsid3810324\charrsid6635523 
\par }{\f1\insrsid3810324 
\par {\listtext\pard\plain\b\f1\insrsid3810324\charrsid4988414 \hich\af1\dbch\af0\loch\f1 7.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin360\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid4988414 
Pos\'fadenie ne\'9eiaducich \'fa\'e8inkov}{\b\f1\insrsid3810324  }{\b\f1\insrsid3810324\charrsid12262358 v pr\'edpade pokra\'e8ovania lie\'e8by}{\b\f1\insrsid3810324\charrsid4988414 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid6635523  }{\b\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358    toxicita miernej intenzity, nez\'e1va\'9en\'e1  
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358    toxicita strednej intenzity, neohrozuj\'faca pacienta          
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358    toxicita, ktor\'e1 bola d\'f4vodom na preru\'9aenie lie\'e8by
\par }{\f1\insrsid3810324\charrsid6635523 
\par Postihnut\'fd syst\'e9m: }{\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid6635523  FORMCHECKBOX }{\f1\insrsid3810324\charrsid6635523 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid6635523  }{\f1\insrsid3810324 k}{\f1\insrsid3810324\charrsid6635523 o\'9ea                     }{\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid6635523  FORMCHECKBOX }{\f1\insrsid3810324\charrsid6635523 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324  s}{\f1\insrsid3810324\charrsid6635523 liznice                       }{\f1\insrsid3810324 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid6635523  FORMCHECKBOX }{\f1\insrsid3810324\charrsid6635523 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324  k}{\f1\insrsid3810324\charrsid6635523 rvotvorn\'fd 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid6635523  FORMCHECKBOX }{\f1\insrsid3810324\charrsid6635523 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324  i}{\f1\insrsid3810324\charrsid6635523 n\'fd:.....................................................}{\f1\insrsid3810324 
\par }{\f1\insrsid3810324\charrsid6635523 
\par {\listtext\pard\plain\b\f1\insrsid3810324\charrsid12262358 \hich\af1\dbch\af0\loch\f1 8.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls7\adjustright\rin0\lin360\itap0\pararsid3810324 {
\b\f1\insrsid3810324\charrsid12262358 Typ navrhovanej }{\b\f1\insrsid3810324 (pokra\'e8uj\'facej) }{\b\f1\insrsid3810324\charrsid12262358 lie\'e8by
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\b\f1\insrsid3810324\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324 Erbitux }{\f82\insrsid3810324\charrsid6635523 konkomitantne s\~r\'e1dioterapiou lokoregion\'e1lne v\~d\'e1
vkach pre pacienta s\~povrchom tela:...... m\'b2}{\f1\insrsid3810324\charrsid12262358  
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  }{\f1\insrsid3810324\charrsid6635523 re\'9eim konkomitantnej r\'e1dioterapie:............................................}{\f1\insrsid3810324\charrsid12262358 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  }{\f1\insrsid3810324 po\'e8iato\'e8n\'e1 d\'e1vka 400 mg/}{\f82\insrsid3810324\charrsid6635523 m\'b2.....................}{\f1\insrsid3810324 ................................
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3810324\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333500000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed35}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid12262358  }{\f1\insrsid3810324 udr\'9eiavacia d\'e1vka 250 mg/}{\f82\insrsid3810324\charrsid6635523 m\'b2.....................}{\f1\insrsid3810324 ................................
\par }{\f1\insrsid3810324\charrsid12262358 
\par }{\b\f1\insrsid3810324\charrsid6635523 
\par }{\f1\insrsid3810324\charrsid6635523 
\par }{\b\f1\insrsid3810324\charrsid6635523 
\par }{\f1\insrsid3810324\charrsid6635523 
\par }{\f1\insrsid3810324\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par 
\par D\'e1tum: ...............................
\par 
\par 
\par 
\par 
\par N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:
\par 
\par ........................................................................................................................................
\par 
\par 
\par Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\f1\insrsid3810324 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 {\b\f1\insrsid3810324 Vzor \'e8. 6}{\b\f1\insrsid8272489\charrsid12262358 
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid8272489 {\b\f1\insrsid8272489\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 {\b\f1\insrsid8272489\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 {\b\f1\fs32\ul\insrsid8272489\charrsid1929662 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by}{\b\f1\fs32\ul\insrsid8272489  liekom}{
\b\f1\fs32\ul\insrsid8272489\charrsid1929662 
\par }{\b\f1\fs32\ul\insrsid8272489 _________________________}{\b\f1\fs32\ul\insrsid8272489\charrsid1929662 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1975373 \tab \tab \tab \tab }{\b\f1\insrsid5579395\charrsid1975373 \tab \tab \tab \tab }{
\f1\insrsid5579395\charrsid1975373 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 {\f1\insrsid8272489\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid8272489\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8272489\charrsid12262358  FORMCHECKBOX }{\f1\insrsid8272489\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8272489\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8272489\charrsid12262358  FORMCHECKBOX }{\f1\insrsid8272489\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8272489\charrsid12262358  pokra\'e8ovanie lie\'e8by}{\f1\insrsid8272489 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8272489\charrsid12262358  FORMCHECKBOX }{\f1\insrsid8272489\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid8272489\charrsid12262358  }{\f1\insrsid8272489 ukon\'e8enie}{\f1\insrsid8272489\charrsid12262358  lie\'e8by}{\f1\insrsid8272489 
\par }\pard \ql \fi-992\li992\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0\pararsid5579395 {\f1\ul\insrsid5579395\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid8272489\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid8272489 
\par }{\b\f1\fs22\insrsid8272489\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid8272489\charrsid879716 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8272489\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\f1\fs22\insrsid8272489\charrsid879716 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid8272489\charrsid879716 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8272489\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 
\trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid8272489\charrsid12262358 Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1
ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid8272489\charrsid879716 N\'e1
zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8272489\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid8272489\charrsid879716 Telef
\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid8272489\charrsid879716 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8272489\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 
\trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid8272489\charrsid12262358 Meno a priezvisko pacienta:  \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid8272489\charrsid879716 Rodn\'e9 \'e8\'edslo:  \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8272489\charrsid879716 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\f1\fs22\insrsid8272489\charrsid879716 Adresa trval\'e9ho pobytu:
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\fs22\insrsid8272489\charrsid879716 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 {\b\f1\fs22\insrsid8272489\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid8272489\charrsid12262358 \'8a\'da
KL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid8272489\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid8272489\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid8272489\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid8272489\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid8272489\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {
\b\f1\fs22\insrsid8272489\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\f1\fs22\insrsid8272489\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid8272489\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid8272489\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid8272489\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid8272489\charrsid12262358  }{\f1\insrsid8272489\charrsid12262358 D\'e1tum: ..............................
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid8272489\charrsid13438509 \hich\af1\dbch\af0\loch\f1 I.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls13\adjustright\rin0\lin360\itap0\pararsid13438509 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8272489\charrsid13438509 \'e8as\'9d}{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509\charrsid13438509 
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13438509 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid5579395\charrsid13438509 \'8eiados\'9d o\~s\'fahlas na za\'e8atie lie\'e8by liekom }
{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid5579395\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid5579395\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid5579395\charrsid13438509   XOLAIR }{
\f1\lang1051\langfe1051\langnp1051\insrsid5579395\charrsid1052567 (omalizumab)}{\f1\fs28\cf6\lang1051\langfe1051\langnp1051\insrsid5579395\charrsid13438509 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid14824046               }{
\lang1024\langfe1024\noproof\insrsid12005378 \tab \tab \tab \tab \tab \tab \tab      }{\b\lang1024\langfe1024\noproof\insrsid12005378\charrsid12005378 R03DX05}{\lang1024\langfe1024\noproof\insrsid5579395\charrsid13438509 
\par }{\lang1024\langfe1024\noproof\insrsid8272489\charrsid13438509 
\par }{\lang1024\langfe1024\noproof\insrsid8272489\charrsid13438509 Diagn\'f3za:.............................................................................................}{\lang1024\langfe1024\noproof\insrsid13438509 .........................}{
\lang1024\langfe1024\noproof\insrsid8272489\charrsid13438509 
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\lang1024\langfe1024\noproof\insrsid9990626 D\'e1tum stanovenia diagn\'f3zy}{\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 
:................}{\lang1024\langfe1024\noproof\insrsid9990626 .........}{\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 ........................................}{\lang1024\langfe1024\noproof\insrsid9990626 ........................}{
\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 
\par }\pard\plain \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid8272489 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid13438509\charrsid13438509 
\par }{\b\f1\insrsid5579395\charrsid13438509 Klinick\'e9 pr\'edznaky:
\par 
\par }{\f1\insrsid5579395\charrsid13438509 Denn\'e9 sympt\'f3my:}{\f1\insrsid13438509  .......................................................................................................}{\f1\insrsid5579395\charrsid13438509 
\par No\'e8n\'e9 sympt\'f3my: }{\f1\insrsid13438509 .......................................................................................................}{\f1\insrsid5579395\charrsid13438509 
\par Frekvencia z\'e1chvatov:}{\f1\insrsid13438509  ................................................................................................}{\f1\insrsid5579395\charrsid13438509 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8272489 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid5579395\charrsid13438509 Predch\'e1dzaj
\'faca lie\'e8ba:}{\lang1024\langfe1024\noproof\insrsid13438509  }{\insrsid13438509 ...............................................................................................}{\lang1024\langfe1024\noproof\insrsid5579395\charrsid13438509 
\par }\pard\plain \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid5579395\charrsid13438509 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\lang1024\langfe1024\noproof\insrsid5579395\charrsid1052567 Lieky pl\'e1
novan\'e9 pod\'e1va\'9d s\'fa\'e8asne s}{\b\lang1024\langfe1024\noproof\insrsid1052567\charrsid1052567  liekom}{\b\lang1024\langfe1024\noproof\insrsid5579395\charrsid1052567  }{\b\insrsid1052567\charrsid1052567 XOLAIR}{
\b\lang1024\langfe1024\noproof\insrsid5579395\charrsid1052567 :}{\b\insrsid5579395\charrsid1052567 \tab }{\b\insrsid5579395 
\par }{\b\insrsid1052567\charrsid1052567 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth8568\clcbpatraw17 \cellx8460\pard 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13438509 {\b\insrsid13438509\charrsid13438509 Z\'e1kladn\'e9 vy\'9aetrenia :}{
\b\lang1024\langfe1024\noproof\insrsid13438509\charrsid13438509 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {
\b\lang1024\langfe1024\noproof\insrsid13438509 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth8568\clcbpatraw17 \cellx8460\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {
\insrsid13438509\charrsid13438509 d\'e1tum vy\'9aetrenia:}{\insrsid13438509  }{\insrsid13438509\charrsid13438509 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid13438509 FVC: }{
\insrsid13438509\charrsid13438509 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509 
\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid13438509 FEV1: 
\cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509 \trowd \irow0\irowband0
\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid13438509 PEF: \cell 
}\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid13438509 V\'fd
chodiskov\'e1 hodnota IgE: \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509 
\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid13438509 Telesn\'e1
 hmotnos\'9d: \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509 \trowd \irow0\irowband0\lastrow 
\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\insrsid13438509 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth8568\clcbpatraw17 \cellx8460\pard 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 {\b\insrsid13438509 D\'e1vkovanie a\~sp\'f4sob pod\'e1vania}{
\b\insrsid13438509\charrsid13438509  :}{\b\lang1024\langfe1024\noproof\insrsid13438509\charrsid13438509 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509\charrsid13438509 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth8568\clcbpatraw17 \cellx8460\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft-108\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {
\insrsid13438509\charrsid13438509 O}{\insrsid13438509 ptim\'e1lna d\'e1vka lieku XOLAIR:
\par }{\insrsid13438509\charrsid13438509 (po\'e8et mg v 1 d\'e1vke) .............}{\insrsid13438509 ....}{\insrsid13438509\charrsid13438509 .. pod\'e1van\'e9 s. c. \'e1 ........}{\insrsid13438509 .....}{\insrsid13438509\charrsid13438509 .. t\'fd\'9edne\cell 
}\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid13438509\charrsid13438509 \trowd \irow0\irowband0\lastrow 
\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8568 \cellx8460\row }\pard 
\qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13438509 {\b\f1\insrsid5579395 
\par }{\b\f1\insrsid1180057\charrsid1145403 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1145403 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\ul\lang1024\langfe1024\noproof\insrsid5579395\charrsid1145403 \'8eiadam o
\~}{\b\ul\lang1024\langfe1024\noproof\insrsid1145403\charrsid1145403 schv\'e1lenie predp\'edsania a\~\'fahrad}{\b\ul\lang1024\langfe1024\noproof\insrsid1180057 u}{\b\lang1024\langfe1024\noproof\insrsid5579395\charrsid1145403 :}{
\lang1024\langfe1024\noproof\insrsid1145403  }{\lang1024\langfe1024\noproof\insrsid1180057 
\par }{\lang1024\langfe1024\noproof\insrsid5579395\charrsid1145403 ....... balen\'ed lieku }{\b\lang1024\langfe1024\noproof\insrsid1145403\charrsid1180057 XOLAIR}{\lang1024\langfe1024\noproof\insrsid5579395\charrsid1145403  }{\insrsid1145403\charrsid1180057 
plv iol 1x150 mg+1x2 ml solv.}{\lang1024\langfe1024\noproof\insrsid5579395\charrsid1180057  }{\lang1024\langfe1024\noproof\insrsid1145403\charrsid1180057 (\'8a\'daKL }{\lang1024\langfe1024\noproof\insrsid5579395\charrsid1180057 k\'f3d }{
\b\lang1024\langfe1024\noproof\insrsid5579395\charrsid1180057 42191}{\lang1024\langfe1024\noproof\insrsid1145403\charrsid1180057 )}{\lang1024\langfe1024\noproof\insrsid5579395\charrsid1180057 , potrebn\'fdch na 3 mesiace lie\'e8by.}{
\b\ul\lang1024\langfe1024\noproof\insrsid5579395\charrsid1180057 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\lang1024\langfe1024\noproof\langfenp1033\insrsid1145403 
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1145403 {\f1\insrsid1145403\charrsid12262358 N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid1145403 
\par }{\f1\insrsid1145403\charrsid12262358 
\par ........................................................................................................................................
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1145403 {\f1\insrsid5579395 
\par }{\f1\insrsid1145403\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1145403 {\f1\insrsid1145403\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid1145403 
\par }{\f1\insrsid5579395 
\par }{\f1\insrsid1145403 
\par }{\f1\insrsid1145403\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid1145403 \~}{\f1\insrsid1145403\charrsid12262358 podpis}{\f1\insrsid1145403  }{\f1\insrsid1145403\charrsid1145403 prim\'e1ra/prednostu}{\f1\insrsid1145403 :}{
\f1\insrsid1145403\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1145403 {\f1\insrsid1145403\charrsid12262358 
\par D\'e1tum: .................................
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid5579395\charrsid1145403   

\par 
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1145403 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid1145403\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis }{
\f1\lang1024\langfe1024\noproof\insrsid1145403\charrsid1145403 hlavn\'e9ho odborn\'edka MZ SR pre pneumol\'f3giu}{\f1\insrsid1145403\charrsid12262358 :    }{\f1\insrsid1145403 
\par }{\f1\insrsid1145403\charrsid12262358 
\par D\'e1tum: .................................
\par }{\f1\insrsid1145403 
\par 
\par 
\par }{\f1\insrsid1145403\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid1145403 \~}{\f1\insrsid1145403\charrsid12262358 podpis}{\f1\insrsid1145403  }{\f1\lang1024\langfe1024\noproof\insrsid1145403\charrsid1145403 hlavn\'e9ho odborn\'ed
ka MZ SR pre alergol\'f3giu}{\f1\lang1024\langfe1024\noproof\insrsid1145403 :
\par 
\par }{\f1\insrsid1145403\charrsid12262358 D\'e1tum: .................................
\par }{\f1\insrsid1145403 
\par }{\f1\insrsid7677894 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1145403 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid5579395\charrsid1145403    
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid13438509\charrsid13438509 \hich\af1\dbch\af0\loch\f1 II.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls13\adjustright\rin0\lin360\itap0\pararsid13438509 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13438509 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509 Monitorovanie lie\'e8by}{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509\charrsid13438509  liekom }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509\charrsid13438509  FORMCHECKBOX }{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}
}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509\charrsid13438509   XOLAIR }{
\f1\lang1051\langfe1051\langnp1051\insrsid879716\charrsid1180057 (omalizumab)}{\f1\lang1051\langfe1051\langnp1051\insrsid12005378  }{\f1\lang1024\langfe1024\noproof\insrsid12005378\charrsid12005378 R03DX05}{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13438509\charrsid1180057 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13438509 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid4269653  }{
\lang1024\langfe1024\noproof\insrsid13438509\charrsid13438509 
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7677894 {\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894                                           
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid14102764\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{
\b\f1\insrsid14102764\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14102764\charrsid12262358  FORMCHECKBOX }{\f1\insrsid14102764\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid14102764\charrsid12262358  pokra\'e8ovanie lie\'e8by}{\f1\insrsid14102764  po ......... mesiacoch
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14102764\charrsid12262358  FORMCHECKBOX }{\f1\insrsid14102764\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid14102764\charrsid12262358  }{\f1\insrsid14102764 ukon\'e8enie}{\f1\insrsid14102764\charrsid12262358  lie\'e8by}{\f1\insrsid14102764 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894 
\par }{\lang1024\langfe1024\noproof\insrsid13917823 d}{\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894 \'e1tum zah\'e1jenia lie\'e8by:}{\lang1024\langfe1024\noproof\insrsid7677894 ..........................................}{
\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894 \tab \tab \tab \tab }{\lang1024\langfe1024\noproof\insrsid7677894 
\par }{\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894 v d\'e1vke:}{\lang1024\langfe1024\noproof\insrsid7677894 ...................................................................}{\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894 \tab 
\tab \tab \tab \tab 
\par }\pard\plain \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid7677894 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\lang1024\langfe1024\noproof\insrsid13917823 p}{
\f1\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894 o\'e8et podan\'fdch d\'e1vok:}{\f1\insrsid7677894 ...........................................
\par }{\f1\insrsid5579395\charrsid7677894 po\'e8et podan\'fdch }{\f1\insrsid5579395\charrsid1180057 amp}{\f1\insrsid7677894\charrsid1180057 uliek}{\f1\insrsid5579395\charrsid7677894 :}{\f1\insrsid7677894 ......................................}{
\f1\insrsid5579395\charrsid7677894 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 {\f1\fs22\insrsid5579395\charrsid1975373 \tab }{\f1\fs22\insrsid5579395 
\par }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth8924\clcbpatraw17 \cellx8816\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\insrsid7677894 Efekt lie
\'e8by po ukon\'e8en\'ed ....... mesiacoch lie\'e8by}{\b\insrsid7677894\charrsid13438509 :}{\b\insrsid7677894\charrsid7677894 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth8924\clcbpatraw17 \cellx8816\row }\pard 
\qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 {\f1\fs22\insrsid5579395\charrsid1975373 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid7677894 {\b\f1\insrsid7677894\charrsid13438509 Klinick\'e9 pr\'edznaky:
\par 
\par }{\f1\insrsid7677894\charrsid13438509 Denn\'e9 sympt\'f3my:}{\f1\insrsid7677894  .......................................................................................................}{\f1\insrsid7677894\charrsid13438509 
\par No\'e8n\'e9 sympt\'f3my: }{\f1\insrsid7677894 .......................................................................................................}{\f1\insrsid7677894\charrsid13438509 
\par Frekvencia z\'e1chvatov:}{\f1\insrsid7677894  ................................................................................................}{\f1\insrsid7677894\charrsid13438509 
\par }\pard \qj \li709\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin709\itap0\pararsid7677894 {\f1\fs22\insrsid5579395 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {
\b\insrsid7677894\charrsid13438509 Z\'e1kladn\'e9 vy\'9aetrenia :}{\b\lang1024\langfe1024\noproof\insrsid7677894\charrsid13438509 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat17\cltxlrtb\clftsWidth3\clwWidth8924\clcbpatraw17 \cellx8816\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8924 \cellx8816\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {
\insrsid7677894\charrsid13438509 d\'e1tum vy\'9aetrenia:}{\insrsid7677894  }{\insrsid7677894\charrsid13438509 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8924 \cellx8816\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid7677894 FVC: }{
\insrsid7677894\charrsid13438509 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 
\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8924 \cellx8816\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid7677894 FEV1: \cell 
}\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8924 \cellx8816\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid7677894 PEF: \cell 
}\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 \trowd \irow0\irowband0\ts15\trgaph70\trleft-108
\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8924 \cellx8816\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid7677894 V\'fd
chodiskov\'e1 hodnota IgE: \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 
\trowd \irow0\irowband0\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8924 \cellx8816\row }\pard\plain 
\s16\ql \li0\ri0\widctlpar\intbl\pvpara\phmrg\posxc\posy173\dxfrtext141\dfrmtxtx141\dfrmtxty0\wraparound\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\insrsid7677894 Telesn\'e1
 hmotnos\'9d: \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\lang1024\langfe1024\noproof\insrsid7677894 \trowd \irow0\irowband0\lastrow 
\ts15\trgaph70\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\tpvpara\tphmrg\tposxc\tposy173\tdfrmtxtLeft141\tdfrmtxtRight141\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind0\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth8924 \cellx8816\row }\pard 
\qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid7677894 {\b\f1\ul\lang1024\langfe1024\noproof\insrsid7677894\charrsid7677894 
\par }{\b\f1\ul\lang1024\langfe1024\noproof\insrsid7677894 \'da}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894 kon\'e8eni}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid7677894 e}{
\b\f1\ul\lang1024\langfe1024\noproof\insrsid5579395\charrsid7677894  lie\'e8by}{\b\f1\lang1024\langfe1024\noproof\insrsid7677894 :}{\b\f1\lang1024\langfe1024\noproof\insrsid5579395 
\par }\pard \qj \li0\ri-709\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid1180057 {\f1\lang1024\langfe1024\noproof\insrsid7677894 d\'e1tum:....................................
\par d\'f4vod:.......................................................................................................}{\f1\lang1024\langfe1024\noproof\insrsid1180057 ...................... }{\f1\lang1024\langfe1024\noproof\insrsid7677894 
..................................................................................................................}{\f1\lang1024\langfe1024\noproof\insrsid1180057 ......................}{\f1\insrsid7677894\charrsid7677894 
\par }\pard \qc \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 {\b\f1\fs22\ul\lang1024\langfe1024\noproof\insrsid5579395 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7677894 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\ul\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403 \'8eiadam o
}{\b\ul\lang1024\langfe1024\noproof\insrsid7677894 \~pokra\'e8ovanie }{\b\ul\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403 schv\'e1leni}{\b\ul\lang1024\langfe1024\noproof\insrsid7677894 a}{
\b\ul\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403  predp\'edsania a\~\'fahrady}{\b\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403 :}{\lang1024\langfe1024\noproof\insrsid7677894  }{\lang1024\langfe1024\noproof\insrsid1180057 

