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MINISTRY OF HEALTH CARE OF UKRAINE OKHMATDYT, NATIONAL SPECIALISED CHILD HEALTH CLINIC
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01135, Kyiv 28/1, Chornovil St. |
telephone: 236-12-22 facsimile: 236-61-65 |
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Our Ref.: 196 of 02.03.10 |
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Extract From Mecial Record No. 10 (to the community-based Medico-Social Expert Commission)
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Yelizaveta Sergiivna Kushniruk, born on 15.02.2008, residing in Kyiv at the address: Solomianslyi
District, 4zh, Prospekt Chervonozorianyi, apt. 112, has been staying on an in-patient treatment at
the Department of Radical Chemotherapy of the Centre for Infantile Oncohaematology and Bone
Marrow Transplantation from 25.02.2010 until present.
Diagnosis: Acute megakaryocytic leukaemia, FAB class M7.
First acute period.(C.92.0)
The mentioned diagnosis has been made on the basis of:
Clinical picture, cytomorphological, immunocytological and cytochemical investigation of the bone
marrow aspirate, biochemical study of the liquor, cytomorphological study of the centrifugate of the
cerebrospinal fluid.
Since 25.02.2010, the patient has been receiving therapy in accordance with Protocol AML-BFM
2004.
In accordance with Ordinance No. 454/471/516 of the Ministry of Health Care of Ukraine of
08.11.2001, Section 18, Clause 2, the patient is recommended to underwent a survey by the
community-based Medico-Social Expert Commission (in absence) in order to decide on the
physical disability of the patient for the underlying disease.
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Director of the Centre for Infantile Oncohaematology and Bone Marrow Transplantation |
[Signature] S.B. Donskaia |
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Acting Head of the Department of Radical Chemotherapy |
[Signature] N.V. Kavardakova |
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[Seal of Okhmatdyt, National Specialised Child Health Clinic] |
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Date: 02.03.2010
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