ORTHOGENIE

nurse name

LOREM IPSUM

NURSE SHEET

PATIENT

NAME OF THE PT ( رباعى بالعربى )

NATIONAL ID

TICKET NUMBER

MOBILE NUMBER 1

MOBILE NUMBER 2

LAND LINE

ADDRESS (IN ARABIC)

PREOP IMAGES

XRAYS PELVIS AND ACETABULUM

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XRAYS PELVIS AND ACETABULUM

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PHOTOES OF SOFT TISSUE STATUS

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