Study on asthma control status in children with bronchial asthma and allergic rhinitis - 22
No.: . BA Code: MEDICAL RECORD RESEARCH (re-examination) Visit time …. Date , month…., year 20… B. Administration Patients full name: Age:. Date of birth: . Gender: male □ female □ Address: . Mothers name: . Phone: . B. Treatment compliance Current medications: Flixotide 125: Seretide ...












