Nr.

……………………………

Numele……………………………. Prenumele……………………..

Sexul……………………… Varsta……………….

Nota A (voalat, acoperit, indirect)………………Nota B (manifest, simpt.)……………..Raport Manifest/Voalat A/B………………

Note brute:
Q3 (-)………… C (-)………… L………… O………. Q…….. NOTA BRUTA TOTALA (A+B)…......... NOTA CORECTATA ................

Stens:
Q3 (-)………… C (-)………… L………… O………. Q…….. NOTA STANDARD TOTALA …………….
Nota Nota
standard OBSERVATII CALITATIVE: standard
decile in
(Total) Total:

10 10
REZUMATUL DIAGNOSTICULUI:
09 09

08 08

07 07

06 06

05 05

04 04

03 03

02 02

01 01

00 00