\par }{\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403 ....... balen\'ed lieku }{\b\lang1024\langfe1024\noproof\insrsid7677894\charrsid1180057 XOLAIR}{\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403  }{\insrsid7677894\charrsid12540976 
plv iol 1x150 mg+1x2 ml solv.}{\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403  }{\lang1024\langfe1024\noproof\insrsid7677894 (\'8a\'daKL }{\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403 k\'f3d }{
\b\lang1024\langfe1024\noproof\insrsid7677894\charrsid14712217 42191}{\lang1024\langfe1024\noproof\insrsid7677894 ), potrebn\'fdch na 6 mesiacov }{\lang1024\langfe1024\noproof\insrsid7677894\charrsid1145403 lie\'e8by.}{
\lang1024\langfe1024\noproof\insrsid7677894 
\par 
\par }{\b\ul\lang1024\langfe1024\noproof\insrsid7677894 
\par 
\par 
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7677894 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid7677894 Meno, priezvisko, o}{\f1\insrsid7677894\charrsid12262358 
dtla\'e8ok pe\'e8iatky a\~podpis }{\f1\insrsid7677894 o\'9aetruj\'faceho}{\f1\insrsid7677894\charrsid12262358  lek\'e1ra:}{\f1\insrsid7677894 
\par }{\f1\insrsid7677894\charrsid12262358                              
\par 
\par D\'e1tum: .................................}{\f1\insrsid7677894 
\par 
\par 
\par }\pard \qr \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid10758179 {\b\f1\insrsid3810324 Vzor \'e8. 7}{\b\f1\insrsid10758179\charrsid12262358 
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid10758179 {\b\f1\insrsid10758179\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10758179 {\b\f1\insrsid10758179\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }{\f1\insrsid10758179\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10758179 {\b\f1\fs32\ul\insrsid10758179\charrsid1929662 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by}{\b\f1\fs32\ul\insrsid10758179  liekom}{
\b\f1\fs32\ul\insrsid10758179\charrsid1929662 
\par }{\b\f1\fs32\ul\insrsid10758179 _________________________}{\b\f1\fs32\ul\insrsid10758179\charrsid1929662 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10758179 {\f1\insrsid10758179\charrsid1975373 \tab \tab \tab \tab }{\b\f1\insrsid10758179\charrsid1975373 \tab \tab \tab \tab }{
\f1\insrsid10758179\charrsid1975373 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10758179 {\f1\insrsid10758179\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid10758179\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10758179\charrsid12262358  FORMCHECKBOX }{\f1\insrsid10758179\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid10758179\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10758179\charrsid12262358  FORMCHECKBOX }{\f1\insrsid10758179\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid10758179\charrsid12262358  pokra\'e8ovanie lie\'e8by}{\f1\insrsid10758179 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10758179\charrsid12262358  FORMCHECKBOX }{\f1\insrsid10758179\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid10758179\charrsid12262358  }{\f1\insrsid10758179 ukon\'e8enie}{\f1\insrsid10758179\charrsid12262358  lie\'e8by}{\f1\insrsid10758179 
\par }\pard \ql \fi-992\li992\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0\pararsid10758179 {\f1\ul\insrsid10758179\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid10758179\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid10758179 
\par }{\b\f1\fs22\insrsid10758179\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\f1\fs22\insrsid10758179\charrsid10758179 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par }{\b\f1\fs22\insrsid10758179\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\f1\fs22\insrsid10758179\charrsid10758179 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid6498334 ov\'e1 adre}{\f1\fs22\insrsid4002821 sa}{\f1\fs22\insrsid10758179\charrsid10758179 :
\par }{\b\f1\fs22\insrsid10758179\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid10758179\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid10758179\charrsid10758179 N
\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid10758179\charrsid10758179 
Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid10758179\charrsid10758179 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid10758179\charrsid12262358 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid10758179\charrsid10758179 
Rodn\'e9 \'e8\'edslo:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid10758179\charrsid10758179 
Adresa trval\'e9ho pobytu:
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10758179 {\b\f1\fs22\insrsid10758179\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid10758179\charrsid12262358 \'8a
\'daKL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid10758179\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid10758179\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid10758179\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid10758179\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid10758179\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid10758179\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid10758179\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid10758179\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10758179 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid10758179\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10758179 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid10758179\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid10758179\charrsid12262358  }{\f1\insrsid10758179\charrsid12262358 D\'e1tum: ..............................
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid879716\charrsid13438509 \hich\af1\dbch\af0\loch\f1 I.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls14\adjustright\rin0\lin360\itap0\pararsid879716 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid879716\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid879716 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid879716\charrsid13438509 \'8eiados\'9d o\~s\'fahlas na za\'e8atie lie\'e8by liekom }
{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid879716\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid879716\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid879716  VISUDYNE }{
\f1\lang1051\langfe1051\langnp1051\insrsid879716\charrsid1180057 (verteporfin)}{\f1\cf6\lang1051\langfe1051\langnp1051\insrsid879716\charrsid879716 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid879716 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid4269653  \tab \tab \tab }{
\lang1024\langfe1024\noproof\insrsid12005378 \tab \tab \tab \tab \tab \tab \tab           }{\b\lang1024\langfe1024\noproof\insrsid12005378 L01XD02}{\lang1024\langfe1024\noproof\insrsid879716\charrsid13438509 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid5579395 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid879716 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid879716\charrsid13438509 Diagn\'f3
za:.............................................................................................}{\lang1024\langfe1024\noproof\insrsid879716 .........................}{\lang1024\langfe1024\noproof\insrsid879716\charrsid13438509 
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\lang1024\langfe1024\noproof\insrsid9990626 D\'e1tum stanovenia diagn\'f3zy}{\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 
:................}{\lang1024\langfe1024\noproof\insrsid9990626 .........}{\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 ........................................}{\lang1024\langfe1024\noproof\insrsid9990626 ........................}{
\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid879716\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid879716 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls15\adjustright\rin0\lin360\itap0\pararsid879716 {\b\f1\insrsid879716 O\'e8n\'e9 vy\'9aetrenie}{
\b\f1\insrsid5579395\charrsid879716 :}{\b\f1\insrsid879716 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid879716 {\f1\insrsid5579395\charrsid879716 Zrakov\'e1 ostros}{\f1\insrsid879716 \'9d}{\f1\insrsid5579395\charrsid879716 :\tab \tab \tab       }{
\f1\insrsid879716 
\par }{\f1\insrsid5579395\charrsid879716 VOD:       \tab \tab }{\f1\insrsid879716 
\par }{\f1\insrsid5579395\charrsid879716 VOS:   
\par }{\f1\insrsid879716 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\insrsid10316079\charrsid1850045 FAG klasifik\'e1cia: SRN 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10316079 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10316079\charrsid1850045  FORMCHECKBOX }{\f1\insrsid10316079\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid10316079\charrsid1850045  subfove\'e1lna predominantne klasick\'e1 pri VPDM\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10316079\charrsid1850045  FORMCHECKBOX }{\f1\insrsid10316079\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid10316079\charrsid1850045  subfove\'e1lna pri patologickej myopii
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\cf6\insrsid10316079 
\par }{\f1\insrsid10316079\charrsid1180057 Ve\'bekos\'9d l\'e9zie: ..................... \'b5m
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid879716 {\f1\insrsid13917823 
\par }{\f1\insrsid5579395\charrsid879716 Lie\'e8ba navrhnut\'e1 pre:\tab          \tab \tab }{\f1\insrsid879716 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3016902\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3016902\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3016902  }{\f1\insrsid3016902\charrsid879716 o.dx.}{\f1\insrsid3016902\charrsid12262358 \tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3016902\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3016902\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3016902\charrsid12262358  }{\f1\insrsid3016902\charrsid879716 o.sin.}{\f1\insrsid3016902\charrsid12262358 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\b\f1\fs22\insrsid879716 
\par {\listtext\pard\plain\b\f1\insrsid5579395\charrsid879716 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls15\adjustright\rin0\lin360\itap0\pararsid879716 {\b\f1\insrsid5579395\charrsid879716 
Kontraindik\'e1cie k\~lie\'e8be:\tab 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid879716 {\f1\insrsid5579395\charrsid879716 (precitlivelos\'9d na lie\'e8ivo alebo ak\'fako\'bevek pomocn\'fa l\'e1tku, port\'fdria, \'9da\'9ek\'e9 po
\'9akodenie 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\insrsid5579395\charrsid879716 pe\'e8ene):
\par }\pard \qj \li0\ri74\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin74\lin0\itap0\pararsid10316079 {\f1\insrsid399052 .....................................................................................................
.......................................................................................................................................................................}{\f1\insrsid5579395\charrsid879716 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid879716 {\f1\insrsid5579395 
\par {\listtext\pard\plain\b\f1\insrsid5579395\charrsid879716 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls15\adjustright\rin0\lin360\itap0\pararsid399052 {\b\f1\insrsid5579395\charrsid879716 S
\'fahlas pacienta s lie\'e8bou:}{\f1\lang1024\langfe1024\noproof\insrsid5579395\charrsid879716         }{\b\f1\insrsid399052\charrsid399052 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid399052 {\f1\lang1024\langfe1024\noproof\insrsid399052\charrsid1180057 Svojim podpisom s\'fahlas\'edm s}{
\f1\lang1024\langfe1024\noproof\insrsid13917823\charrsid1180057 \~navrhovanou }{\f1\lang1024\langfe1024\noproof\insrsid399052\charrsid1180057 lie\'e8bou.}{\f1\lang1024\langfe1024\noproof\insrsid3016902\charrsid1180057 \tab ................................
}{\f1\lang1024\langfe1024\noproof\insrsid399052\charrsid1180057 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 \tab \tab \tab \tab \tab \tab \tab }{
\f1\lang1024\langfe1024\noproof\insrsid14712217 \tab     }{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 podpis}{\f1\lang1024\langfe1024\noproof\insrsid14712217 , d\'e1tum}{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 

\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid399052 {\f1\lang1024\langfe1024\noproof\insrsid399052\charrsid3016902 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid399052 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\ul\lang1024\langfe1024\noproof\insrsid399052\charrsid1145403 \'8eiadam o\~
schv\'e1lenie predp\'edsania a\~\'fahrady}{\b\lang1024\langfe1024\noproof\insrsid399052\charrsid1145403 :}{\lang1024\langfe1024\noproof\insrsid399052  }{\lang1024\langfe1024\noproof\insrsid1180057 
\par }{\lang1024\langfe1024\noproof\insrsid399052 1 balenia}{\lang1024\langfe1024\noproof\insrsid399052\charrsid1145403  lieku }{\b\insrsid399052\charrsid1180057 VISUDYNE}{\insrsid399052\charrsid1180057  }{\insrsid399052\charrsid1850045 plv ifo 1x15 mg}{
\f35\fs17\insrsid399052\charrsid1850045  }{\lang1024\langfe1024\noproof\insrsid399052\charrsid1850045 (\'8a\'daKL k\'f3d }{\b\lang1024\langfe1024\noproof\insrsid399052\charrsid1850045 13730}{\lang1024\langfe1024\noproof\insrsid399052\charrsid1180057 )}{
\lang1024\langfe1024\noproof\insrsid399052  ako s\'fa\'e8as\'9d fotodynamickej terapie.
\par }{\b\ul\lang1024\langfe1024\noproof\insrsid1180057\charrsid1145403 
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\lang1051\langfe1051\langfenp1051\insrsid399052\charrsid399052 
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid399052\charrsid12262358 N\'e1zov zdravotn\'ed
ckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid399052 
\par }{\f1\insrsid399052\charrsid12262358 ........................................................................................................................................
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\f1\insrsid399052\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\f1\insrsid399052\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\f1\insrsid399052 
\par }{\f1\insrsid399052\charrsid1145403 
\par }{\f1\insrsid399052\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid399052 \~}{\f1\insrsid399052\charrsid12262358 podpis}{\f1\insrsid399052  }{\f1\insrsid399052\charrsid1145403 prim\'e1ra/prednostu}{\f1\insrsid399052 :}{
\f1\insrsid399052\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\f1\insrsid399052\charrsid12262358 
\par D\'e1tum: .................................}{\f1\insrsid399052 
\par }{\f1\insrsid1180057 
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10316079 {\f1\fs16\insrsid10316079\charrsid10316079 __________________
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10316079 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\fs16\lang1024\langfe1024\noproof\insrsid10316079\charrsid10316079 *)  s
\'fa\'e8as\'9dou protokolu je fluoroangiografick\'e1 dokument\'e1cia}{\fs16\lang1024\langfe1024\noproof\insrsid10316079 
\par }{\fs16\lang1024\langfe1024\noproof\insrsid10316079\charrsid10316079 
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid3016902\charrsid13438509 \hich\af1\dbch\af0\loch\f1 II.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls14\adjustright\rin0\lin360\itap0\pararsid3016902 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3016902\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\f1\fs28\lang1031\langfe1051\langnp1031\insrsid3016902\charrsid4269653 Monitorovanie lie\'e8by liekom }
{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1031\langfe1051\langnp1031\insrsid3016902\charrsid4269653  FORMCHECKBOX }{\f1\fs28\insrsid3016902\charrsid3016902 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1031\langfe1051\langnp1031\insrsid3016902\charrsid4269653   VISUDYNE (verteporfin)}{\cf6\lang1031\langfe1051\langnp1031\insrsid3016902\charrsid4269653  }{\f1\lang1024\langfe1024\noproof\langnp1031\insrsid12005378\charrsid4269653 L01XD02}{
\cf6\lang1031\langfe1051\langnp1031\insrsid3016902\charrsid4269653 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid14102764\charrsid10316079 po ......... mesiacoch
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 {\b\f1\lang1024\langfe1024\noproof\insrsid14102764 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3016902 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid3016902\charrsid7677894 D\'e1tum }{
\lang1024\langfe1024\noproof\insrsid3016902 stanovenia diagn\'f3zy}{\lang1024\langfe1024\noproof\insrsid3016902\charrsid7677894 :}{\lang1024\langfe1024\noproof\insrsid3016902 ..........................................}{
\lang1024\langfe1024\noproof\insrsid3016902\charrsid7677894 \tab \tab \tab \tab }{\lang1024\langfe1024\noproof\insrsid3016902 
\par }{\lang1024\langfe1024\noproof\insrsid3016902\charrsid7677894 D\'e1tum }{\lang1024\langfe1024\noproof\insrsid3016902 za\'e8atia lie\'e8by}{\lang1024\langfe1024\noproof\insrsid3016902\charrsid7677894 :}{\lang1024\langfe1024\noproof\insrsid3016902 
.....................................................}{\lang1024\langfe1024\noproof\insrsid3016902\charrsid7677894 \tab \tab \tab \tab }{\lang1024\langfe1024\noproof\insrsid3016902 
\par }\pard\plain \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid3016902 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\lang1024\langfe1024\noproof\insrsid3016902\charrsid7677894 Po\'e8et podan
\'fdch d\'e1vok:}{\f1\insrsid3016902 ...........................................
\par }{\f1\insrsid5579395\charrsid3016902 \tab 
\par {\listtext\pard\plain\b\f1\insrsid13917823 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls16\adjustright\rin0\lin360\itap0\pararsid13917823 {\b\f1\insrsid13917823 O\'e8n\'e9 vy\'9aetrenie}{
\b\f1\insrsid13917823\charrsid879716 :}{\b\f1\insrsid13917823 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13917823 {\f1\insrsid13917823\charrsid879716 Zrakov\'e1 ostros}{\f1\insrsid13917823 \'9d}{\f1\insrsid13917823\charrsid879716 :\tab \tab \tab       }
{\f1\insrsid13917823 
\par }{\f1\insrsid13917823\charrsid879716 VOD:       \tab \tab }{\f1\insrsid13917823 
\par }{\f1\insrsid13917823\charrsid879716 VOS:   
\par }{\f1\insrsid13917823 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\insrsid10316079\charrsid1850045 FAG klasifik\'e1cia: SRN 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10316079 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10316079\charrsid1850045  FORMCHECKBOX }{\f1\insrsid10316079\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid10316079\charrsid1850045  subfove\'e1lna predominantne klasick\'e1 pri VPDM\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10316079\charrsid1850045  FORMCHECKBOX }{\f1\insrsid10316079\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid10316079\charrsid1850045  subfove\'e1lna pri patologickej myopii
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\insrsid10316079\charrsid1850045 
\par Ve\'bekos\'9d l\'e9zie: ..................... \'b5m
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13917823 {\b\f1\insrsid13917823 
\par {\listtext\pard\plain\b\f1\insrsid13917823 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \qj \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls16\adjustright\rin0\lin360\itap0\pararsid13917823 {\b\f1\insrsid13917823 Vyhodnotenie efektu lie\'e8by
}{\b\f1\insrsid5579395\charrsid3016902 ,}{\b\f1\insrsid5579395\charrsid3016902  popis zmeny oproti predch\'e1dzaj\'facemu vy\'9aetreniu (poradie aplik\'e1cie, vi}{\b\f1\insrsid13917823 zus, rozsah SRN, rekanaliz\'e1cia):}{
\f1\insrsid13917823\charrsid13917823 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\insrsid10316079 
\par d\'e1tum vy\'9aetrenia: ..............................
\par }\pard \qj \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid10316079 {\f1\insrsid13917823\charrsid13917823 ....................}{\f1\insrsid13917823 
...................................................................................................................
\par }\pard \qj \li0\ri-709\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\insrsid13917823\charrsid13917823 ....................}{\f1\insrsid13917823 
...................................................................................................................}{\f1\insrsid13917823\charrsid13917823 
\par ....................}{\f1\insrsid13917823 ...................................................................................................................}{\f1\insrsid13917823\charrsid13917823 
\par ....................}{\f1\insrsid13917823 ...................................................................................................................}{\f1\insrsid13917823\charrsid13917823 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid10316079 {\f1\insrsid10316079\charrsid1850045 Progresia:}{\f1\insrsid13917823\charrsid1850045 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10316079\charrsid1850045  FORMCHECKBOX }{\f1\insrsid10316079\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid10316079\charrsid1850045  spomalenie progresie
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid10316079\charrsid1850045  FORMCHECKBOX }{\f1\insrsid10316079\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid10316079\charrsid1850045  zastavenie progresie
\par }{\f1\insrsid13917823 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13917823 {\f1\insrsid13917823\charrsid879716 Lie\'e8ba navrhnut\'e1 pre:\tab          \tab \tab }{\f1\insrsid13917823 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13917823 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13917823\charrsid12262358  FORMCHECKBOX }{\f1\insrsid13917823\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13917823  }{\f1\insrsid13917823\charrsid879716 o.dx.}{\f1\insrsid13917823\charrsid12262358 \tab \tab \tab \tab 

\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13917823\charrsid12262358  FORMCHECKBOX }{\f1\insrsid13917823\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid13917823\charrsid12262358  }{\f1\insrsid13917823\charrsid879716 o.sin.}{\f1\insrsid13917823\charrsid12262358 
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13917823 {\f1\insrsid13917823\charrsid13917823 
\par {\listtext\pard\plain\b\f1\insrsid13917823\charrsid879716 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \qj \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls16\adjustright\rin0\lin360\itap0\pararsid13917823 {
\b\f1\insrsid13917823\charrsid879716 Kontraindik\'e1cie k\~lie\'e8be:\tab 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13917823 {\f1\insrsid13917823\charrsid879716 (precitlivelos\'9d na lie\'e8ivo alebo ak\'fako\'bevek pomocn\'fa l\'e1tku, port\'fdria, \'9da\'9ek\'e9
 po\'9akodenie 
\par pe\'e8ene):
\par }\pard \qj \li0\ri72\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin72\lin0\itap0\pararsid13917823 {\f1\insrsid13917823 .............................
...............................................................................................................................................................................................................................................}{
\f1\insrsid13917823\charrsid879716 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 {\f1\insrsid5579395\charrsid3016902 
\par {\listtext\pard\plain\b\f1\insrsid13917823\charrsid879716 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls15\adjustright\rin0\lin360\itap0\pararsid13917823 {
\b\f1\insrsid13917823\charrsid879716 S\'fahlas pacienta s lie\'e8bou:}{\f1\lang1024\langfe1024\noproof\insrsid13917823\charrsid879716         }{\b\f1\insrsid13917823\charrsid399052 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13917823 {\f1\lang1024\langfe1024\noproof\insrsid13917823\charrsid10316079 Svojim podpisom s\'fahlas\'edm s\~navrhovanou lie\'e8bou.\tab 
................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 \tab \tab \tab \tab \tab \tab \tab }{
\f1\lang1024\langfe1024\noproof\insrsid14712217 \tab     }{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 podpis}{\f1\lang1024\langfe1024\noproof\insrsid14712217 , d\'e1tum}{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 

