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SENSIBILITE DES BACTERIES PATHOGENES AUX ...

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80<br />

ANNEXES I<br />

FICHE DE COLECTE <strong>DES</strong> DONNEES<br />

Service d’origine :<br />

Nom et Prénom du patient :<br />

Sexe :<br />

Age :<br />

Domicile :<br />

Type de prélèvement :<br />

Renseignements cliniques :<br />

Résultats de l’analyse :<br />

1. Examen direct :

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