Pulm onary Fun c tio n R e p o rt
Name:Name:
Patient ID:Patient ID:
Height:Height:
IDCard:IDCard:
Department:Department:
Sex:Sex:
Weight:Weight:
Tel:Tel:
AncashAncash
Male
Bed No.:Bed No.:
Age:Age:
Smoke:Smoke:
Ambient:Ambient:
Never
23°C 40% 760mmHg23°C 40% 760mmHg
Pred.Pred.
preBestpreBest
%Pred.%Pred.
F-V V-T(pre)
0
2
4
6
8
10
12
14
16
18
20
22
0
1
2
3
4
5
6
7
8
9
0
Diagnosis:Normal lung volume test
Doctor: Examine Date:2024-10-04
Print time 2024-10-04 12:00:11 -1-(Total 1 Page)
ALBORNOZ DIAZ WALTER
43223454
1.73
97
38