\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13917823 {\f1\insrsid14102764 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid5579395 {\f1\insrsid5579395 
\par }{\f1\insrsid6949601 
\par }{\f1\insrsid6949601\charrsid3016902 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\ul\lang1024\langfe1024\noproof\insrsid9990626\charrsid1145403 \'8eiadam o
\~schv\'e1lenie predp\'edsania a\~\'fahrady}{\b\lang1024\langfe1024\noproof\insrsid9990626\charrsid1145403 :}{\lang1024\langfe1024\noproof\insrsid9990626  }{\lang1024\langfe1024\noproof\insrsid10316079 
\par }{\lang1024\langfe1024\noproof\insrsid9990626\charrsid1850045 1 balenia lieku }{\b\insrsid9990626\charrsid1850045 VISUDYNE}{\insrsid9990626\charrsid1850045  plv ifo 1x15 mg}{\f35\fs17\insrsid9990626\charrsid1850045  }{
\lang1024\langfe1024\noproof\insrsid9990626\charrsid1850045 (\'8a\'daKL k\'f3d }{\b\lang1024\langfe1024\noproof\insrsid9990626\charrsid1850045 13730}{\lang1024\langfe1024\noproof\insrsid9990626\charrsid1850045 ) ako s\'fa\'e8as\'9d}{
\lang1024\langfe1024\noproof\insrsid9990626  fotodynamickej terapie.}{\b\ul\lang1024\langfe1024\noproof\insrsid9990626\charrsid1145403 
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\lang1051\langfe1051\langfenp1051\insrsid9990626 
\par }{\lang1051\langfe1051\langfenp1051\insrsid10316079\charrsid399052 
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid14102764 
\par }{\f1\insrsid9990626\charrsid12262358 N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid9990626 
\par }{\f1\insrsid14102764 
\par }{\f1\insrsid9990626\charrsid12262358 ........................................................................................................................................
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\insrsid9990626 
\par }{\f1\insrsid14102764\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\insrsid9990626\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\insrsid9990626 
\par }{\f1\insrsid9990626\charrsid1145403 
\par }{\f1\insrsid9990626\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid9990626 \~}{\f1\insrsid9990626\charrsid12262358 podpis}{\f1\insrsid9990626  }{\f1\insrsid9990626\charrsid1145403 prim\'e1ra/prednostu}{\f1\insrsid9990626 :}{
\f1\insrsid9990626\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\insrsid9990626\charrsid12262358 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 {\f1\insrsid9990626 
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid5579395\charrsid3016902 

\par }\pard\plain \s17\qc \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid5579395 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\lang1029\langfe1051\langnp1029\insrsid8941096 
\par }{\f1\lang1029\langfe1051\langnp1029\insrsid6949601 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }\pard\plain \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid6949601\charrsid3016902 __________________
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\fs16\lang1024\langfe1024\noproof\insrsid6949601\charrsid10316079 *)  s\'fa
\'e8as\'9dou protokolu je fluoroangiografick\'e1 dokument\'e1cia
\par }\pard\plain \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid9990626 Vzor \'e8.}{\b\f1\insrsid3810324  8}{
\b\f1\insrsid9990626\charrsid12262358 
\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid9990626 {\b\f1\insrsid9990626\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\b\f1\insrsid9990626\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }{\f1\insrsid9990626\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\b\f1\fs32\ul\insrsid9990626\charrsid1929662 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by}{\b\f1\fs32\ul\insrsid9990626  liekom}{
\b\f1\fs32\ul\insrsid9990626\charrsid1929662 
\par }{\b\f1\fs32\ul\insrsid9990626 _________________________}{\b\f1\fs32\ul\insrsid9990626\charrsid1929662 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\insrsid9990626\charrsid1975373 \tab \tab \tab \tab }{\b\f1\insrsid9990626\charrsid1975373 \tab \tab \tab \tab }{
\f1\insrsid9990626\charrsid1975373 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\insrsid9990626\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid9990626\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid9990626\charrsid12262358  FORMCHECKBOX }{\f1\insrsid9990626\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid9990626\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid9990626\charrsid12262358  FORMCHECKBOX }{\f1\insrsid9990626\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid9990626\charrsid12262358  pokra\'e8ovanie lie\'e8by}{\f1\insrsid9990626 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid9990626\charrsid12262358  FORMCHECKBOX }{\f1\insrsid9990626\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid9990626\charrsid12262358  }{\f1\insrsid9990626 ukon\'e8enie}{\f1\insrsid9990626\charrsid12262358  lie\'e8by}{\f1\insrsid9990626 
\par }\pard \ql \fi-992\li992\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0\pararsid9990626 {\f1\ul\insrsid9990626\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid9990626\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid9990626 
\par }{\b\f1\fs22\insrsid9990626\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\f1\fs22\insrsid9990626\charrsid10758179 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par }{\b\f1\fs22\insrsid9990626\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\f1\fs22\insrsid9990626\charrsid10758179 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid9990626\charrsid10758179 :
\par }{\b\f1\fs22\insrsid9990626\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid9990626\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid9990626\charrsid10758179 N
\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid9990626\charrsid10758179 
Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid9990626\charrsid10758179 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid9990626\charrsid12262358 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid9990626\charrsid10758179 
Rodn\'e9 \'e8\'edslo:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\f1\fs22\insrsid9990626\charrsid10758179 
Adresa trval\'e9ho pobytu:
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\b\f1\fs22\insrsid9990626\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid9990626\charrsid12262358 \'8a
\'daKL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid9990626\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid9990626\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid9990626\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid9990626\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid9990626\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {
\b\f1\fs22\insrsid9990626\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid15139033 {\b\f1\fs22\insrsid9990626\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid9990626\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid9990626\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid9990626\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid9990626\charrsid12262358  }{\f1\insrsid9990626\charrsid12262358 D\'e1tum: ..............................
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid9990626\charrsid13438509 \hich\af1\dbch\af0\loch\f1 I.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls17\adjustright\rin0\lin360\itap0\pararsid9990626 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid13438509 \'8eiados\'9d o\~s\'fahlas na za\'e8atie lie\'e8by liekom }{
\b0\f1\lang1024\langfe1024\noproof\langnp1051\insrsid4269653  }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid9990626 
\par }\pard\plain \s3\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid9990626 \b\f1\fs26\lang1029\langfe1051\cgrid\langnp1029\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764   }{\b0\fs24\insrsid9990626\charrsid14102764 Tracleer }{\b0\fs24\super\insrsid9990626\charrsid14102764 \'ae}{\b0\fs24\insrsid9990626\charrsid14102764 (bosentan)}{
\b0\fs24\insrsid12005378  C02KX01}{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764   }{\b0\fs24\insrsid9990626\charrsid14102764 
Remodulin (treprostinil)}{\b0\fs24\insrsid12005378  B01AC21}{\b0\fs24\insrsid9990626\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid9990626\charrsid14102764  }{\b0\fs24\insrsid9990626\charrsid14102764  Revatio}{
\b0\fs24\super\insrsid9990626\charrsid14102764 \'ae}{\b0\fs24\insrsid9990626\charrsid14102764 (sildenafil)}{\b0\fs24\insrsid12005378  G04BE03}{\b0\fs24\insrsid9990626\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\insrsid9990626\charrsid14102764  FORMCHECKBOX }{\b0\fs24\insrsid9990626\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b0\fs24\insrsid9990626\charrsid14102764   Ventavis (iloprost)}{\b0\fs24\insrsid12005378  B01AC11}{\b0\fs24\insrsid9990626\charrsid14102764 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509  
\par 
\par }\pard \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15139033 {\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 Diagn\'f3za:.......................
......................................................................}{\lang1024\langfe1024\noproof\insrsid9990626 .........................}{\lang1024\langfe1024\noproof\insrsid15139033\charrsid13438509 
\par }{\lang1024\langfe1024\noproof\insrsid9990626 D\'e1tum stanovenia diagn\'f3zy}{\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 :................}{\lang1024\langfe1024\noproof\insrsid9990626 .........}{
\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 ........................................}{\lang1024\langfe1024\noproof\insrsid9990626 ........................}{\lang1024\langfe1024\noproof\insrsid9990626\charrsid13438509 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs22\insrsid8941096 
\par }{\f1\fs22\insrsid15139033 
\par {\listtext\pard\plain\b\f1\insrsid9990626 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0\pararsid9990626 {\b\f1\insrsid9990626 V\'fdsledky indikuj\'face lie
\'e8bu}{\b\f1\insrsid9990626\charrsid879716 :}{\b\f1\insrsid9990626 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\b\f1\insrsid9990626 
\par {\listtext\pard\plain\b\f10\insrsid9990626\charrsid15139033 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\ilvl1\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid9990626\charrsid15139033 D\'e1tum vy\'9aetrenia:....................}{\f1\insrsid15139033\charrsid15139033 .......................}{\f1\insrsid15139033 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\f1\insrsid9990626\charrsid15139033                      
\par {\listtext\pard\plain\b\f10\insrsid9990626\charrsid15139033 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\ilvl1\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid9990626\charrsid15139033 Funk\'e8n\'e1 trieda NYHA:   
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9990626 {\field\flddirty\fldpriv{\*\fldinst {\b\f1\insrsid9990626\charrsid1850045  FORMCHECKBOX }{\b\f1\insrsid9990626\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b\f1\insrsid9990626\charrsid1850045  }{\f1\insrsid9990626\charrsid1850045 I.
\par }{\field\flddirty\fldpriv{\*\fldinst {\b\f1\insrsid9990626\charrsid1850045  FORMCHECKBOX }{\b\f1\insrsid9990626\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid9990626\charrsid1850045  II.
\par }{\field\flddirty\fldpriv{\*\fldinst {\b\f1\insrsid9990626\charrsid1850045  FORMCHECKBOX }{\b\f1\insrsid9990626\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid9990626\charrsid1850045  III.
\par }{\field\flddirty\fldpriv{\*\fldinst {\b\f1\insrsid9990626\charrsid1850045  FORMCHECKBOX }{\b\f1\insrsid9990626\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid9990626\charrsid1850045  IV.
\par }{\b\f1\cf6\insrsid15139033\charrsid15139033 
\par {\listtext\pard\plain\f10\insrsid15139033\charrsid15139033 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls19\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid15139033\charrsid15139033 Funk\'e8n\'e9 \'9at\'e1dium PAH....................................}{\f1\insrsid9990626 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid15139033\charrsid15139033 
\par {\listtext\pard\plain\f10\insrsid15139033\charrsid1850045 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls19\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid15139033\charrsid1850045 Vazoreaktivita:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15139033\charrsid1850045  FORMCHECKBOX }{\f1\insrsid15139033\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid15139033\charrsid1850045  \'e1no
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15139033\charrsid1850045  FORMCHECKBOX }{\f1\insrsid15139033\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15139033\charrsid1850045  nie
\par }{\f1\cf6\insrsid15139033 
\par {\listtext\pard\plain\f10\insrsid3810324 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls19\adjustright\rin0\lin360\itap0\pararsid3810324 {\f1\insrsid3810324 Hypertenzia}{
\f1\insrsid3810324\charrsid1850045 :
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3810324 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid1850045  FORMCHECKBOX }{\f1\insrsid3810324\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid3810324\charrsid1850045  }{\f1\insrsid3810324 prekapil\'e1rna}{\f1\insrsid3810324\charrsid1850045 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3810324\charrsid1850045  FORMCHECKBOX }{\f1\insrsid3810324\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3810324\charrsid1850045  }{\f1\insrsid3810324 postkapil\'e1rna}{\f1\insrsid3810324\charrsid1850045 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\cf6\insrsid15139033 
\par {\listtext\pard\plain\f10\insrsid15139033\charrsid9990626 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid15139033\charrsid9990626 Pe\'e8e\'f2ov\'e9 testy:    }{\f1\insrsid15139033 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid15139033\charrsid9990626 ALT: ..............        }{\f1\insrsid15139033 
\par A}{\f1\insrsid15139033\charrsid9990626 ST:}{\f1\insrsid15139033  }{\f1\insrsid15139033\charrsid9990626 ..............}{\f1\insrsid15139033 
\par 
\par {\listtext\pard\plain\f10\insrsid15139033 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls21\adjustright\rin0\lin360\itap0\pararsid15139033 {\f1\insrsid15139033 Hladina hemoglob\'ednu v\~
krvi: ...}{\f1\insrsid15139033\charrsid9990626 ...............}{\f1\insrsid15139033 .......
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid15139033 
\par {\listtext\pard\plain\f10\insrsid15139033\charrsid1850045 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls21\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid15139033\charrsid1850045 Gravitest:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15139033 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15139033\charrsid1850045  FORMCHECKBOX }{\f1\insrsid15139033\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid15139033\charrsid1850045  pozit\'edvny
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid15139033\charrsid1850045  FORMCHECKBOX }{\f1\insrsid15139033\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid15139033\charrsid1850045  negat\'edvny
\par }{\f1\insrsid15139033 
\par {\listtext\pard\plain\f10\insrsid15139033\charrsid9990626 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid15139033\charrsid9990626 Fyzik\'e1lne vy\'9aetrenie:................................................................................................}{\f1\insrsid15139033 
\par }\pard \ql \li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid15139033 {\f1\insrsid15139033 ................................................................................
.................................................
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15139033 {\f1\insrsid15139033 
\par {\listtext\pard\plain\f10\insrsid15139033\charrsid9990626 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23\adjustright\rin0\lin360\itap0\pararsid15139033 {
\f1\insrsid15139033\charrsid9990626 N\'e1lez echokardiografie}{\f1\cf6\insrsid15139033\charrsid9990626  }{\f1\insrsid15139033\charrsid9990626 .........................................................................................}{\f1\insrsid15139033 
...}{\f1\insrsid15139033\charrsid9990626 
\par }\pard \ql \li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid15139033 {\f1\insrsid15139033 .........................................................................................
........................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15139033 {\f1\insrsid15139033 
\par }{\f1\insrsid14102764\charrsid9990626 
\par {\listtext\pard\plain\b\f1\insrsid15139033 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0\pararsid15139033 {\b\f1\insrsid15139033 Terapeutick\'e1 epikr\'edza 
\endash  zd\'f4vodnenie lie\'e8by liekom}{\b\f1\insrsid15139033\charrsid879716 :}{\b\f1\insrsid15139033 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\b\f1\fs22\ul\insrsid15139033 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15139033 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid15139033 Doteraj\'9aia}{
\lang1024\langfe1024\noproof\insrsid15139033\charrsid12262358  lie\'e8ba:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................}{\lang1024\langfe1024\noproof\insrsid15139033 
\par 
\par {\listtext\pard\plain\b\f1\insrsid15139033\charrsid15139033 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard\plain \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0\pararsid15139033 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid15139033\charrsid15139033 Vyjadrenie lek\'e1ra k za\'e8atiu a o\'e8ak\'e1van\'e9mu efektu lie\'e8by:}{\b\f1\insrsid15139033 
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid14712217 
..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid14712217\charrsid15139033 
\par }{\lang1024\langfe1024\noproof\insrsid14712217 ..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid14712217\charrsid15139033 
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\lang1024\langfe1024\noproof\insrsid14712217 
..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid14712217\charrsid15139033 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\ul\insrsid14712217\charrsid15139033 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid14712217 {\f1\insrsid14712217\charrsid15139033 Existuje in\'fd lie\'e8ebn\'fd postup:    }{\f1\insrsid14712217 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14712217\charrsid1850045  FORMCHECKBOX }{\f1\insrsid14712217\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid14712217\charrsid1850045  \'e1no, uve\'efte ak\'fd
: ..............................................................................................
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14712217\charrsid1850045  FORMCHECKBOX }{\f1\insrsid14712217\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid14712217\charrsid1850045  nie
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid14712217 
\par {\listtext\pard\plain\b\f1\insrsid14712217\charrsid879716 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard\plain \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0\pararsid14712217 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid14712217\charrsid879716 S\'fahlas pacienta s lie\'e8bou:}{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid879716         }{\b\f1\insrsid14712217\charrsid399052 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid8284649 Svojim podpisom s\'fahlas\'edm s\~navrhovanou lie\'e8bou.\tab 
................................
\par }{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 \tab \tab \tab \tab \tab \tab \tab }{\f1\lang1024\langfe1024\noproof\insrsid14712217 \tab     }{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 podpis}{
\f1\lang1024\langfe1024\noproof\insrsid14712217 , d\'e1tum}{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid3016902 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15139033 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid15139033 
\par {\listtext\pard\plain\b\f1\insrsid14712217 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard\plain \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls18\adjustright\rin0\lin360\itap0\pararsid14712217 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid14712217 Po\'e8et balen\'ed lieku}{\b\f1\insrsid14712217\charrsid879716 :}{\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid879716         }{\b\f1\insrsid14712217\charrsid399052 

\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid15139033 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid15139033\charrsid15139033 
\par }\pard\plain \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {
\b\f1\ul\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 \'8eiadam o\~schv\'e1lenie predp\'edsania a\~\'fahrady}{\b\f1\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 :}{\f1\fs22\insrsid8941096\charrsid14712217 
\par .....balen}{\f1\fs22\insrsid9634140 \'ed}{\f1\fs22\insrsid8941096\charrsid14712217  lieku }{\b\f1\fs22\insrsid8941096\charrsid14712217 Remodulin}{\b\f1\fs22\cf18\insrsid8941096\charrsid14712217  }{\b\f1\fs22\insrsid8941096\charrsid14712217 
sol inf 1x20 ml, 1mg/ml,}{\f1\fs22\insrsid8941096\charrsid14712217  ATC B01AC21,  }{\f1\fs22\insrsid14712217\charrsid14712217 (\'8a\'daKL }{\f1\fs22\insrsid8941096\charrsid14712217 k\'f3d }{\b\f1\fs22\insrsid8941096\charrsid14712217 93637}{
\f1\fs22\insrsid14712217\charrsid14712217 )}{\f1\fs22\insrsid8941096 
\par }{\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }{\f1\fs22\insrsid8941096\charrsid14712217 .....balen\'ed lieku}{\f1\fs22\cf18\insrsid8941096\charrsid14712217  }{\b\f1\fs22\insrsid14712217\charrsid14712217 Remodulin sol inf 1x20 ml,  2,}{\b\f1\fs22\insrsid8941096\charrsid14712217 5mg/ml,}{
\f1\fs22\insrsid8941096\charrsid14712217  ATC B01AC21, }{\f1\fs22\insrsid14712217\charrsid14712217 (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid14712217\charrsid14712217 93639}{\f1\fs22\insrsid14712217\charrsid14712217 )}{\f1\fs22\insrsid8941096 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 .....balen\'ed lieku }{
\b\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 Tracleer}{\b\f1\fs22\insrsid8941096\charrsid14712217  }{\b\f1\fs22\insrsid14712217\charrsid14712217 tbl flm 56x}{\b\f1\fs22\insrsid8941096\charrsid14712217 62,5}{
\b\f1\fs22\insrsid14712217\charrsid14712217  }{\b\f1\fs22\insrsid8941096\charrsid14712217 mg,}{\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217  ATC C02KX01}{\f1\fs22\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 ,}{
\f1\fs22\insrsid8941096\charrsid14712217  }{\f1\fs22\insrsid14712217\charrsid14712217 (\'8a\'daKL }{\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 k\'f3d }{\b\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 41413}
{\f1\fs22\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 )}{\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 .....balen\'ed lieku }{
\b\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 Tracleer}{\b\f1\fs22\insrsid8941096\charrsid14712217  }{\b\f1\fs22\insrsid14712217\charrsid14712217 tbl flm 56x}{\b\f1\fs22\insrsid8941096\charrsid14712217 125}{
\b\f1\fs22\insrsid14712217\charrsid14712217  }{\b\f1\fs22\insrsid8941096\charrsid14712217 mg}{\b\f1\fs22\insrsid14712217\charrsid14712217 ,}{\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217  ATC C02KX01}{
\f1\fs22\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 ,}{\f1\fs22\insrsid8941096\charrsid14712217  }{\f1\fs22\insrsid14712217\charrsid14712217 (\'8a\'daKL }{\f1\fs22\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 k\'f3d }{
\b\f1\fs22\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 41415}{\f1\fs22\lang1024\langfe1024\noproof\insrsid14712217\charrsid14712217 )}{\f1\fs22\lang1024\langfe1024\noproof\insrsid8941096\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\fs22\insrsid8941096\charrsid14712217 .....balen\'ed lieku }{\b\f1\fs22\insrsid8941096\charrsid14712217 Revatio }{
\b\f1\fs22\insrsid14712217\charrsid14712217 tbl flm 90x}{\b\f1\fs22\insrsid8941096\charrsid14712217 20 mg,}{\f1\fs22\insrsid8941096\charrsid14712217  ATC G04BE03, }{\f1\fs22\insrsid14712217\charrsid14712217 (\'8a\'daKL }{
\f1\fs22\insrsid8941096\charrsid14712217 k\'f3d }{\b\f1\fs22\insrsid8941096\charrsid14712217 95558}{\f1\fs22\insrsid14712217\charrsid14712217 )}{\f1\fs22\insrsid8941096\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9779635 {\f1\fs22\insrsid8941096\charrsid14712217 .....balen\'ed lieku }{\b\f1\fs22\insrsid8941096\charrsid14712217 Ventavis }{
\b\f1\fs22\insrsid14712217\charrsid14712217 sol }{\b\f1\fs22\insrsid8941096\charrsid14712217 neb}{\b\f1\fs22\insrsid14712217\charrsid14712217  30x}{\b\f1\fs22\insrsid8941096\charrsid14712217 2 ml}{\b\f1\fs22\insrsid14712217\charrsid14712217 /20 \'b5g}{
\f1\fs22\insrsid14712217\charrsid14712217 , ATC B}{\f1\fs22\insrsid14712217 0}{\f1\fs22\insrsid14712217\charrsid14712217 1AC}{\f1\fs22\insrsid8941096\charrsid14712217 , }{\f1\fs22\insrsid14712217\charrsid14712217 (\'8a\'daKL }{
\f1\fs22\insrsid8941096\charrsid14712217 k\'f3d }{\b\f1\fs22\insrsid8941096\charrsid14712217 40892}{\f1\fs22\insrsid14712217\charrsid14712217 )}{\f1\fs22\insrsid8941096\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9779635 {\f1\fs22\insrsid9779635 na obdobie .....................................}{\f1\fs22\cf18\insrsid9779635\charrsid14712217 
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid14712217 
\par }{\lang1024\langfe1024\noproof\insrsid9579466 
\par 
\par 
\par 
\par 
\par }\pard\plain \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid14712217\charrsid12262358 N\'e1zov zdravotn\'ed
ckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid14712217 
\par }{\f1\insrsid14712217\charrsid12262358 
\par ........................................................................................................................................
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\f1\insrsid14712217 
\par }{\f1\insrsid14712217\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\f1\insrsid14712217\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\f1\insrsid14712217\charrsid1145403 
\par }{\f1\insrsid14712217 
\par 
\par }{\f1\insrsid14712217\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid14712217 \~}{\f1\insrsid14712217\charrsid12262358 podpis}{\f1\insrsid14712217  }{\f1\insrsid14712217\charrsid1145403 prim\'e1ra/prednostu}{\f1\insrsid14712217 :}{
\f1\insrsid14712217\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 {\f1\insrsid14712217\charrsid12262358 
\par D\'e1tum: .................................
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14712217 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid14712217 
\par }{\lang1024\langfe1024\noproof\insrsid9579466 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid14102764\charrsid13438509 \hich\af1\dbch\af0\loch\f1 II.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls17\adjustright\rin0\lin360\itap0\pararsid14102764 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid14102764\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid14102764 Monitorovanie lie\'e8by}{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid14102764\charrsid13438509  liekom }{\b0\f1\lang1024\langfe1024\noproof\langnp1051\insrsid4269653  }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid14102764 
\par }\pard\plain \s3\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid12005378 \b\f1\fs26\lang1029\langfe1051\cgrid\langnp1029\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764   }{\b0\fs24\insrsid12005378\charrsid14102764 Tracleer }{\b0\fs24\super\insrsid12005378\charrsid14102764 \'ae}{\b0\fs24\insrsid12005378\charrsid14102764 (bosentan)}{
\b0\fs24\insrsid12005378  C02KX01}{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764   }{\b0\fs24\insrsid12005378\charrsid14102764 
Remodulin (treprostinil)}{\b0\fs24\insrsid12005378  B01AC21}{\b0\fs24\insrsid12005378\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764  }{\b0\fs24\insrsid12005378\charrsid14102764  Revatio}{
\b0\fs24\super\insrsid12005378\charrsid14102764 \'ae}{\b0\fs24\insrsid12005378\charrsid14102764 (sildenafil)}{\b0\fs24\insrsid12005378  G04BE03}{\b0\fs24\insrsid12005378\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\insrsid12005378\charrsid14102764  FORMCHECKBOX }{\b0\fs24\insrsid12005378\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b0\fs24\insrsid12005378\charrsid14102764   Ventavis (iloprost)}{\b0\fs24\insrsid12005378  B01AC11}{\b0\fs24\insrsid12005378\charrsid14102764 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\fs28\insrsid8941096 
\par }{\f1\insrsid14102764\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid14102764\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14102764\charrsid12262358  FORMCHECKBOX }{\f1\insrsid14102764\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid14102764\charrsid12262358  pokra\'e8ovanie lie\'e8by}{\f1\insrsid14102764  po ......... mesiacoch
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14102764\charrsid12262358  FORMCHECKBOX }{\f1\insrsid14102764\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid14102764\charrsid12262358  }{\f1\insrsid14102764 ukon\'e8enie}{\f1\insrsid14102764\charrsid12262358  lie\'e8by}{\f1\insrsid14102764 
\par 
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 {\f1\lang1024\langfe1024\noproof\insrsid8941096\charrsid14102764 Diagn\'f3za }{\f1\lang1024\langfe1024\noproof\insrsid14102764 (}{
\f1\lang1024\langfe1024\noproof\insrsid8941096\charrsid14102764 slovom):........................................................................}{\f1\lang1024\langfe1024\noproof\insrsid14102764 ...........................}{
\f1\lang1024\langfe1024\noproof\insrsid8941096\charrsid14102764 
\par K\'f3d diagn\'f3zy (pod\'bea MKCH10):...........................}{\f1\lang1024\langfe1024\noproof\insrsid14102764 ....................................................}{\f1\lang1024\langfe1024\noproof\insrsid8941096\charrsid14102764 
\par }{\f1\lang1024\langfe1024\noproof\insrsid14102764 D\'e1tum stanovenia diagn\'f3zy: ....................................................................................}{\f1\lang1024\langfe1024\noproof\insrsid8941096\charrsid14102764 
\par D\'e1tum za\'e8atia lie\'e8by schvalovan\'fdm liekom:}{\f1\lang1024\langfe1024\noproof\insrsid14102764  .......................................}{\f1\lang1024\langfe1024\noproof\insrsid8941096\charrsid14102764 ..................... Po\'e8et podan\'fd
ch balen\'ed:}{\f1\lang1024\langfe1024\noproof\insrsid14102764 ...............................................................................}{\f1\lang1024\langfe1024\noproof\insrsid8941096\charrsid14102764 ..............}{
\f1\lang1024\langfe1024\noproof\insrsid8941096 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 {\f1\fs22\insrsid14102764 
\par {\listtext\pard\plain\b\f1\insrsid14102764 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin360\itap0\pararsid14102764 {\b\f1\insrsid14102764 Vy\'9aetrenia}{
\b\f1\insrsid14102764\charrsid879716 :}{\b\f1\insrsid14102764 
\par {\listtext\pard\plain\f10\insrsid14102764\charrsid9990626 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls20\adjustright\rin0\lin360\itap0\pararsid14102764 {
\f1\insrsid14102764\charrsid9990626 Pe\'e8e\'f2ov\'e9 testy:    }{\f1\insrsid14102764 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 {\f1\insrsid14102764\charrsid9990626 ALT: ..............        }{\f1\insrsid14102764 
\par A}{\f1\insrsid14102764\charrsid9990626 ST:}{\f1\insrsid14102764  }{\f1\insrsid14102764\charrsid9990626 ..............}{\f1\insrsid14102764 
\par }{\f1\insrsid8941096 
\par {\listtext\pard\plain\f10\insrsid14102764 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls21\adjustright\rin0\lin360\itap0\pararsid14102764 {\f1\insrsid14102764 Hladina hemoglob\'ednu v\~
krvi: ...}{\f1\insrsid14102764\charrsid9990626 ...............}{\f1\insrsid14102764 .......
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 {\f1\insrsid14102764\charrsid14102764 
\par {\listtext\pard\plain\f10\insrsid14102764\charrsid1850045 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls21\adjustright\rin0\lin360\itap0\pararsid14102764 {
\f1\insrsid14102764\charrsid1850045 Gravitest:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid14102764 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14102764\charrsid1850045  FORMCHECKBOX }{\f1\insrsid14102764\charrsid1850045 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid14102764\charrsid1850045  pozit\'edvny
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid14102764\charrsid1850045  FORMCHECKBOX }{\f1\insrsid14102764\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid14102764\charrsid1850045  negat\'edvny
\par }{\f1\insrsid8941096\charrsid14102764 
\par {\listtext\pard\plain\f10\insrsid14102764\charrsid9990626 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23\adjustright\rin0\lin360\itap0\pararsid14102764 {
\f1\insrsid14102764\charrsid9990626 Fyzik\'e1lne vy\'9aetrenie:................................................................................................}{\f1\insrsid14102764 
\par }\pard \ql \li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid11679501 {\f1\insrsid14102764 
.................................................................................................................................
\par {\listtext\pard\plain\f10\insrsid14102764\charrsid9990626 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li360\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23\adjustright\rin0\lin360\itap0\pararsid14102764 {
\f1\insrsid14102764\charrsid9990626 N\'e1lez echokardiografie}{\f1\cf6\insrsid14102764\charrsid9990626  }{\f1\insrsid14102764\charrsid9990626 .........................................................................................}{\f1\insrsid14102764 
...}{\f1\insrsid14102764\charrsid9990626 
\par }\pard \ql \li357\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin357\itap0\pararsid11679501 {\f1\insrsid14102764 
.................................................................................................................................
\par {\listtext\pard\plain\f10\insrsid11679501 \loch\af10\dbch\af0\hich\f10 \'a7\tab}}\pard \ql \fi-360\li357\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls23\adjustright\rin0\lin357\itap0\pararsid11679501 {\f1\insrsid11679501 EKG}{
\f1\cf6\insrsid11679501\charrsid9990626  }{\f1\cf6\insrsid11679501 ...........................................}{\f1\insrsid11679501\charrsid9990626 ..........................................................................}{\f1\insrsid11679501 ...}{
\f1\insrsid11679501\charrsid9990626 
\par }\pard \ql \li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid11679501 {\f1\insrsid11679501 
.................................................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\insrsid8941096 
\par {\listtext\pard\plain\b\f1\insrsid11679501 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin360\itap0\pararsid11679501 {\b\f1\insrsid11679501 Terapeutick\'e1 epikr\'edza 
\endash  zd\'f4vodnenie lie\'e8by liekom}{\b\f1\insrsid11679501\charrsid879716 :}{\b\f1\insrsid11679501 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid11679501 Konkominantn\'e1}{
\lang1024\langfe1024\noproof\insrsid11679501\charrsid12262358  lie\'e8ba:
\par liekmi: ...................................................................................................................
\par d\'e1tum od \endash  do: .....................................................................................................}{\lang1024\langfe1024\noproof\insrsid11679501 
\par 
\par {\listtext\pard\plain\b\f1\insrsid11679501\charrsid15139033 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard\plain \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin360\itap0\pararsid11679501 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid11679501\charrsid15139033 Vyjadrenie }{\b\f1\insrsid11679501 o\'9aetruj\'faceho }{\b\f1\insrsid11679501\charrsid15139033 lek\'e1ra k }{\b\f1\insrsid11679501 pokra\'e8ovaniu}{
\b\f1\insrsid11679501\charrsid15139033  a efektu lie\'e8by}{\b\f1\insrsid11679501  schva\'beovan\'fdm liekom}{\b\f1\insrsid11679501\charrsid15139033 :}{\b\f1\insrsid11679501 
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid11679501 
..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid11679501\charrsid15139033 
\par }{\lang1024\langfe1024\noproof\insrsid11679501 ..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid11679501\charrsid15139033 
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\lang1024\langfe1024\noproof\insrsid11679501 
..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid11679501\charrsid15139033 
\par }{\lang1024\langfe1024\noproof\insrsid11679501 
\par }\pard \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\lang1024\langfe1024\noproof\insrsid8941096\charrsid11679501 D\'e1tum ukon\'e8enia lie\'e8
by: .......................................}{\lang1024\langfe1024\noproof\insrsid8941096 
\par }{\lang1024\langfe1024\noproof\insrsid11679501 D\'f4vod ukon\'e8enia lie\'e8by: ......................................................................................
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\lang1024\langfe1024\noproof\insrsid11679501 
..............................................................................................................................
\par }{\lang1024\langfe1024\noproof\insrsid11679501\charrsid15139033 
\par {\listtext\pard\plain\b\f1\insrsid11679501\charrsid879716 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard\plain \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin360\itap0\pararsid11679501 
\fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid11679501\charrsid879716 S\'fahlas pacienta s lie\'e8bou:}{\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid879716         }{\b\f1\insrsid11679501\charrsid399052 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid8284649 Svojim podpisom s\'fahlas\'edm s\~navrhovanou lie\'e8bou.\tab 
................................
\par }{\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid3016902 \tab \tab \tab \tab \tab \tab \tab }{\f1\lang1024\langfe1024\noproof\insrsid11679501 \tab     }{\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid3016902 podpis}{
\f1\lang1024\langfe1024\noproof\insrsid11679501 , d\'e1tum}{\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid3016902 
\par }\pard \qj \li0\ri-709\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid8941096 {\f1\fs22\insrsid2767228 
\par {\listtext\pard\plain\b\f1\insrsid11679501 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin360\itap0\pararsid11679501 {\b\f1\insrsid11679501 Po\'e8et balen\'ed lieku}{
\b\f1\insrsid11679501\charrsid879716 :}{\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid879716         }{\b\f1\insrsid11679501\charrsid399052 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid11679501\charrsid15139033 
\par }\pard\plain \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {
\b\f1\ul\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 \'8eiadam o\~schv\'e1lenie predp\'edsania a}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid11679501 \~}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 \'fahrady}{
\b\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid11679501 :}{\f1\lang1024\langfe1024\noproof\insrsid11679501  }{\f1\lang1024\langfe1024\noproof\insrsid11679501\charrsid11679501 na 6 mesiacov lie\'e8by}{\f1\fs22\insrsid11679501\charrsid11679501 

\par }{\f1\fs22\insrsid11679501\charrsid14712217 .....balen}{\f1\fs22\insrsid9634140 \'ed}{\f1\fs22\insrsid11679501\charrsid14712217  lieku }{\b\f1\fs22\insrsid11679501\charrsid14712217 Remodulin}{\b\f1\fs22\cf18\insrsid11679501\charrsid14712217  }{
\b\f1\fs22\insrsid11679501\charrsid14712217 sol inf 1x20 ml, 1mg/ml,}{\f1\fs22\insrsid11679501\charrsid14712217  ATC B01AC21,  (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid11679501\charrsid14712217 93637}{\f1\fs22\insrsid11679501\charrsid14712217 )}{
\f1\fs22\insrsid11679501 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\fs22\insrsid11679501\charrsid14712217 .....balen\'ed lieku}{\f1\fs22\cf18\insrsid11679501\charrsid14712217  }{
\b\f1\fs22\insrsid11679501\charrsid14712217 Remodulin sol inf 1x20 ml,  2,5mg/ml,}{\f1\fs22\insrsid11679501\charrsid14712217  ATC B01AC21, (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid11679501\charrsid14712217 93639}{\f1\fs22\insrsid11679501\charrsid14712217 )

\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 .....balen\'ed lieku }{
\b\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 Tracleer}{\b\f1\fs22\insrsid11679501\charrsid14712217  tbl flm 56x62,5 mg,}{\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217  ATC C02KX01,}{
\f1\fs22\insrsid11679501\charrsid14712217  (\'8a\'daKL }{\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 k\'f3d }{\b\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 41413}{
\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 )
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 .....balen\'ed lieku }{
\b\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 Tracleer}{\b\f1\fs22\insrsid11679501\charrsid14712217  tbl flm 56x125 mg,}{\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217  ATC C02KX01,}{
\f1\fs22\insrsid11679501\charrsid14712217  (\'8a\'daKL }{\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 k\'f3d }{\b\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 41415}{
\f1\fs22\lang1024\langfe1024\noproof\insrsid11679501\charrsid14712217 )
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\fs22\insrsid11679501\charrsid14712217 .....balen\'ed lieku }{\b\f1\fs22\insrsid11679501\charrsid14712217 
Revatio tbl flm 90x20 mg,}{\f1\fs22\insrsid11679501\charrsid14712217  ATC G04BE03, (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid11679501\charrsid14712217 95558}{\f1\fs22\insrsid11679501\charrsid14712217 )
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9579466 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9779635 {\f1\fs22\insrsid11679501\charrsid14712217 .....balen\'ed lieku }{\b\f1\fs22\insrsid11679501\charrsid14712217 
Ventavis sol neb 30x2 ml}{\b\f1\fs22\insrsid11679501\charrsid14712217 /20 \'b5g}{\f1\fs22\insrsid11679501\charrsid14712217 , ATC B}{\f1\fs22\insrsid11679501 0}{\f1\fs22\insrsid11679501\charrsid14712217 1AC, }{\f1\fs22\insrsid11679501\charrsid14712217 (
\'8a\'daKL }{\f1\fs22\insrsid11679501\charrsid14712217 k\'f3d }{\b\f1\fs22\insrsid11679501\charrsid14712217 40892}{\f1\fs22\insrsid11679501\charrsid14712217 )
\par }\pard \ql \fi1\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid9779635 {\f1\fs22\insrsid9579466 na obdobie .....................................}{\f1\fs22\cf18\insrsid9579466\charrsid14712217 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid11679501 {\f1\insrsid11679501 
\par 
\par }{\f1\insrsid9579466 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\insrsid11679501\charrsid12262358 N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid11679501 
\par }{\f1\insrsid11679501\charrsid12262358 
\par ........................................................................................................................................
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\insrsid11679501 
\par }{\f1\insrsid11679501\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\insrsid11679501\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\insrsid11679501\charrsid1145403 
\par }{\f1\insrsid11679501 
\par 
\par }{\f1\insrsid11679501\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid11679501 \~}{\f1\insrsid11679501\charrsid12262358 podpis}{\f1\insrsid11679501  }{\f1\insrsid11679501\charrsid1145403 prim\'e1ra/prednostu}{\f1\insrsid11679501 :}{
\f1\insrsid11679501\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 {\f1\insrsid11679501\charrsid12262358 
\par D\'e1tum: .................................
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid11679501 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid11679501 
\par }\pard\plain \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid3810324 Vzor \'e8. 9}{\b\f1\insrsid6102413\charrsid12262358 

\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid6102413 {\b\f1\insrsid6102413\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\b\f1\insrsid6102413\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }{\f1\insrsid6102413\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\b\f1\fs32\ul\insrsid6102413\charrsid1929662 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by}{\b\f1\fs32\ul\insrsid6102413  liekom}{
\b\f1\fs32\ul\insrsid6102413\charrsid1929662 
\par }{\b\f1\fs32\ul\insrsid6102413 _________________________}{\b\f1\fs32\ul\insrsid6102413\charrsid1929662 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\f1\insrsid6102413\charrsid1975373 \tab \tab \tab \tab }{\b\f1\insrsid6102413\charrsid1975373 \tab \tab \tab \tab }{
\f1\insrsid6102413\charrsid1975373 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\f1\insrsid6102413\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid6102413\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6102413\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6102413\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid6102413\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6102413\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6102413\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid6102413\charrsid12262358  pokra\'e8ovanie lie\'e8by}{\f1\insrsid6102413 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6102413\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6102413\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid6102413\charrsid12262358  }{\f1\insrsid6102413 ukon\'e8enie}{\f1\insrsid6102413\charrsid12262358  lie\'e8by}{\f1\insrsid6102413 
\par }\pard \ql \fi-992\li992\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0\pararsid6102413 {\f1\ul\insrsid6102413\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\b\f1\fs22\insrsid6102413\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid6102413 
\par }{\b\f1\fs22\insrsid6102413\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\f1\fs22\insrsid6102413\charrsid10758179 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par }{\b\f1\fs22\insrsid6102413\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\f1\fs22\insrsid6102413\charrsid10758179 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid6102413\charrsid10758179 :
\par }{\b\f1\fs22\insrsid6102413\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\b\f1\fs22\insrsid6102413\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\f1\fs22\insrsid6102413\charrsid10758179 N
\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\f1\fs22\insrsid6102413\charrsid10758179 
Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid6102413\charrsid10758179 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\b\f1\fs22\insrsid6102413\charrsid12262358 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\f1\fs22\insrsid6102413\charrsid10758179 
Rodn\'e9 \'e8\'edslo:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\f1\fs22\insrsid6102413\charrsid10758179 
Adresa trval\'e9ho pobytu:
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\b\f1\fs22\insrsid6102413\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\b\f1\fs22\insrsid6102413\charrsid12262358 \'8a
\'daKL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\b\f1\fs22\insrsid6102413\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\b\f1\fs22\insrsid6102413\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\b\f1\fs22\insrsid6102413\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\b\f1\fs22\insrsid6102413\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\b\f1\fs22\insrsid6102413\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {
\b\f1\fs22\insrsid6102413\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid13852218 {\b\f1\fs22\insrsid6102413\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid6102413\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid6102413\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid6102413\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid6102413\charrsid12262358  }{\f1\insrsid6102413\charrsid12262358 D\'e1tum: ..............................
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid6102413\charrsid13438509 \hich\af1\dbch\af0\loch\f1 I.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls25\adjustright\rin0\lin360\itap0\pararsid6102413 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid13438509 \'8eiados\'9d o\~s\'fahlas na za\'e8atie lie\'e8by liekom }{
\b0\f1\lang1024\langfe1024\noproof\langnp1051\insrsid4269653  }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6102413 
\par }\pard\plain \s3\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid6102413 \b\f1\fs26\lang1029\langfe1051\cgrid\langnp1029\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid14102764   }{\b0\fs24\insrsid6102413 LUCENTIS }{\b0\fs22\insrsid6102413\charrsid1975373 (ranibizumabum}{\b0\fs22\insrsid6102413\charrsid6102413 )}{\b0\fs22\insrsid12005378  S01LA04}{
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid14102764 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid6102413\charrsid14102764   }{\b0\fs24\insrsid6102413 MACUGEN}{
\b0\fs24\insrsid6102413\charrsid14102764  (}{\b0\fs22\insrsid6102413\charrsid1975373 pegaptamid sodn\'fd}{\b0\fs24\insrsid6102413\charrsid14102764 )}{\b0\fs24\insrsid12005378  S01}{\b0\fs24\insrsid15546656 LA03}{\b0\fs24\insrsid6102413\charrsid14102764 

\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid6102413\charrsid13438509 
\par 
\par }\pard \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\lang1024\langfe1024\noproof\insrsid6102413\charrsid13438509 Diagn\'f3za:..................................
...........................................................}{\lang1024\langfe1024\noproof\insrsid6102413 .........................}{\lang1024\langfe1024\noproof\insrsid6102413\charrsid13438509 
\par }{\lang1024\langfe1024\noproof\insrsid6102413 D\'e1tum stanovenia diagn\'f3zy}{\lang1024\langfe1024\noproof\insrsid6102413\charrsid13438509 :................}{\lang1024\langfe1024\noproof\insrsid6102413 .........}{
\lang1024\langfe1024\noproof\insrsid6102413\charrsid13438509 ........................................}{\lang1024\langfe1024\noproof\insrsid6102413 ........................}{\lang1024\langfe1024\noproof\insrsid6102413\charrsid13438509 
\par }\pard\plain \ql \li0\ri0\widctlpar\tqc\tx4999\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\fs22\insrsid6102413 
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid1850045 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin360\itap0\pararsid6102413 {\b\f1\insrsid8941096\charrsid1850045 
Predch\'e1dzaj\'faca lie\'e8ba:}{\b\f1\ul\insrsid8941096\charrsid1850045 
\par {\listtext\pard\plain\f1\insrsid7034831\charrsid3289466 \hich\af1\dbch\af0\loch\f1 a)\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720\itap0\pararsid1850045 {
\f1\ul\insrsid7034831\charrsid3289466 Fotodynamick\'e1 terapia }{\f1\ul\insrsid6102413\charrsid3289466 s\~Visudynom}{\f1\insrsid8941096\charrsid3289466 :}{\f1\ul\insrsid8941096\charrsid3289466 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6102413 {\f1\insrsid8941096\charrsid3289466 Po\'e8et seden\'ed:..................................................
\par D\'e1tum poslednej aplik\'e1cie:............................}{\f1\insrsid6102413\charrsid3289466 .}{\f1\insrsid8941096\charrsid3289466 
\par }\pard \ql \li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6102413 {\f1\insrsid8941096\charrsid3289466 
\par {\listtext\pard\plain\f1\insrsid8941096\charrsid3289466 \hich\af1\dbch\af0\loch\f1 b)\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720\itap0\pararsid6102413 {
\f1\ul\insrsid8941096\charrsid3289466 Transpupil\'e1rne termoterapia}{\f1\insrsid8941096\charrsid3289466 :}{\f1\ul\insrsid8941096\charrsid3289466 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6102413 {\f1\insrsid8941096\charrsid3289466 Po\'e8et seden\'ed:..................................................
\par D\'e1tum poslednej aplik\'e1cie:............................}{\f1\insrsid6102413\charrsid3289466 .}{\f1\insrsid8941096\charrsid3289466 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\f1\insrsid8941096\charrsid3289466 
\par {\listtext\pard\plain\f1\insrsid8941096\charrsid3289466 \hich\af1\dbch\af0\loch\f1 c)\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls2\adjustright\rin0\lin720\itap0\pararsid6102413 {
\f1\ul\insrsid8941096\charrsid3289466 Doplnkov\'e1 lie\'e8ba}{\f1\insrsid8941096\charrsid3289466 :..........................................}{\f1\insrsid6102413\charrsid3289466 .}{\f1\insrsid8941096\charrsid3289466 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\fs22\insrsid8941096 
\par }{\f1\fs22\insrsid6102413 
\par {\listtext\pard\plain\b\f1\insrsid6102413\charrsid6102413 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin360\itap0\pararsid6102413 {\b\f1\insrsid6102413\charrsid6102413 
D\'e1vkovanie a\~sp\'f4sob pod\'e1vania:}{\b\f1\ul\insrsid6102413\charrsid6102413 
\par {\listtext\pard\plain\b\f1\insrsid6102413\charrsid6102413 \hich\af1\dbch\af0\loch\f1 a)\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls46\adjustright\rin0\lin720\itap0\pararsid1850045 {
\b\f1\insrsid6102413\charrsid6102413  }{\b\f1\insrsid8941096\charrsid6102413 Lucentis}{\f1\super\insrsid8941096\charrsid6102413  }{\f1\insrsid8941096\charrsid6102413 d\'e1vka 0,5 mg }{\f1\insrsid6102413\charrsid6102413 
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid6102413 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \ql \fi-360\li1260\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\ilvl2\adjustright\rin0\lin1260\itap0\pararsid6102413 {
\f1\insrsid8941096\charrsid6102413 3 x ka\'9ed\'e9 4 t\'fd\'9edne
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid6102413 \hich\af1\dbch\af0\loch\f1 -\tab}potom pod\'bea potreby na z\'e1klade v\'fdsledkov vy\'9aetrenia zrakovej ostrosti
\par {\listtext\pard\plain\b\f1\insrsid6102413 \hich\af1\dbch\af0\loch\f1 b)\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls46\adjustright\rin0\lin720\itap0\pararsid6102413 {\b\f1\insrsid6102413  }{
\b\f1\insrsid6102413\charrsid6102413 Macugen}{\f1\insrsid6102413\charrsid6102413  }{\f1\insrsid6102413 d\'e1vka 0,3}{\f1\insrsid6102413\charrsid6102413  mg }{\f1\insrsid3289466 
\par {\listtext\pard\plain\b\f1\insrsid6102413 \hich\af1\dbch\af0\loch\f1 -\tab}}\pard \ql \fi-360\li1260\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\ilvl2\adjustright\rin0\lin1260\itap0\pararsid3289466 {\f1\insrsid6102413 v\~6 \endash  t\'fd\'9ed
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\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\b\f1\insrsid6102413 
\par {\listtext\pard\plain\b\f1\insrsid6102413 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin360\itap0\pararsid6102413 {\b\f1\insrsid6102413 O\'e8n\'e9 vy\'9aetrenie}{
\b\f1\insrsid6102413\charrsid6102413 :}{\b\f1\ul\insrsid6102413\charrsid6102413 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\b\f1\insrsid6102413 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid6102413 {\f1\insrsid6102413\charrsid879716 Zrakov\'e1 ostros}{\f1\insrsid6102413 \'9d}{\f1\insrsid6102413\charrsid879716 :\tab \tab \tab       }{
\f1\insrsid6102413 
\par }{\f1\insrsid6102413\charrsid879716 VOD:       \tab \tab }{\f1\insrsid6102413 \tab \tab \tab IOT o.dx:
\par }{\f1\insrsid6102413\charrsid879716 VOS:   }{\f1\insrsid6102413 \tab \tab \tab        \tab \tab IOT o.sin:}{\f1\insrsid6102413\charrsid879716 
\par }{\f1\insrsid6102413 
\par }{\f1\insrsid3289466 FAG klasifik\'e1cia}{\f1\insrsid6102413\charrsid879716  }{\f1\insrsid6102413\charrsid3289466 CNV}{\f1\insrsid3289466\charrsid3289466 :}{\f1\insrsid6102413\charrsid3289466 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13852218 {\field\flddirty\fldpriv{\*\fldinst {\b\insrsid13852218\charrsid14102764  FORMCHECKBOX }{\b\insrsid13852218\charrsid14102764 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b\insrsid13852218\charrsid14102764  }{\f1\fs22\insrsid6102413\charrsid1975373 okultn\'e1}{\f1\insrsid6102413\charrsid879716 

\par }{\field\flddirty\fldpriv{\*\fldinst {\b\insrsid13852218\charrsid14102764  FORMCHECKBOX }{\b\insrsid13852218\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b\insrsid13852218\charrsid14102764  }{\f1\fs22\insrsid6102413\charrsid1975373 predominantne klasick\'e1}{\f1\insrsid6102413\charrsid6102413 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b\insrsid13852218\charrsid14102764  FORMCHECKBOX }{\b\insrsid13852218\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b\insrsid13852218\charrsid14102764  }{\f1\fs22\insrsid6102413\charrsid1975373 klasick\'e1}{\f1\insrsid6102413\charrsid13852218 
\par }{\f1\fs22\insrsid13852218 
\par }{\f1\insrsid13852218 V}{\f1\insrsid6102413 e\'bekos\'9d l\'e9zie: ..................... }{\f1\insrsid6102413\charrsid879716 \'b5m}{\f1\insrsid6102413 
\par }{\f1\insrsid13852218 
\par Fibr\'f3za menej ako 25% l\'e9zie:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13852218\charrsid12262358  FORMCHECKBOX }{\f1\insrsid13852218\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13852218  \'e1no}{\f1\insrsid13852218\charrsid12262358 \tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13852218\charrsid12262358  FORMCHECKBOX }{\f1\insrsid13852218\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid13852218\charrsid12262358  }{\f1\insrsid13852218 nie}{\f1\insrsid13852218\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid6102413 {\f1\insrsid6102413 
\par }{\f1\insrsid6102413\charrsid879716 Lie\'e8ba navrhnut\'e1 pre:\tab          \tab \tab }{\f1\insrsid6102413 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6102413 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6102413\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6102413\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6102413  }{\f1\insrsid6102413\charrsid879716 o.dx.}{\f1\insrsid6102413\charrsid12262358 \tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6102413\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6102413\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid6102413\charrsid12262358  }{\f1\insrsid6102413\charrsid879716 o.sin.}{\f1\insrsid6102413\charrsid12262358 
\par }{\b\f1\insrsid6102413 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\fs22\insrsid8941096\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid13852218 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin360\itap0\pararsid13852218 {\b\f1\insrsid13852218 Kontraindik\'e1cie}{
\b\f1\insrsid13852218\charrsid6102413 :}{\b\f1\ul\insrsid13852218\charrsid13852218 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid13852218 (akt\'edvna o\'e8n\'e1 alebo periokul\'e1rna infekcia alebo podozrenie na \'f2u, precitlivelos\'9d
 na lie\'e8ivo 
\par alebo ak\'fako\'bevek pomocn\'fa l\'e1tku):}{\f1\insrsid8941096 
\par }\pard \qj \li0\ri-709\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid13852218 
........................................................................................................................................
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid13852218 ........................................
................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\insrsid8941096\charrsid13852218 
\par {\listtext\pard\plain\b\f1\insrsid13852218 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin360\itap0\pararsid13852218 {\b\f1\insrsid13852218 Od\'f4vodnenie lie\'e8by}{
\b\f1\insrsid13852218\charrsid6102413 :}{\b\f1\ul\insrsid13852218\charrsid13852218 
\par }\pard \qj \li0\ri-709\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid13852218 
........................................................................................................................................
\par ........................................................................................................................................
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid13852218 
........................................................................................................................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\fs22\insrsid8941096\charrsid1975373 
\par {\listtext\pard\plain\b\f1\insrsid13852218\charrsid879716 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls24\adjustright\rin0\lin360\itap0\pararsid13852218 {
\b\f1\insrsid13852218\charrsid879716 S\'fahlas pacienta s lie\'e8bou:}{\f1\lang1024\langfe1024\noproof\insrsid13852218\charrsid879716         }{\b\f1\insrsid13852218\charrsid399052 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\lang1024\langfe1024\noproof\insrsid13852218\charrsid3289466 Svojim podpisom s\'fahlas\'edm s\~navrhovanou lie\'e8bou.\tab 
................................
\par }{\f1\lang1024\langfe1024\noproof\insrsid13852218\charrsid3016902 \tab \tab \tab \tab \tab \tab \tab }{\f1\lang1024\langfe1024\noproof\insrsid13852218 \tab     }{\f1\lang1024\langfe1024\noproof\insrsid13852218\charrsid3016902 podpis}{
\f1\lang1024\langfe1024\noproof\insrsid13852218 , d\'e1tum
\par 
\par 
\par }\pard \ql \fi1\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\b\f1\ul\lang1024\langfe1024\noproof\insrsid13852218 
\par }{\b\f1\ul\lang1024\langfe1024\noproof\insrsid13852218\charrsid14712217 \'8eiadam o\~schv\'e1lenie predp\'edsania a}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid13852218 \~}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid13852218\charrsid14712217 \'fahrady}{
\b\f1\lang1024\langfe1024\noproof\insrsid13852218\charrsid11679501 :}{\f1\lang1024\langfe1024\noproof\insrsid13852218  }{\f1\fs22\insrsid13852218\charrsid11679501 
\par }\pard \qj \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid13852218 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs22\insrsid13852218\charrsid1850045  FORMCHECKBOX }{
\f1\fs22\insrsid13852218\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs22\insrsid13852218\charrsid1850045  \tab }{\f1\fs22\insrsid13852218\charrsid1850045 3 balen\'ed lieku }{
\b\f1\fs22\insrsid13852218\charrsid1850045 Lucentis sol inj 1x0,23 ml/2,3 mg}{\f1\fs22\insrsid13852218\charrsid1850045   (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid13852218\charrsid1850045 37085}{\f1\fs22\insrsid13852218\charrsid1850045 ) potrebn\'fdch na 
\'favodn\'fa f\'e1zu \endash  12-t\'fd\'9ed\'f2ov\'e9 obdobie lie\'e8by vlhkej formy vekom podmienenej degener\'e1cie makuly}{\f1\fs22\insrsid3289466\charrsid1850045 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs22\insrsid13852218\charrsid1850045  FORMCHECKBOX }{\f1\fs22\insrsid13852218\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs22\insrsid13852218\charrsid1850045  \tab }{\f1\fs22\insrsid13852218\charrsid1850045 3 balen\'ed lieku }{\b\f1\fs22\insrsid13852218\charrsid1850045 Macugen }{\f1\fs22\insrsid13852218\charrsid1850045 0,3 mg injek\'e8n\'fd roztok}{
\f1\fs22\insrsid15546656  so}{\f1\fs22\insrsid13852218\charrsid1850045 l inj 1x90 \'b5l/0,3 mg }{\f1\fs22\insrsid13852218\charrsid1850045 (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid13852218\charrsid1850045 97424}{\f1\fs22\insrsid13852218\charrsid1850045 
) potrebn\'fdch na 18-t\'fd\'9ed\'f2ov\'e9 obdobie lie\'e8by vlhkej formy vekom podmienenej degener\'e1cie makuly
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid13852218 {\f1\insrsid13852218 
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid12262358 N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid13852218 
\par }{\f1\insrsid13852218\charrsid12262358 
\par ........................................................................................................................................
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\insrsid13852218 
\par }{\f1\insrsid13852218\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid1145403 
\par }{\f1\insrsid13852218 
\par 
\par }{\f1\insrsid13852218\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid13852218 \~}{\f1\insrsid13852218\charrsid12262358 podpis}{\f1\insrsid13852218  }{\f1\insrsid13852218\charrsid1145403 prim\'e1ra/prednostu}{\f1\insrsid13852218 :}{
\f1\insrsid13852218\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\insrsid13852218\charrsid12262358 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13852218 {\f1\lang1024\langfe1024\noproof\insrsid13852218\charrsid3016902 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid6949601 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid6949601 
\par }{\f1\insrsid6949601\charrsid6949601 
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid6949601 
\par 
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3289466 {\f1\fs16\insrsid3289466\charrsid10316079 __________________
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3289466 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\fs16\lang1024\langfe1024\noproof\insrsid3289466\charrsid10316079 *)  s\'fa
\'e8as\'9dou protokolu je fluoroangiografick\'e1 dokument\'e1cia}{\fs16\lang1024\langfe1024\noproof\insrsid3289466 
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid6949601\charrsid13438509 \hich\af1\dbch\af0\loch\f1 II.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls25\adjustright\rin0\lin360\itap0\pararsid6949601 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6949601\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6949601 Monitorovanie}{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6949601\charrsid13438509  lie\'e8by liekom }{\b0\f1\lang1024\langfe1024\noproof\langnp1051\insrsid4269653  }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6949601 
\par }\pard\plain \s3\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0\pararsid12005378 \b\f1\fs26\lang1029\langfe1051\cgrid\langnp1029\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764   }{\b0\fs24\insrsid12005378 LUCENTIS }{\b0\fs22\insrsid12005378\charrsid1975373 (ranibizumabum}{\b0\fs22\insrsid12005378\charrsid6102413 )}{\b0\fs22\insrsid12005378  S01LA04}{
\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764  FORMCHECKBOX }{\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\fs24\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid14102764   }{\b0\fs24\insrsid12005378 MACUGEN}{
\b0\fs24\insrsid12005378\charrsid14102764  (}{\b0\fs22\insrsid12005378\charrsid1975373 pegaptamid sodn\'fd}{\b0\fs24\insrsid12005378\charrsid14102764 )}{\b0\fs24\insrsid15546656  S01LA03}{\b0\fs24\insrsid12005378\charrsid14102764 
\par }\pard\plain \qc \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid6949601 
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 
Diagn\'f3za:.............................................................................................}{\lang1024\langfe1024\noproof\insrsid6949601 .........................}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 
\par }{\lang1024\langfe1024\noproof\insrsid6949601 D\'e1tum stanovenia diagn\'f3zy}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 :................}{\lang1024\langfe1024\noproof\insrsid6949601 .........}{
\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 ........................................}{\lang1024\langfe1024\noproof\insrsid6949601 ........................
\par D\'e1tum za\'e8atia lie\'e8by}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 :................}{\lang1024\langfe1024\noproof\insrsid6949601 .........}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 ......................
..................}{\lang1024\langfe1024\noproof\insrsid6949601 ...................................
\par Po\'e8et podan\'fdch d\'e1vok}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 :......}{\lang1024\langfe1024\noproof\insrsid6949601 ........}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 ..........}{
\lang1024\langfe1024\noproof\insrsid6949601 .........}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 ........................................}{\lang1024\langfe1024\noproof\insrsid6949601 ........................
\par }\pard \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 {\lang1024\langfe1024\noproof\insrsid6949601 D\'e1tum poslednej aplik\'e1cie}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 
:.......}{\lang1024\langfe1024\noproof\insrsid6949601 ...}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 .........}{\lang1024\langfe1024\noproof\insrsid6949601 .........}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid13438509 
........................................}{\lang1024\langfe1024\noproof\insrsid6949601 ........................
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid8941096 
\par {\listtext\pard\plain\b\f1\insrsid6949601 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls27\adjustright\rin0\lin360\itap0\pararsid6949601 {\b\f1\insrsid6949601 O\'e8n\'e9 vy\'9aetrenie}{
\b\f1\insrsid6949601\charrsid6102413 :}{\b\f1\ul\insrsid6949601\charrsid6102413 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 {\b\f1\insrsid6949601 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid6949601 {\f1\insrsid6949601\charrsid879716 Zrakov\'e1 ostros}{\f1\insrsid6949601 \'9d}{\f1\insrsid6949601\charrsid879716 :\tab \tab \tab       }{
\f1\insrsid6949601 
\par }{\f1\insrsid6949601\charrsid879716 VOD:       \tab \tab }{\f1\insrsid6949601 \tab \tab \tab IOT o.dx:
\par }{\f1\insrsid6949601\charrsid879716 VOS:   }{\f1\insrsid6949601 \tab \tab \tab        \tab \tab IOT o.sin:}{\f1\insrsid6949601\charrsid879716 
\par }{\f1\insrsid6949601 
\par }{\f1\insrsid6949601\charrsid879716 FAG klasifik\'e1cia}{\f1\insrsid3289466  }{\f1\insrsid6949601\charrsid3289466 CNV}{\f1\insrsid3289466 :}{\f1\cf6\insrsid6949601\charrsid879716 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b\insrsid6949601\charrsid14102764  FORMCHECKBOX }{\b\insrsid6949601\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b\insrsid6949601\charrsid14102764  }{\f1\fs22\insrsid6949601\charrsid1975373 okultn\'e1}{\f1\insrsid6949601\charrsid879716 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b\insrsid6949601\charrsid14102764  FORMCHECKBOX }{\b\insrsid6949601\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b\insrsid6949601\charrsid14102764  }{\f1\fs22\insrsid6949601\charrsid1975373 predominantne klasick\'e1}{\f1\insrsid6949601\charrsid6102413 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b\insrsid6949601\charrsid14102764  FORMCHECKBOX }{\b\insrsid6949601\charrsid14102764 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\b\insrsid6949601\charrsid14102764  }{\f1\fs22\insrsid6949601\charrsid1975373 klasick\'e1}{\f1\insrsid6949601\charrsid13852218 
\par }{\f1\fs22\insrsid6949601 
\par }{\f1\insrsid6949601 Ve\'bekos\'9d l\'e9zie: ..................... }{\f1\insrsid6949601\charrsid879716 \'b5m}{\f1\insrsid6949601 
\par 
\par Fibr\'f3za menej ako 25% l\'e9zie:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6949601\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6949601\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6949601  \'e1no}{\f1\insrsid6949601\charrsid12262358 \tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6949601\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6949601\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid6949601\charrsid12262358  }{\f1\insrsid6949601 nie}{\f1\insrsid6949601\charrsid12262358 
\par }\pard \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid6949601 {\f1\insrsid6949601 
\par }{\f1\insrsid6949601\charrsid879716 Lie\'e8ba navrhnut\'e1 pre:\tab          \tab \tab }{\f1\insrsid6949601 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6949601\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6949601\charrsid12262358 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6949601  }{\f1\insrsid6949601\charrsid879716 o.dx.}{\f1\insrsid6949601\charrsid12262358 \tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6949601\charrsid12262358  FORMCHECKBOX }{\f1\insrsid6949601\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid6949601\charrsid12262358  }{\f1\insrsid6949601\charrsid879716 o.sin.}{\f1\insrsid6949601 
\par 
\par {\listtext\pard\plain\b\f1\insrsid6949601 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls27\adjustright\rin0\lin360\itap0\pararsid6949601 {\b\f1\insrsid6949601 Vyhodnotenie efektu lie\'e8
by, popis zmeny oproti predch\'e1dzaj\'facemu vy\'9aetreniu: 
\par }\pard\plain \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid6949601 
..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid6949601\charrsid15139033 
\par }{\lang1024\langfe1024\noproof\insrsid6949601 ..............................................................................................................................
\par }\pard \s16\ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\lang1024\langfe1024\noproof\insrsid6635523 
..............................................................................................................................}{\lang1024\langfe1024\noproof\insrsid6635523\charrsid15139033 
\par }\pard\plain \qj \li0\ri-709\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid6635523 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid6635523 d\'e1tum vy\'9aetrenia: ..............................

\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6949601 {\f1\insrsid6949601 
\par }{\f1\insrsid6635523 
\par {\listtext\pard\plain\b\f1\insrsid6635523\charrsid879716 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls27\adjustright\rin0\lin360\itap0\pararsid6635523 {\b\f1\insrsid6635523\charrsid879716 S
\'fahlas pacienta s lie\'e8bou:}{\f1\lang1024\langfe1024\noproof\insrsid6635523\charrsid879716         }{\b\f1\insrsid6635523\charrsid399052 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\f1\lang1024\langfe1024\noproof\insrsid6635523\charrsid3289466 Svojim podpisom s\'fahlas\'edm s\~navrhovanou lie\'e8bou.\tab 
................................
\par }{\f1\lang1024\langfe1024\noproof\insrsid6635523\charrsid3016902 \tab \tab \tab \tab \tab \tab \tab }{\f1\lang1024\langfe1024\noproof\insrsid6635523 \tab     }{\f1\lang1024\langfe1024\noproof\insrsid6635523\charrsid3016902 podpis}{
\f1\lang1024\langfe1024\noproof\insrsid6635523 , d\'e1tum
\par 
\par 
\par 
\par }\pard \ql \fi1\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\b\f1\ul\lang1024\langfe1024\noproof\insrsid6635523\charrsid14712217 \'8eiadam o\~schv\'e1lenie predp\'edsania a}{
\b\f1\ul\lang1024\langfe1024\noproof\insrsid6635523 \~}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid6635523\charrsid14712217 \'fahrad}{\b\f1\ul\lang1024\langfe1024\noproof\insrsid6635523 u}{
\b\f1\lang1024\langfe1024\noproof\insrsid6635523\charrsid11679501 :}{\f1\lang1024\langfe1024\noproof\insrsid6635523  }{\f1\fs22\insrsid6635523\charrsid11679501 
\par }\pard \qj \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6635523 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs22\insrsid6635523\charrsid1850045  FORMCHECKBOX }{\f1\fs22\insrsid6635523\charrsid1850045 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs22\insrsid6635523\charrsid1850045  \tab }{\f1\fs22\insrsid6635523\charrsid1850045 1 balenia lieku }{
\b\f1\fs22\insrsid6635523\charrsid1850045 Lucentis sol inj 1x0,23 ml/2,3 mg}{\f1\fs22\insrsid6635523\charrsid1850045  (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid6635523\charrsid1850045 37085}{\f1\fs22\insrsid6635523\charrsid1850045 ) potrebn\'fd
ch na       4-t\'fd\'9ed\'f2ov\'e9 obdobie lie\'e8by vlhkej formy vekom podmienenej degener\'e1cie makuly na z\'e1klade v\'fdsledkov odborn\'e9ho o\'e8n\'e9ho vy\'9aetrenia
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs22\insrsid6635523\charrsid1850045  FORMCHECKBOX }{\f1\fs22\insrsid6635523\charrsid1850045 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs22\insrsid6635523\charrsid1850045  \tab }{\f1\fs22\insrsid6635523\charrsid1850045 3 balen\'ed lieku }{\b\f1\fs22\insrsid6635523\charrsid1850045 Macugen }{\f1\fs22\insrsid6635523\charrsid1850045 0,3 mg injek\'e8n\'fd roztok}{\f1\fs22\insrsid15546656 
 }{\f1\fs22\insrsid6635523\charrsid1850045 sol inj 1x90 \'b5l/0,3 mg }{\f1\fs22\insrsid6635523\charrsid1850045 (\'8a\'daKL k\'f3d }{\b\f1\fs22\insrsid6635523\charrsid1850045 97424}{\f1\fs22\insrsid6635523\charrsid1850045 ) potrebn\'fdch na 18-t\'fd\'9ed
\'f2ov\'e9 obdobie lie\'e8by vlhkej formy vekom podmienenej degener\'e1cie }{\f1\fs22\insrsid3289466\charrsid1850045 makuly}{\f1\fs22\insrsid6635523\charrsid1850045 
\par 
\par }{\f1\fs22\cf6\insrsid6635523 
\par 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\f1\insrsid6635523\charrsid12262358 N\'e1zov zdravotn\'edckeho zariadenia indikuj\'faceho lie\'e8bu:}{\f1\insrsid6635523 
\par }{\f1\insrsid6635523\charrsid12262358 
\par ........................................................................................................................................
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\f1\insrsid6635523 
\par }{\f1\insrsid6635523\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\f1\insrsid6635523\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis indikuj\'faceho lek\'e1ra:                             
\par 
\par D\'e1tum: .................................
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\f1\insrsid6635523\charrsid1145403 
\par }{\f1\insrsid6635523 
\par 
\par }{\f1\insrsid6635523\charrsid12262358 Odtla\'e8ok pe\'e8iatky a}{\f1\insrsid6635523 \~}{\f1\insrsid6635523\charrsid12262358 podpis}{\f1\insrsid6635523  }{\f1\insrsid6635523\charrsid1145403 prim\'e1ra/prednostu}{\f1\insrsid6635523 :}{
\f1\insrsid6635523\charrsid1145403 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6635523 {\f1\insrsid6635523\charrsid12262358 
\par D\'e1tum: .................................
\par }\pard \qj \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6635523 {\f1\fs22\cf18\insrsid6635523\charrsid13852218 
\par }\pard \ql \li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\fs22\insrsid8941096 
\par }{\f1\fs22\insrsid6635523 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\f1\fs22\insrsid3289466 
\par }{\f1\fs22\insrsid3289466\charrsid1975373 
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3289466 {\f1\fs16\insrsid3289466\charrsid10316079 __________________
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3289466 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\fs16\lang1024\langfe1024\noproof\insrsid3289466\charrsid10316079 *)  s\'fa
\'e8as\'9dou protokolu je fluoroangiografick\'e1 dokument\'e1cia}{\fs16\lang1024\langfe1024\noproof\insrsid3289466 
\par }\pard\plain \qc \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid4002821 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid3810324 Vzor \'e8. 10}{\b\f1\insrsid3419064\charrsid12262358 

\par }\pard \qj \li180\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin180\itap0\pararsid3419064 {\b\f1\insrsid3419064\charrsid12262358 Zdravotn\'e1 pois\'9dov\'f2a:
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 {\b\f1\insrsid3419064\charrsid12262358    K\'f3d zdravotnej pois\'9dovne:
\par }{\f1\insrsid3419064\charrsid1975373 
\par }\pard \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 {\b\f1\fs32\ul\insrsid3419064\charrsid1929662 Protokol o\~za\'e8at\'ed a\~kontrole lie\'e8by}{\b\f1\fs32\ul\insrsid3419064  liekom}{
\b\f1\fs32\ul\insrsid3419064\charrsid1929662 
\par }{\b\f1\fs32\ul\insrsid3419064 _________________________}{\b\f1\fs32\ul\insrsid3419064\charrsid1929662 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 {\f1\insrsid3419064\charrsid1975373 \tab \tab \tab \tab }{\b\f1\insrsid3419064\charrsid1975373 \tab \tab \tab \tab }{
\f1\insrsid3419064\charrsid1975373 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 {\f1\insrsid3419064\charrsid12262358 Lie\'e8ba:\tab \tab \tab }{\b\f1\insrsid3419064\charrsid12262358 \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3419064\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3419064\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3419064\charrsid12262358  za\'e8atie lie\'e8by\tab \tab \tab \tab 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3419064\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3419064\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3419064\charrsid12262358  pokra\'e8ovanie lie\'e8by}{\f1\insrsid3419064 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid3419064\charrsid12262358  FORMCHECKBOX }{\f1\insrsid3419064\charrsid12262358 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\insrsid3419064\charrsid12262358  }{\f1\insrsid3419064 ukon\'e8enie}{\f1\insrsid3419064\charrsid12262358  lie\'e8by}{\f1\insrsid3419064 
\par }\pard \ql \fi-992\li992\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin992\itap0\pararsid3419064 {\f1\ul\insrsid3419064\charrsid1975373 
\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\b\f1\fs22\insrsid3419064\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:     
\par 
\par k\'f3d lek\'e1ra:}{\b\f1\fs22\insrsid3419064 
\par }{\b\f1\fs22\insrsid3419064\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh704\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\f1\fs22\insrsid3419064\charrsid10758179 N\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:  
\par }{\b\f1\fs22\insrsid3419064\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh685\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\f1\fs22\insrsid3419064\charrsid10758179 Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid3419064\charrsid10758179 :
\par }{\b\f1\fs22\insrsid3419064\charrsid12262358 \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt
\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\b\f1\fs22\insrsid3419064\charrsid12262358 
Meno, priezvisko a\~\'9apecializ\'e1cia indikuj\'faceho lek\'e1ra:                                                        
\par 
\par k\'f3d lek\'e1ra:   
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\f1\fs22\insrsid3419064\charrsid10758179 N
\'e1zov a\~adresa zdravotn\'edckeho zariadenia:              
\par 
\par k\'f3d PZS:
\par   \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\f1\fs22\insrsid3419064\charrsid10758179 
Telef\'f3nne \'e8\'edslo, \'e8\'edslo faxu, email}{\f1\fs22\insrsid4002821 ov\'e1 adresa}{\f1\fs22\insrsid3419064\charrsid10758179 :
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\b\f1\fs22\insrsid3419064\charrsid12262358 
Meno a priezvisko pacienta:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\f1\fs22\insrsid3419064\charrsid10758179 Rodn
\'e9 \'e8\'edslo:  \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 
\trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\f1\fs22\insrsid3419064\charrsid10758179 
Adresa trval\'e9ho pobytu:
\par \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb
\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 {\b\f1\fs22\insrsid3419064\charrsid12262358 

\par }\trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\b\f1\fs22\insrsid3419064\charrsid12262358 \'8a\'da
KL k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh434\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\b\f1\fs22\insrsid3419064\charrsid12262358 ATC k\'f3d lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh351\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\b\f1\fs22\insrsid3419064\charrsid12262358 N\'e1zov lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh348\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\b\f1\fs22\insrsid3419064\charrsid12262358 Doplnok n\'e1zvu lieku: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh358\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\b\f1\fs22\insrsid3419064\charrsid12262358 Po\'9eadovan\'fd po\'e8et balen\'ed: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh339\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\b\f1\fs22\insrsid3419064\charrsid12262358 Na obdobie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\ts15\trgaph70\trrh350\trleft180
\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {
\b\f1\fs22\insrsid3419064\charrsid12262358 D\'e1vkovanie: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0
\ts15\trgaph70\trrh346\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr
\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\b\f1\fs22\insrsid3419064\charrsid12262358 Diagn\'f3za pod\'bea MKCH: 
\par slovom: \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\f1\fs22\insrsid3419064\charrsid12262358 \trowd \irow0\irowband0\lastrow \ts15\trgaph70\trrh535\trleft180\trbrdrt\brdrs\brdrw30 \trbrdrl
\brdrs\brdrw30 \trbrdrb\brdrs\brdrw30 \trbrdrr\brdrs\brdrw30 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind288\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw30 \clbrdrb
\brdrs\brdrw30 \clbrdrr\brdrs\brdrw30 \cltxlrtb\clftsWidth3\clwWidth8764\clshdrawnil \cellx8944\row }\pard\plain \s16\ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 
\f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid3419064\charrsid12262358 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid3419064\charrsid12262358 \tab }{
\f1\lang1024\langfe1024\noproof\insrsid3419064\charrsid12262358  }{\f1\insrsid3419064\charrsid12262358 D\'e1tum: ..............................
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid3419064\charrsid13438509 \hich\af1\dbch\af0\loch\f1 I.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls35\adjustright\rin0\lin360\itap0\pararsid8586155 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509 \'8eiados\'9d o\~s\'fahlas na za\'e8atie lie\'e8by liekom }{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid4269653 FORSTEO}{\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653  \tab H05AA02}{\b0\f1\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid4269653 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid4269653 PREOTACT}{\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653  \tab H05AA03}{\b0\f1\lang1051\langfe1051\langnp1051\insrsid3419064\charrsid4269653 
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\lang1024\langfe1024\noproof\insrsid4269653  }{
\lang1024\langfe1024\noproof\insrsid3419064\charrsid13438509 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid8941096 
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid3419064 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls29\adjustright\rin0\lin360\itap0\pararsid3419064 {\b\f1\insrsid8941096\charrsid3419064 
Z anamn\'e9zy}{\f1\insrsid8941096\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\tx284\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064 \tab Menopauza od roku: ....................................
\par \tab Osteopor\'f3za od roku: ..................................
\par }\pard \ql \fi284\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064 Posledn\'e9 RTG }{\f1\insrsid3419064 vy\'9aetrenie }{\f1\insrsid8941096\charrsid3419064 chrbtice v\~
roku: ....................
\par Zlomeniny: }{\f1\insrsid8941096 
\par }\trowd \irow0\irowband0\ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw19 
\cellx3261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth1620\clcbpatraw19 \cellx4881\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth3356\clcbpatraw19 \cellx8237\pard \qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid3419064 {\f1\insrsid3419064 \cell }{
\b\f1\insrsid3419064\charrsid3289466 lokaliz\'e1cia\cell d\'e1tum\cell mechanizmus \'farazu\cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid3419064 \trowd \irow0\irowband0
\ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth2700\clcbpatraw19 
\cellx3261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth1620\clcbpatraw19 \cellx4881\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth3356\clcbpatraw19 \cellx8237\row }\trowd \irow0\irowband0\ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4881\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3356\clshdrawnil \cellx8237\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8941096 {
\f1\insrsid3419064 1.\cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid3419064 \trowd \irow0\irowband0\ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3261
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4881\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3356\clshdrawnil \cellx8237\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8941096 {\f1\insrsid3419064 2.\cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid3419064 \trowd \irow0\irowband0\ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4881\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3356\clshdrawnil \cellx8237\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8941096 {
\f1\insrsid3419064 3.\cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid3419064 \trowd \irow0\irowband0\ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3261
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4881\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3356\clshdrawnil \cellx8237\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8941096 {\f1\insrsid3419064 4.\cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid3419064 \trowd \irow0\irowband0\ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3261\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4881\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3356\clshdrawnil \cellx8237\row }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid8941096 {
\f1\insrsid3419064 5.\cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid3419064 \trowd \irow0\irowband0\lastrow \ts15\trqc\trgaph70\trleft144\trbrdrt\brdrs\brdrw10 \trbrdrl
\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tbllkhdrrows\tbllklastrow\tbllkhdrcols\tbllklastcol\tblind252\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb
\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth417\clshdrawnil \cellx561\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2700\clshdrawnil \cellx3261
\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth1620\clshdrawnil \cellx4881\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth3356\clshdrawnil \cellx8237\row }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3419064 {\f1\insrsid3419064 
\par {\listtext\pard\plain\b\f1\insrsid3419064 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls29\adjustright\rin0\lin360\itap0\pararsid3419064 {\b\f1\insrsid3419064 Aktu\'e1lne vy\'9aetrenia}{
\f1\insrsid3419064\charrsid3419064 
\par {\listtext\pard\plain\f3\insrsid4537658\charrsid4537658 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720\itap0\pararsid8941096 {
\f1\insrsid4537658\charrsid4537658 osteodenzitometria}{\f1\insrsid4537658\charrsid3419064  }{\f1\insrsid8941096\charrsid3419064 DXA}{\f1\insrsid3419064 :
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid3419064 {\f1\insrsid8941096\charrsid3419064 d\'e1tum: ......\'85\'85................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid8941096 {\f1\insrsid3289466 
\par }{\f1\insrsid8941096\charrsid3419064 Proxim\'e1lny femur}{\f1\insrsid6189220 :}{\f1\insrsid8941096\charrsid3419064  }{\f1\insrsid4537658 
\par {\listtext\pard\plain\f1\insrsid8941096\charrsid3419064 \loch\af1\dbch\af0\hich\f1 \'96\tab}}\pard \ql \fi-360\li1440\ri0\widctlpar\jclisttab\tx1440\wrapdefault\aspalpha\aspnum\faauto\ls29\ilvl1\adjustright\rin0\lin1440\itap0\pararsid4537658 {
\f1\insrsid8941096\charrsid3419064 celkov\'e1 oblas\'9d (Total Hip): T-sk\'f3re:  \'85..................}{\f1\insrsid4537658 ...........                    
\par {\listtext\pard\plain\f1\insrsid8941096\charrsid3419064 \loch\af1\dbch\af0\hich\f1 \'96\tab}}{\f1\insrsid8941096\charrsid3419064 kr\'e8ok femuru:                     T-sk\'f3re:   ................................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064 Porovnanie s\~predch\'e1dzaj\'facim vy\'9a}{\f1\insrsid4537658 etren\'edm}{
\f1\insrsid8941096\charrsid3419064 :  }{\f1\insrsid4537658 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid4537658 {\f1\insrsid4537658\charrsid3419064 d\'e1tum: ......\'85\'85................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064 trend:   \'85\'85\'85......................... %
\par }{\f1\insrsid4537658 
\par }{\f1\insrsid8941096\charrsid3419064 Bedrov\'e1 chrbtica L}{\f1\sub\insrsid8941096\charrsid3419064 1-4}{\f1\insrsid8941096\charrsid3419064  (in\'e1: ......................\'85....):  T-sk\'f3}{\f1\insrsid4537658 re:  \'85\'85........................}{
\f1\insrsid8941096\charrsid3419064 
\par Zd\'f4vodnenie vy\'9a}{\f1\insrsid4537658 etrenia}{\f1\insrsid8941096\charrsid3419064  inej oblasti ako L}{\f1\sub\insrsid8941096\charrsid3419064 1-4}{\f1\insrsid8941096\charrsid3419064 : ....................}{\f1\insrsid4537658 
...............................}{\f1\insrsid8941096\charrsid3419064 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4537658 {\f1\insrsid4537658\charrsid3419064 Porovnanie s\~predch\'e1dzaj\'facim vy\'9a}{\f1\insrsid4537658 etren\'edm}{
\f1\insrsid4537658\charrsid3419064 :  }{\f1\insrsid4537658 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid4537658 {\f1\insrsid4537658\charrsid3419064 d\'e1tum: ......\'85\'85................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4537658 {\f1\insrsid4537658\charrsid3419064 trend:   \'85\'85\'85......................... %}{\f1\insrsid4537658 
\par }{\f1\insrsid3289466\charrsid3419064 
\par {\listtext\pard\plain\f3\insrsid8941096\charrsid3419064 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720\itap0\pararsid8941096 {
\f1\insrsid8941096\charrsid3419064 Vy\'9aetrenie}{\f1\insrsid4537658  markerov kostnej remodel\'e1cie:
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid4537658 {\f1\insrsid4537658\charrsid3419064 d\'e1tum: ......\'85\'85................}{\f1\insrsid4537658 
\par - }{\f1\insrsid8941096\charrsid3419064 Marker kostnej rezorpcie}{\f1\insrsid4537658 :
\par }\pard \ql \fi348\li1068\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin1068\itap0\pararsid4537658 {\f1\insrsid4537658 t}{\f1\insrsid8941096\charrsid3419064 yp:  \'85\'85\'85\'85\'85\'85\'85\'85.................\'85
...........
\par }\pard \ql \fi696\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4537658 {\f1\insrsid4537658 a}{\f1\insrsid8941096\charrsid3419064 ktu\'e1lna hodnota:  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85...........
.............\'85......}{\f1\insrsid4537658 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4537658 {\f1\insrsid4537658 - }{\f1\insrsid8941096\charrsid3419064 Marker kostnej form\'e1cie}{\f1\insrsid4537658 :
\par }\pard \ql \fi348\li1068\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin1068\itap0\pararsid4537658 {\f1\insrsid4537658 t}{\f1\insrsid4537658\charrsid3419064 yp:  \'85\'85\'85\'85\'85\'85\'85\'85.................\'85
...........
\par }\pard \ql \fi696\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid4537658 {\f1\insrsid4537658 a}{\f1\insrsid4537658\charrsid3419064 ktu\'e1lna hodnota:  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
........................\'85......}{\f1\insrsid4537658 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096 
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid3419064 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls29\adjustright\rin0\lin360\itap0\pararsid4537658 {\b\f1\insrsid8941096\charrsid3419064 
Doteraj\'9aia lie\'e8ba osteopor\'f3zy
\par {\listtext\pard\plain\f3\insrsid8941096\charrsid3419064 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720\itap0\pararsid8941096 {
\f1\insrsid8941096\charrsid3419064 Antirezorp\'e8n\'e1 lie\'e8ba osteopor\'f3zy:}{\f1\insrsid4537658 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4537658 {\f1\insrsid4537658 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid4537658\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid4537658\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid4537658  \'e1}{\f1\insrsid8941096\charrsid3419064 no\tab \tab \tab }{\f1\insrsid4537658 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid4537658 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid4537658\charrsid4537658  FORMCHECKBOX }{\f1\insrsid4537658\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid4537658  }{\f1\insrsid8941096\charrsid3419064 nie}{\f1\insrsid8941096 
\par }{\f1\insrsid3289466\charrsid3419064 
\par {\listtext\pard\plain\f3\insrsid8941096\charrsid3419064 \loch\af3\dbch\af0\hich\f3 \'b7\tab}}\pard \ql \fi-360\li720\ri0\widctlpar\jclisttab\tx720\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls3\adjustright\rin0\lin720\itap0\pararsid8941096 {
\f1\insrsid8941096\charrsid3419064 Typ lie\'e8by (akt\'edvna l\'e1tka): ..................................................................................
\par {\listtext\pard\plain\f3\insrsid8941096\charrsid3419064 \loch\af3\dbch\af0\hich\f3 \'b7\tab}D\'e5\'9eka terapie: .....................................................................................................
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\b\f1\insrsid8941096 
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid3419064 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls29\adjustright\rin0\lin360\itap0\pararsid4537658 {\b\f1\insrsid8941096\charrsid3419064 
Kontraindik\'e1cie pod\'e1vania lieku}{\b\f1\ul\insrsid4537658\charrsid8586155 
\par }\pard\plain \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8586155 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509   }{\b0\f1\insrsid8586155\charrsid1975373 FORSTEO}{\b0\f1\insrsid8586155 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509   }{\b0\f1\insrsid8586155\charrsid1975373 PREOTACT}{
\b0\f1\insrsid8586155 
\par 
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid3289466 {\field\flddirty\fldpriv{\*\fldinst {\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid8586155  FORMCHECKBOX }{
\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid8586155 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}
}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid8586155  }{
\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155 NE}{\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid8586155 PR\'cdTOMN\'c9}{\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155 
\par }{\field\flddirty\fldpriv{\*\fldinst {\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid8586155  FORMCHECKBOX }{\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid8586155 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid8586155  PR\'cdTOMN\'c9 (vyzna\'e8i\'9d ktor\'e9)}{
\b0\f1\ul\lang1051\langfe1051\langnp1051\insrsid8586155 :
\par }\pard\plain \s16\qj \li540\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin540\itap0\pararsid3289466 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\field\flddirty\fldpriv{\*\fldinst {
\fs28\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\fs28\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname 
Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\fs28\insrsid8586155\charrsid13438509  }{
\insrsid8586155\charrsid3419064 precitlivelos\'9d na teriparatid}{\insrsid8586155  alebo in\'fa pomocn\'fa l\'e1tku lieku,
\par }{\field\flddirty\fldpriv{\*\fldinst {\fs28\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\fs28\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\fs28\insrsid8586155\charrsid13438509  }{\insrsid8586155\charrsid3419064 preexistuj\'faca hyperkalc\'e9mia, }{\insrsid8586155 
\par }{\field\flddirty\fldpriv{\*\fldinst {\fs28\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\fs28\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\fs28\insrsid8586155\charrsid13438509  }{\insrsid8586155\charrsid3419064 \'9da\'9ek\'e1 ren\'e1lna insufficiencia \endash  hladina kreatin\'ednu v\~krvi nad 200 \'b5mol/l, }{\insrsid8586155 
\par }{\field\flddirty\fldpriv{\*\fldinst {\fs28\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\fs28\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\fs28\insrsid8586155  }{\insrsid8586155\charrsid3419064 metabolick\'e9 ochorenia skeletu in\'e9 ako prim\'e1rna osteopor\'f3za vr\'e1tane hyperparatyre\'f3zy a\~Pagetovej choroby, }{\insrsid8586155 
\par }{\field\flddirty\fldpriv{\*\fldinst {\fs28\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\fs28\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\fs28\insrsid8586155\charrsid13438509  }{\insrsid8586155\charrsid3419064 nejasn\'e9 zv\'fd\'9aenie alkalickej fosfat\'e1zy, }{\insrsid8586155 
\par }{\field\flddirty\fldpriv{\*\fldinst {\fs28\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\fs28\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\fs28\insrsid8586155\charrsid13438509  }{\insrsid8586155\charrsid3419064 predch\'e1dzaj\'face vonkaj\'9aie o\'9earovanie skeletu alebo r\'e1dioterapia skeletu}{\insrsid8586155  implantovan\'fdm zdrojom \'9eiarenia
\par }{\field\flddirty\fldpriv{\*\fldinst {\fs28\insrsid3289466\charrsid13438509  FORMCHECKBOX }{\fs28\insrsid3289466\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\insrsid8586155\charrsid4537658  in\'e9}{\insrsid3289466 , uvies\'9d ak\'e9}{\insrsid8586155\charrsid4537658 : .........................}{\insrsid3289466 ...}{\insrsid8586155\charrsid4537658 .............................................................}{
\insrsid3289466 .....}{\insrsid8586155 
\par }{\insrsid8586155\charrsid4537658 ....................................................................................................................}{\insrsid3289466 ........}{\insrsid8586155\charrsid8586155 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8586155 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\ul\insrsid8586155\charrsid8586155 
\par {\listtext\pard\plain\b\f1\insrsid8586155\charrsid879716 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls29\adjustright\rin0\lin360\itap0\pararsid8586155 {\b\f1\insrsid8586155\charrsid879716 S
\'fahlas pacienta s lie\'e8bou:}{\f1\lang1024\langfe1024\noproof\insrsid8586155\charrsid879716         }{\b\f1\insrsid8586155\charrsid399052 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8586155 {\f1\lang1024\langfe1024\noproof\insrsid8586155\charrsid3289466 Svojim podpisom s\'fahlas\'edm s\~navrhovanou lie\'e8bou.\tab ..................
..............
\par }{\f1\lang1024\langfe1024\noproof\insrsid8586155\charrsid3016902 \tab \tab \tab \tab \tab \tab \tab }{\f1\lang1024\langfe1024\noproof\insrsid8586155 \tab     }{\f1\lang1024\langfe1024\noproof\insrsid8586155\charrsid3016902 podpis}{
\f1\lang1024\langfe1024\noproof\insrsid8586155 , d\'e1tum
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\b\f1\insrsid8941096\charrsid3419064 
\par {\listtext\pard\plain\b\f1\insrsid8586155\charrsid8586155 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls29\adjustright\rin0\lin360\itap0\pararsid8586155 {\b\f1\insrsid8586155\charrsid8586155 
Z\'e1v}{\b\f1\insrsid8941096\charrsid8586155 er o\'9aetruj\'faceho lek\'e1ra: 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8586155 {\f1\insrsid8941096\charrsid8586155 Pacientka v\~postmenopauz\'e1lnom obdob\'ed je indikovan\'e1 na lie\'e8bu liekom
\par }\pard\plain \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8586155 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509   }{\b0\f1\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid4269653 FORSTEO
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid8586155\charrsid4269653 PREOTACT
\par }\pard\plain \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid8941096\charrsid8586155 na z\'e1klade aspo\'f2 jedn\'e9ho z\~nasleduj
\'facich indika\'e8n\'fdch krit\'e9ri\'ed:}{\f1\insrsid8941096 
\par }{\f1\insrsid8586155\charrsid8586155 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8586155\charrsid4537658  FORMCHECKBOX }{\f1\insrsid8586155\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\insrsid8586155\charrsid4537658  }{\f1\insrsid8941096\charrsid3419064 T-sk\'f3re (kr\'e8ok femuru alebo Total Hip) < -2,9}{\b\f1\insrsid8941096\charrsid3419064  }{\f1\insrsid8941096\charrsid3419064 SD a\~s\'fa\'e8asne potvrden\'e9 mnohopo\'e8etn\'e9 (
\u8805\'3f2) }{\f1\insrsid8586155 z}{\f1\insrsid8941096\charrsid3419064 lomeniny stavcov.
\par }\pard \qj \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1850045 {\f1\insrsid8941096\charrsid3419064 Zlomenina st}{\f1\insrsid8586155 avca je definovan\'e1 ako zn\'ed\'9eenie
\par }{\f1\insrsid1850045 a)}{\f1\insrsid8586155  }{\f1\insrsid8941096\charrsid3419064 prednej v\'fd\'9aky tela stavca >20% v\~porovnan\'ed so zadnou v\'fd\'9akou tela stavca 
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064 \tab }{\f1\insrsid1850045 \tab }{\b\f1\insrsid8941096\charrsid3419064 alebo}{\b\f1\insrsid8941096 
\par }\pard \qj \fi708\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid1850045 {\f1\insrsid1850045 b) }{\f1\insrsid8586155 prednej, strednej}{\f1\insrsid8941096\charrsid3419064  alebo zadnej v\'fd\'9a
ky tela stavca >20% v\~porovnan\'ed }{\f1\insrsid1850045 
\par }\pard \qj \li708\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin708\itap0\pararsid1850045 {\f1\insrsid1850045      }{\f1\insrsid8941096\charrsid3419064 s norm\'e1lnou v\'fd\'9akou tela stavca.
\par }\pard \qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8586155\charrsid4537658  FORMCHECKBOX }{\f1\insrsid8586155\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\insrsid8586155\charrsid4537658  }{\f1\insrsid8941096\charrsid3419064 T-sk\'f3re (kr\'e8ok femuru alebo Total Hip) < -2,9}{\b\f1\insrsid8941096\charrsid3419064  }{\f1\insrsid8941096\charrsid3419064 SD a\~s\'fa\'e8asn}{\f1\insrsid8586155 \'e9
 zlyhanie minim\'e1lne 2-ro\'e8nej a}{\f1\insrsid8941096\charrsid3419064 ntirezorp\'e8nej lie\'e8by osteopor\'f3zy, manifestovan\'e9 osteoporotickou frakt\'farou.    
\par       
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid8586155\charrsid4537658  FORMCHECKBOX }{\f1\insrsid8586155\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\insrsid8586155\charrsid4537658  }{\f1\insrsid8941096\charrsid3419064 T-sk\'f3re (kr\'e8ok femuru alebo Total Hip) < -2,9}{\b\f1\insrsid8941096\charrsid3419064  }{\f1\insrsid8941096\charrsid3419064 SD a\~s\'fa\'e8asn\'e9 zlyhanie minim\'e1lne 2-ro\'e8
nej antirezorp\'e8nej lie\'e8by osteopor\'f3zy, manifestovan\'e9 poklesom kostnej denzity (BMD) o \u8805\'3f6%. 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8586155 {\f1\insrsid8586155\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par D\'e1tum: ...............................}{\f1\insrsid8586155 
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid7622275\charrsid13438509 \hich\af1\dbch\af0\loch\f1 II.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls35\adjustright\rin0\lin360\itap0\pararsid7622275 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7622275\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7622275 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7622275 Monitorovanie}{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7622275\charrsid13438509  lie\'e8by liekom }{\b0\f1\lang1024\langfe1024\noproof\langnp1051\insrsid4269653  }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7622275 
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12005378 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}
}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653 FORSTEO \tab H05AA02
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653 PREOTACT \tab H05AA03
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\fs28\lang1024\langfe1024\noproof\insrsid7622275\charrsid7622275 
6 mesiacov od za\'e8atia lie\'e8by
\par }\pard\plain \qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid7622275 
\par {\listtext\pard\plain\b\f1\insrsid7622275 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin360\itap0\pararsid13646027 {\b\f1\insrsid7622275 Kompliancia}{
\b\f1\insrsid7622275\charrsid8586155 : 
\par }\pard \qj \li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid7622275 {\f1\insrsid7622275 Aplik\'e1tory boli vypr\'e1zdnen\'e9?
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7622275 {\f1\insrsid7622275 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7622275\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid7622275\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7622275  \'e1}{\f1\insrsid7622275\charrsid3419064 no\tab \tab \tab }{\f1\insrsid7622275 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7622275 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7622275\charrsid4537658  FORMCHECKBOX }{\f1\insrsid7622275\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7622275  }{\f1\insrsid7622275\charrsid3419064 nie
\par }\trowd \irow0\irowband0\ts11\trqc\trgaph70\trrh413\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt
\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\pard 
\qc \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid6695526 {\b\f1\insrsid7622275\charrsid6695526 D\'e1tum\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid6695526 {\f1\insrsid7622275\charrsid3419064 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid7622275\charrsid3419064 \trowd \irow0\irowband0\ts11\trqc\trgaph70\trrh413\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 
\trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl
\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr
\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\row }\trowd \irow0\irowband0\lastrow \ts11\trqc\trgaph70\trrh353\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 
\trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 
\clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr
\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc
\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\pard 
\qc \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid6695526 {\b\f1\insrsid7622275\charrsid6695526 Po\'e8et\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid6695526 {\f1\insrsid7622275\charrsid3419064 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid7622275\charrsid3419064 \trowd \irow0\irowband0\lastrow \ts11\trqc\trgaph70\trrh353\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl
\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc
\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt
\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\row }\pard 
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 {\f1\insrsid7622275 
\par {\listtext\pard\plain\b\f1\insrsid7622275 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin360\itap0\pararsid13646027 {\b\f1\insrsid7622275 Tolerancia lie\'e8by dobr\'e1?}
{\b\f1\insrsid7622275\charrsid8586155  
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7622275 {\f1\insrsid7622275 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7622275\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid7622275\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7622275  \'e1}{\f1\insrsid7622275\charrsid3419064 no\tab \tab \tab }{\f1\insrsid7622275 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7622275 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7622275\charrsid4537658  FORMCHECKBOX }{\f1\insrsid7622275\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7622275  }{\f1\insrsid7622275\charrsid3419064 nie}{\f1\insrsid7622275 , uve\'efte d\'f4
vod:......................................................................................
\par .........................................................................................................................}{\f1\insrsid7622275\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096 
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid3419064 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin360\itap0\pararsid7622275 {\b\f1\insrsid8941096\charrsid3419064 
V\'fdskyt klinick\'fdch osteoporotick\'fdch zlomen\'edn po\'e8as lie\'e8by liekom }{\b\f1\ul\insrsid13646027\charrsid13646027 
\par }\pard\plain \s17\ql \fi360\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509   }{\b0\f1\lang1031\langfe1051\langnp1031\insrsid13646027\charrsid4269653 FORSTEO
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509   }{
\b0\f1\lang1031\langfe1051\langnp1031\insrsid13646027\charrsid4269653 PREOTACT
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid13646027 \tab }{\field\flddirty\fldpriv{\*\fldinst {
\f1\insrsid13646027\charrsid4537658  FORMCHECKBOX }{\f1\insrsid13646027\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36
}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13646027  nie}{\f1\insrsid13646027\charrsid3419064 \tab \tab \tab }{
\f1\insrsid13646027 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13646027\charrsid4537658  FORMCHECKBOX }{\f1\insrsid13646027\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13646027  \'e1no:
\par lokaliz\'e1cia:..............................................................................
\par d\'e1tum diagnostikovania zlomeniny:.......................................
\par 
\par {\listtext\pard\plain\b\f1\insrsid13646027 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin360\itap0\pararsid13646027 {\b\f1\insrsid13646027 Vy\'9a
etrenie markerov kostnej remodel\'e1cie}{\b\f1\insrsid13646027\charrsid8586155 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid13646027 {\f1\insrsid13646027\charrsid3419064 d\'e1tum: ......\'85\'85................}{\f1\insrsid13646027 
\par - }{\f1\insrsid13646027\charrsid3419064 Marker kostnej rezorpcie}{\f1\insrsid13646027 :
\par }\pard \ql \fi348\li1068\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin1068\itap0\pararsid13646027 {\f1\insrsid13646027 t}{\f1\insrsid13646027\charrsid3419064 yp:  \'85\'85\'85\'85\'85\'85\'85\'85.................\'85
...........
\par }\pard \ql \fi696\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid13646027 {\f1\insrsid13646027 a}{\f1\insrsid13646027\charrsid3419064 ktu\'e1lna hodnota:  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
........................\'85......}{\f1\insrsid13646027 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid13646027 {\f1\insrsid13646027 - }{\f1\insrsid13646027\charrsid3419064 Marker kostnej form\'e1cie}{\f1\insrsid13646027 :
\par }\pard \ql \fi348\li1068\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin1068\itap0\pararsid13646027 {\f1\insrsid13646027 t}{\f1\insrsid13646027\charrsid3419064 yp:  \'85\'85\'85\'85\'85\'85\'85\'85.................\'85
...........
\par }\pard \ql \fi696\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid13646027 {\f1\insrsid13646027 a}{\f1\insrsid13646027\charrsid3419064 ktu\'e1lna hodnota:  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85.....
...................\'85......}{\f1\insrsid13646027 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\b\f1\insrsid8941096\charrsid3419064 \tab 
\par \tab }{\f1\insrsid8941096\charrsid3419064 Bolo preuk\'e1zan\'e9 zv\'fd\'9aenie markeru kostnej }{\f1\insrsid13646027 form\'e1cie o \u8805\'3f 20%?}{\f1\insrsid8941096\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 {\f1\insrsid13646027 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13646027\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid13646027\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13646027  \'e1}{\f1\insrsid13646027\charrsid3419064 no\tab \tab \tab }{\f1\insrsid13646027 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13646027\charrsid4537658  FORMCHECKBOX }{\f1\insrsid13646027\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13646027  }{\f1\insrsid13646027\charrsid3419064 nie
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid2767228\charrsid3419064 
\par {\listtext\pard\plain\b\f1\insrsid8941096\charrsid3419064 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin360\itap0\pararsid13646027 {
\b\f1\insrsid8941096\charrsid3419064 Pokra\'e8ovanie v\~lie\'e8be liekom }{\b\f1\ul\insrsid8941096\charrsid13646027 
\par }\pard\plain \s17\ql \fi360\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509   }{\b0\f1\insrsid13646027\charrsid1975373 FORSTEO}{\b0\f1\insrsid13646027 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid13646027\charrsid13438509   }{\b0\f1\insrsid13646027\charrsid1975373 PREOTACT}{
\b0\f1\insrsid13646027 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid13646027 \tab }{\field\flddirty\fldpriv{\*\fldinst {
\f1\insrsid13646027\charrsid4537658  FORMCHECKBOX }{\f1\insrsid13646027\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36
}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13646027  \'e1}{\f1\insrsid13646027\charrsid3419064 no\tab \tab \tab }{
\f1\insrsid13646027 
\par }\pard \ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid13646027\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid13646027\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid13646027  }{\f1\insrsid13646027\charrsid3419064 nie}{\f1\insrsid13646027 , uve\'efte d\'f4vod ukon\'e8enia lie\'e8
by:...........................................................
\par }\pard \ql \fi709\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid13646027 {\f1\insrsid13646027 
.........................................................................................................................}{\f1\insrsid13646027\charrsid3419064 
\par }{\f1\insrsid13646027 .........................................................................................................................
\par }{\f1\insrsid6695526 
\par }{\f1\insrsid6695526\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par 
\par D\'e1tum: ...............................
\par }\pard \ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064             
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid8941096\charrsid3419064 
\par  
\par 
\par 
\par }\pard\plain \s1\qc \li360\ri0\keepn\widctlpar\jclisttab\tx0\jclisttab\tx360\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin360\itap0\pararsid8941096 \b\f1\fs24\lang1029\langfe1051\cgrid\langnp1029\langfenp1051 {
\insrsid8941096\charrsid3419064 
\par 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12806611 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\lang1029\langfe1051\langnp1029\insrsid12806611\charrsid3419064 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par }{\f1\lang1029\langfe1051\langnp1029\insrsid12806611 
\par }{\f1\lang1029\langfe1051\langnp1029\insrsid6695526 
\par 
\par 
\par 
\par 
\par 
\par 
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid6695526\charrsid13438509 \hich\af1\dbch\af0\loch\f1 III.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls35\adjustright\rin0\lin360\itap0\pararsid6695526 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6695526\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6695526 Monitorovanie}{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6695526\charrsid13438509  lie\'e8by liekom }{\b0\f1\lang1024\langfe1024\noproof\langnp1051\insrsid4269653  }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid6695526 
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12005378 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}
}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653 FORSTEO \tab H05AA02
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653 PREOTACT \tab H05AA03
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\fs28\lang1024\langfe1024\noproof\insrsid6695526 12}{
\b\fs28\lang1024\langfe1024\noproof\insrsid6695526\charrsid7622275  mesiacov od za\'e8atia lie\'e8by
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12806611 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\lang1029\langfe1051\langnp1029\insrsid6695526\charrsid3419064 
\par {\listtext\pard\plain\b\f1\insrsid6695526 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls37\adjustright\rin0\lin360\itap0\pararsid6695526 {\b\f1\insrsid6695526 Kompliancia}{
\b\f1\insrsid6695526\charrsid8586155 : 
\par }\pard \qj \li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6695526 {\f1\insrsid6695526 Aplik\'e1tory boli vypr\'e1zdnen\'e9?
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid6695526\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  \'e1}{\f1\insrsid6695526\charrsid3419064 no\tab \tab \tab }{\f1\insrsid6695526 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{\f1\insrsid6695526\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  }{\f1\insrsid6695526\charrsid3419064 nie
\par }\trowd \irow0\irowband0\ts11\trqc\trgaph70\trrh413\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt
\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\pard 
\qc \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\b\f1\insrsid6695526\charrsid6695526 D\'e1tum\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\f1\insrsid6695526\charrsid3419064 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid6695526\charrsid3419064 \trowd \irow0\irowband0\ts11\trqc\trgaph70\trrh413\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 
\trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl
\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr
\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\row }\trowd \irow0\irowband0\lastrow \ts11\trqc\trgaph70\trrh353\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 
\trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 
\clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr
\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc
\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\pard 
\qc \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\b\f1\insrsid6695526\charrsid6695526 Po\'e8et\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\f1\insrsid6695526\charrsid3419064 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid6695526\charrsid3419064 \trowd \irow0\irowband0\lastrow \ts11\trqc\trgaph70\trrh353\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl
\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc
\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt
\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\row }\pard 
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526 
\par {\listtext\pard\plain\b\f1\insrsid6695526 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls37\adjustright\rin0\lin360\itap0\pararsid6695526 {\b\f1\insrsid6695526 Tolerancia lie\'e8by dobr\'e1?}{
\b\f1\insrsid6695526\charrsid8586155  
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid6695526\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  \'e1}{\f1\insrsid6695526\charrsid3419064 no\tab \tab \tab }{\f1\insrsid6695526 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{\f1\insrsid6695526\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  }{\f1\insrsid6695526\charrsid3419064 nie}{\f1\insrsid6695526 , uve\'efte d\'f4
vod:......................................................................................
\par .........................................................................................................................}{\f1\insrsid6695526\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526 
\par {\listtext\pard\plain\b\f1\insrsid6695526\charrsid3419064 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls37\adjustright\rin0\lin360\itap0\pararsid6695526 {\b\f1\insrsid6695526\charrsid3419064 
V\'fdskyt klinick\'fdch osteoporotick\'fdch zlomen\'edn po\'e8as lie\'e8by liekom }{\b\f1\ul\insrsid6695526\charrsid13646027 
\par }\pard\plain \s17\ql \fi360\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12005378 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{\b0\f1\lang1031\langfe1051\langnp1031\insrsid12005378\charrsid4269653 FORSTEO
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1031\langfe1051\langnp1031\insrsid12005378\charrsid4269653 PREOTACT
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid6695526 \tab }{\field\flddirty\fldpriv{\*\fldinst {
\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{\f1\insrsid6695526\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}
\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  nie}{\f1\insrsid6695526\charrsid3419064 \tab \tab \tab }{
\f1\insrsid6695526 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{\f1\insrsid6695526\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  \'e1no:
\par lokaliz\'e1cia:..............................................................................
\par d\'e1tum diagnostikovania zlomeniny:.......................................
\par 
\par {\listtext\pard\plain\b\f1\insrsid6695526 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls37\adjustright\rin0\lin360\itap0\pararsid6695526 {\b\f1\insrsid6695526 Aktu\'e1lne vy\'9aetrenie - }{
\b\f1\insrsid6695526\charrsid6695526 osteodenzitometria DXA}{\b\f1\insrsid6695526 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\b\f1\insrsid6695526\charrsid8586155 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064 d\'e1tum: ......\'85\'85................}{\f1\insrsid6695526 
\par 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064 Proxim\'e1lny femur }{\f1\insrsid6695526 
\par {\listtext\pard\plain\f1\insrsid6695526\charrsid3419064 \loch\af1\dbch\af0\hich\f1 \'96\tab}}\pard \ql \fi-360\li1440\ri0\widctlpar\jclisttab\tx1440\wrapdefault\aspalpha\aspnum\faauto\ls29\ilvl1\adjustright\rin0\lin1440\itap0\pararsid6695526 {
\f1\insrsid6695526\charrsid3419064 celkov\'e1 oblas\'9d (Total Hip): T-sk\'f3re:  \'85..................}{\f1\insrsid6695526 ...........                    
\par {\listtext\pard\plain\f1\insrsid6695526\charrsid3419064 \loch\af1\dbch\af0\hich\f1 \'96\tab}}{\f1\insrsid6695526\charrsid3419064 kr\'e8ok femuru:                     T-sk\'f3re:   ................................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064 Porovnanie s\~predch\'e1dzaj\'facim vy\'9a}{\f1\insrsid6695526 etren\'edm}{
\f1\insrsid6695526\charrsid3419064 :  }{\f1\insrsid6695526 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064 d\'e1tum: ......\'85\'85................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064 trend}{\f1\insrsid6695526 /1 rok}{\f1\insrsid6695526\charrsid3419064 : \'85\'85\'85
......................... %}{\f1\insrsid6695526 
\par }{\f1\insrsid6695526\charrsid3419064 
\par Bedrov\'e1 chrbtica L}{\f1\sub\insrsid6695526\charrsid3419064 1-4}{\f1\insrsid6695526\charrsid3419064  (in\'e1: ......................\'85....):  T-sk\'f3}{\f1\insrsid6695526 re:  \'85\'85........................}{\f1\insrsid6695526\charrsid3419064 

\par Zd\'f4vodnenie vy\'9a}{\f1\insrsid6695526 etrenia}{\f1\insrsid6695526\charrsid3419064  inej oblasti ako L}{\f1\sub\insrsid6695526\charrsid3419064 1-4}{\f1\insrsid6695526\charrsid3419064 : ....................}{\f1\insrsid6695526 
...............................}{\f1\insrsid6695526\charrsid3419064 
\par Porovnanie s\~predch\'e1dzaj\'facim vy\'9a}{\f1\insrsid6695526 etren\'edm}{\f1\insrsid6695526\charrsid3419064 :  }{\f1\insrsid6695526 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064 d\'e1tum: ......\'85\'85................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064 trend}{\f1\insrsid6695526 /1 rok}{\f1\insrsid6695526\charrsid3419064 : \'85\'85\'85
......................... %
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid6695526 {\f1\insrsid6695526 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\b\f1\insrsid6695526\charrsid3419064 \tab }{\f1\insrsid6695526 Zastavenie poklesu BMD preuk\'e1zan\'e9:}{\f1\insrsid6695526\charrsid3419064 

\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid6695526\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  \'e1}{\f1\insrsid6695526\charrsid3419064 no\tab \tab \tab }{\f1\insrsid6695526 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{\f1\insrsid6695526\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  }{\f1\insrsid6695526\charrsid3419064 nie
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526 
\par }{\f1\insrsid6695526\charrsid3419064 
\par {\listtext\pard\plain\b\f1\insrsid6695526\charrsid3419064 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls37\adjustright\rin0\lin360\itap0\pararsid6695526 {\b\f1\insrsid6695526\charrsid3419064 
Pokra\'e8ovanie v\~lie\'e8be liekom }{\b\f1\ul\insrsid6695526\charrsid13646027 
\par }\pard\plain \s17\ql \fi360\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12005378 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{\b0\f1\insrsid12005378\charrsid1975373 FORSTEO}{\b0\f1\insrsid12005378 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{\b0\f1\insrsid12005378\charrsid1975373 PREOTACT}{
\b0\f1\insrsid12005378 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid6695526 \tab }{\field\flddirty\fldpriv{\*\fldinst {
\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{\f1\insrsid6695526\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}
\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  \'e1}{\f1\insrsid6695526\charrsid3419064 no}{\f1\insrsid6695526 
 (len ak zastavenie poklesu BMD bolo preuk\'e1zan\'e9)}{\f1\insrsid6695526\charrsid3419064 \tab \tab \tab }{\f1\insrsid6695526 
\par }\pard \ql \fi708\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid6695526\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid6695526\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid6695526  }{\f1\insrsid6695526\charrsid3419064 nie}{\f1\insrsid6695526 , uve\'efte d\'f4vod ukon\'e8enia lie\'e8
by:...........................................................
\par }\pard \ql \fi709\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526 
.........................................................................................................................}{\f1\insrsid6695526\charrsid3419064 
\par }{\f1\insrsid6695526 .........................................................................................................................
\par 
\par }{\f1\insrsid6695526\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par 
\par D\'e1tum: ...............................
\par }\pard \ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid6695526 {\f1\insrsid6695526\charrsid3419064             
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12806611 {\f1\lang1029\langfe1051\langnp1029\insrsid12806611\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\b\f1\insrsid8941096\charrsid3419064 
\par }{\f1\insrsid8941096\charrsid3419064 
\par 
\par }{\f1\insrsid2767228\charrsid3419064 
\par 
\par }{\f1\insrsid2767228 
\par }{\f1\insrsid6695526 
\par 
\par }\pard\plain \s1\qc \li360\ri0\keepn\widctlpar\jclisttab\tx0\jclisttab\tx360\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin360\itap0\pararsid8941096 \b\f1\fs24\lang1029\langfe1051\cgrid\langnp1029\langfenp1051 {
\insrsid8941096\charrsid3419064 
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\b\f1\insrsid8941096\charrsid3419064 
\par }{\f1\insrsid8941096\charrsid3419064 
\par }{\f1\insrsid12806611\charrsid3419064 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par 
\par {\listtext\pard\plain\s17 \b\f1\fs28\insrsid7482738\charrsid13438509 \hich\af1\dbch\af0\loch\f1 IV.\tab}}\pard\plain \s17\ql \fi-360\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\ls35\adjustright\rin0\lin360\itap0\pararsid7482738 
\b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7482738\charrsid13438509 \'e8as\'9d
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7482738 Ukon\'e8enie}{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7482738\charrsid13438509  lie\'e8by liekom }{\b0\f1\lang1024\langfe1024\noproof\langnp1051\insrsid4269653  }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid7482738 
\par }\pard \s17\ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12005378 {\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}
}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653 FORSTEO \tab H05AA02
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid4269653 PREOTACT \tab H05AA03
\par }\pard\plain \s16\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 \f1\fs24\lang1051\langfe1033\cgrid\langnp1051\langfenp1033 {\b\fs28\lang1024\langfe1024\noproof\insrsid7482738 18}{
\b\fs28\lang1024\langfe1024\noproof\insrsid7482738\charrsid7622275  mesiacov od za\'e8atia lie\'e8by
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\lang1029\langfe1051\langnp1029\insrsid7482738\charrsid3419064 
\par {\listtext\pard\plain\b\f1\insrsid7482738 \hich\af1\dbch\af0\loch\f1 1.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls38\adjustright\rin0\lin360\itap0\pararsid7482738 {\b\f1\insrsid7482738 Kompliancia}{
\b\f1\insrsid7482738\charrsid8586155 : 
\par }\pard \qj \li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid7482738 {\f1\insrsid7482738 Aplik\'e1tory boli vypr\'e1zdnen\'e9?
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\insrsid7482738 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid7482738\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  \'e1}{\f1\insrsid7482738\charrsid3419064 no\tab \tab \tab }{\f1\insrsid7482738 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{\f1\insrsid7482738\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  }{\f1\insrsid7482738\charrsid3419064 nie
\par }\trowd \irow0\irowband0\ts11\trqc\trgaph70\trrh413\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt
\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\pard 
\qc \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\b\f1\insrsid7482738\charrsid6695526 D\'e1tum\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\f1\insrsid7482738\charrsid3419064 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid7482738\charrsid3419064 \trowd \irow0\irowband0\ts11\trqc\trgaph70\trrh413\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 
\trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl
\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr
\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc
\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt\brdrs\brdrw30\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw5\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\row }\trowd \irow0\irowband0\lastrow \ts11\trqc\trgaph70\trrh353\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 
\trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 
\clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr
\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc
\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\pard 
\qc \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\b\f1\insrsid7482738\charrsid6695526 Po\'e8et\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\pararsid9571310 {\f1\insrsid7482738\charrsid3419064 \cell \cell \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\f1\insrsid7482738\charrsid3419064 \trowd \irow0\irowband0\lastrow \ts11\trqc\trgaph70\trrh353\trleft0\trkeep\trbrdrt\brdrs\brdrw30\brdrcf1 \trbrdrl
\brdrs\brdrw30\brdrcf1 \trbrdrb\brdrs\brdrw30\brdrcf1 \trbrdrr\brdrs\brdrw30\brdrcf1 \trbrdrh\brdrs\brdrw5\brdrcf1 \trbrdrv\brdrs\brdrw5\brdrcf1 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl70\trpaddr70\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind70\tblindtype3 \clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 
\clcbpat19\cltxlrtb\clftsWidth3\clwWidth953\clcbpatraw19 \cellx953\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw30\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx2213\clvertalc
\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx3473\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb
\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1260 \cellx4733\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 
\cltxlrtb\clftsWidth3\clwWidth1299 \cellx6032\clvertalc\clbrdrt\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw5\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1207 \cellx7239\clvertalc\clbrdrt
\brdrs\brdrw5\brdrcf1 \clbrdrl\brdrs\brdrw5\brdrcf1 \clbrdrb\brdrs\brdrw30\brdrcf1 \clbrdrr\brdrs\brdrw30\brdrcf1 \cltxlrtb\clftsWidth3\clwWidth1274 \cellx8513\row }\pard 
\qj \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\insrsid7482738 
\par {\listtext\pard\plain\b\f1\insrsid7482738 \hich\af1\dbch\af0\loch\f1 2.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls38\adjustright\rin0\lin360\itap0\pararsid7482738 {\b\f1\insrsid7482738 Tolerancia lie\'e8by dobr\'e1?}{
\b\f1\insrsid7482738\charrsid8586155  
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\insrsid7482738 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid7482738\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  \'e1}{\f1\insrsid7482738\charrsid3419064 no\tab \tab \tab }{\f1\insrsid7482738 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{\f1\insrsid7482738\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  }{\f1\insrsid7482738\charrsid3419064 nie}{\f1\insrsid7482738 , uve\'efte d\'f4
vod:......................................................................................
\par .........................................................................................................................}{\f1\insrsid7482738\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\insrsid7482738 
\par {\listtext\pard\plain\b\f1\insrsid7482738\charrsid3419064 \hich\af1\dbch\af0\loch\f1 3.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls38\adjustright\rin0\lin360\itap0\pararsid7482738 {\b\f1\insrsid7482738\charrsid3419064 
V\'fdskyt klinick\'fdch osteoporotick\'fdch zlomen\'edn po\'e8as lie\'e8by liekom }{\b\f1\ul\insrsid7482738\charrsid13646027 
\par }\pard\plain \s17\ql \fi360\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12005378 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{\b0\f1\lang1031\langfe1051\langnp1031\insrsid12005378\charrsid4269653 FORSTEO
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{
\b0\f1\lang1031\langfe1051\langnp1031\insrsid12005378\charrsid4269653 PREOTACT
\par }\pard\plain \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid7482738 \tab }{\field\flddirty\fldpriv{\*\fldinst {
\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{\f1\insrsid7482738\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}
\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  nie}{\f1\insrsid7482738\charrsid3419064 \tab \tab \tab }{
\f1\insrsid7482738 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{\f1\insrsid7482738\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  \'e1no:
\par lokaliz\'e1cia:..............................................................................
\par d\'e1tum diagnostikovania zlomeniny:.......................................
\par 
\par {\listtext\pard\plain\b\f1\insrsid7482738 \hich\af1\dbch\af0\loch\f1 4.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls38\adjustright\rin0\lin360\itap0\pararsid7482738 {\b\f1\insrsid7482738 Aktu\'e1lne vy\'9aetrenie - }{
\b\f1\insrsid7482738\charrsid6695526 osteodenzitometria DXA}{\b\f1\insrsid7482738 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\b\f1\insrsid7482738\charrsid8586155 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid7482738 {\f1\insrsid7482738\charrsid3419064 d\'e1tum: ......\'85\'85................}{\f1\insrsid7482738 
\par 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7482738 {\f1\insrsid7482738\charrsid3419064 Proxim\'e1lny femur }{\f1\insrsid7482738 
\par {\listtext\pard\plain\f1\insrsid7482738\charrsid3419064 \loch\af1\dbch\af0\hich\f1 \'96\tab}}\pard \ql \fi-360\li1440\ri0\widctlpar\jclisttab\tx1440\wrapdefault\aspalpha\aspnum\faauto\ls29\ilvl1\adjustright\rin0\lin1440\itap0\pararsid7482738 {
\f1\insrsid7482738\charrsid3419064 celkov\'e1 oblas\'9d (Total Hip): T-sk\'f3re:  \'85..................}{\f1\insrsid7482738 ...........                    
\par {\listtext\pard\plain\f1\insrsid7482738\charrsid3419064 \loch\af1\dbch\af0\hich\f1 \'96\tab}}{\f1\insrsid7482738\charrsid3419064 kr\'e8ok femuru:                     T-sk\'f3re:   ................................
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7482738 {\f1\insrsid7482738\charrsid3419064 Porovnanie s\~predch\'e1dzaj\'facim vy\'9a}{\f1\insrsid7482738 etren\'edm}{
\f1\insrsid7482738\charrsid3419064 :  }{\f1\insrsid7482738 
\par }{\f1\insrsid7482738\charrsid3419064 trend}{\f1\insrsid7482738 /12 mesiacov}{\f1\insrsid7482738\charrsid3419064 : \'85\'85\'85......................... %}{\f1\insrsid7482738 
\par }{\f1\insrsid7482738\charrsid3419064 trend}{\f1\insrsid7482738 /18 mesiacov}{\f1\insrsid7482738\charrsid3419064 : \'85\'85\'85......................... %}{\f1\insrsid7482738 
\par }{\f1\insrsid7482738\charrsid3419064 
\par Bedrov\'e1 chrbtica L}{\f1\sub\insrsid7482738\charrsid3419064 1-4}{\f1\insrsid7482738\charrsid3419064  (in\'e1: ......................\'85....):  T-sk\'f3}{\f1\insrsid7482738 re:  \'85\'85........................}{\f1\insrsid7482738\charrsid3419064 

\par Zd\'f4vodnenie vy\'9a}{\f1\insrsid7482738 etrenia}{\f1\insrsid7482738\charrsid3419064  inej oblasti ako L}{\f1\sub\insrsid7482738\charrsid3419064 1-4}{\f1\insrsid7482738\charrsid3419064 : ....................}{\f1\insrsid7482738 
...............................}{\f1\insrsid7482738\charrsid3419064 
\par Porovnanie s\~predch\'e1dzaj\'facim vy\'9a}{\f1\insrsid7482738 etren\'edm}{\f1\insrsid7482738\charrsid3419064 :  }{\f1\insrsid7482738 
\par }{\f1\insrsid7482738\charrsid3419064 trend}{\f1\insrsid7482738 /12 mesiacov}{\f1\insrsid7482738\charrsid3419064 : \'85\'85\'85......................... %}{\f1\insrsid7482738 
\par }{\f1\insrsid7482738\charrsid3419064 trend}{\f1\insrsid7482738 /18 mesiacov}{\f1\insrsid7482738\charrsid3419064 : \'85\'85\'85......................... %}{\f1\insrsid7482738 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid7482738 {\f1\insrsid7482738 
\par {\listtext\pard\plain\b\f1\insrsid7482738 \hich\af1\dbch\af0\loch\f1 6.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls36\adjustright\rin0\lin360\itap0\pararsid7482738 {\b\f1\insrsid7482738 Vy\'9a
etrenie markerov kostnej remodel\'e1cie
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\b\f1\insrsid7482738\charrsid8586155 
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid7482738 {\f1\insrsid7482738\charrsid3419064 d\'e1tum: ......\'85\'85................}{\f1\insrsid7482738 
\par 
\par 
\par - }{\f1\insrsid7482738\charrsid3419064 Marker kostnej rezorpcie}{\f1\insrsid7482738 :
\par }\pard \ql \fi348\li1068\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin1068\itap0\pararsid7482738 {\f1\insrsid7482738 t}{\f1\insrsid7482738\charrsid3419064 yp:  \'85\'85\'85\'85\'85\'85\'85\'85.................\'85
...........
\par }\pard \ql \fi696\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7482738 {\f1\insrsid7482738 a}{\f1\insrsid7482738\charrsid3419064 ktu\'e1lna hodnota:  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
........................\'85......}{\f1\insrsid7482738 
\par 
\par }\pard \ql \li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7482738 {\f1\insrsid7482738 - }{\f1\insrsid7482738\charrsid3419064 Marker kostnej form\'e1cie}{\f1\insrsid7482738 :
\par }\pard \ql \fi348\li1068\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin1068\itap0\pararsid7482738 {\f1\insrsid7482738 t}{\f1\insrsid7482738\charrsid3419064 yp:  \'85\'85\'85\'85\'85\'85\'85\'85.................\'85
...........
\par }\pard \ql \fi696\li720\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0\pararsid7482738 {\f1\insrsid7482738 a}{\f1\insrsid7482738\charrsid3419064 ktu\'e1lna hodnota:  \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
........................\'85......}{\f1\insrsid7482738 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\b\f1\insrsid7482738\charrsid3419064 \tab 
\par \tab }{\f1\insrsid7482738\charrsid3419064 Bolo preuk\'e1zan\'e9 zv\'fd\'9aenie markeru kostnej }{\f1\insrsid7482738 form\'e1cie o \u8805\'3f 20%?}{\f1\insrsid7482738\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\insrsid7482738 \tab }{\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{
\f1\insrsid7482738\charrsid4537658 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  \'e1}{\f1\insrsid7482738\charrsid3419064 no\tab \tab \tab }{\f1\insrsid7482738 
\par }\pard \ql \fi708\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\field\flddirty\fldpriv{\*\fldinst {\f1\insrsid7482738\charrsid4537658  FORMCHECKBOX }{\f1\insrsid7482738\charrsid4537658 
{\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\insrsid7482738  }{\f1\insrsid7482738\charrsid3419064 nie
\par }\pard \ql \fi348\li360\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin360\itap0\pararsid7482738 {\f1\insrsid7482738 
\par {\listtext\pard\plain\b\f1\insrsid7482738 \hich\af1\dbch\af0\loch\f1 5.\tab}}\pard \ql \fi-360\li360\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls38\adjustright\rin0\lin360\itap0\pararsid7482738 {\b\f1\insrsid7482738 Zhodnotenie efektivity}{
\b\f1\insrsid7482738\charrsid3419064 \~lie\'e8b}{\b\f1\insrsid7482738 y}{\b\f1\insrsid7482738\charrsid3419064  liekom }{\b\f1\ul\insrsid7482738\charrsid13646027 
\par }\pard\plain \s17\ql \fi360\li0\ri0\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid12005378 \b\fs24\lang1033\langfe1051\cgrid\langnp1033\langfenp1051 {\field\flddirty\fldpriv{\*\fldinst {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}
{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd \pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {
\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{\b0\f1\insrsid12005378\charrsid1975373 FORSTEO}{\b0\f1\insrsid12005378 
\par }{\field\flddirty\fldpriv{\*\fldinst {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509  FORMCHECKBOX }{\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509 {\*\datafield 
65000000140000000d5a619a6b7274e1766163ed333600000000000000000000000000}{\*\formfield{\fftype1\ffres25\fftypetxt0\ffhps20{\*\ffname Za\'9akrt\'e1vac\'ed36}\ffdefres0}}}}{\fldrslt }}\sectd 
\pgnrestart\pgnstarts308\linex0\headery708\footery708\colsx708\endnhere\sectlinegrid360\sectdefaultcl\sectrsid16328253\sftnbj {\f1\fs28\lang1051\langfe1051\langnp1051\insrsid12005378\charrsid13438509   }{\b0\f1\insrsid12005378\charrsid1975373 PREOTACT}{
\b0\f1\insrsid12005378 
\par }\pard\plain \ql \fi709\li0\ri0\sl360\slmult1\widctlpar\wrapdefault\hyphpar0\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 \fs24\lang1051\langfe1051\cgrid\langnp1051\langfenp1051 {\f1\insrsid7482738 
.........................................................................................................................}{\f1\insrsid7482738\charrsid3419064 
\par }{\f1\insrsid7482738 .........................................................................................................................
\par .........................................................................................................................}{\f1\insrsid7482738\charrsid3419064 
\par }{\f1\insrsid7482738 .........................................................................................................................
\par 
\par 
\par }{\f1\insrsid7482738\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\tx3060\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\insrsid7482738\charrsid12262358 Odtla\'e8ok pe\'e8iatky a\~podpis navrhuj\'faceho / o\'9aetruj\'faceho lek\'e1ra:
\par 
\par 
\par D\'e1tum: ...............................
\par }\pard \ql \fi720\li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\insrsid7482738\charrsid3419064             
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid7482738 {\f1\lang1029\langfe1051\langnp1029\insrsid7482738\charrsid3419064 
\par }{\b\f1\insrsid7482738\charrsid3419064 
\par }{\f1\insrsid7482738\charrsid3419064 
\par }\pard \ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0\pararsid8941096 {\f1\insrsid12806611\charrsid3419064 
\par }\pard \qj \li0\ri-709\sl480\slmult1\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin-709\lin0\itap0\pararsid2767228 {\f1\insrsid11993243 
\par }}