<?xml version="1.0" encoding="utf-8" standalone="no"?>
<TfrxReport Version="5.2.12" DotMatrixReport="False" EngineOptions.TempDir="C:\Users\user\AppData\Local\Temp\" IniFile="\Software\Fast Reports" PreviewOptions.Buttons="4095" PreviewOptions.Zoom="1" PrintOptions.Printer="HP LaserJet Professional CP1020 Series" PrintOptions.PrintOnSheet="0" ReportOptions.CreateDate="43216,614977662" ReportOptions.Description.Text="" ReportOptions.LastChange="43216,6384240741" ScriptLanguage="PascalScript" ScriptText.Text="begin&#13;&#10;&#13;&#10;end.">
  <Datasets>
    <item DataSet="frxdata1" DataSetName="data2"/>
  </Datasets>
  <TfrxDataPage Name="Data" Height="1000" Left="0" Top="0" Width="1000"/>
  <TfrxReportPage Name="Page1" PaperWidth="210" PaperHeight="297" PaperSize="9" LeftMargin="10" RightMargin="10" TopMargin="10" BottomMargin="10" ColumnWidth="0" ColumnPositions.Text="" HGuides.Text="" VGuides.Text="">
    <TfrxMemoView Name="Memo1" Left="79,37013" Top="22,67718" Width="563,14997" Height="41,57483" Font.Charset="1" Font.Color="-16777208" Font.Height="-24" Font.Name="Arial" Font.Style="1" HAlign="haCenter" ParentFont="False" Text="……………. RADYOLOJİ KLİNİĞİNE"/>
    <TfrxMemoView Name="Memo2" Left="37,7953" Top="90,70872" Width="634,96104" Height="102,04731" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" HAlign="haBlock" ParentFont="False" Text=" Ulusal Gelişimsel Kalça Displazisi Erken Tanı ve Tedavi Tarama Programı için değerlendirilen aşağıda kimlik bilgileri bulunan [data2.&#34;ADI&#34;] [data2.&#34;SOYADI&#34;] BEBEK’e tarama sonucunda şüpheli bulunarak Gelişimsel Kalça Displazisinde risk saptanmış olup, Radyoloji Kliniği’ne sevki uygun görülmüştür.">
      <Formats>
        <item/>
        <item/>
      </Formats>
    </TfrxMemoView>
    <TfrxMemoView Name="Memo3" Left="40,7953" Top="195,09462" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" HAlign="haBlock" ParentFont="False" Text="Bebek Kimlik Bilgileri:"/>
    <TfrxMemoView Name="Memo4" Left="40,7953" Top="218,85166571" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="Tc Kimlik No:"/>
    <TfrxMemoView Name="Memo5" Left="40,7953" Top="237,82918143" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="Adı Soyadı:"/>
    <TfrxMemoView Name="Memo6" Left="40,7953" Top="256,80669714" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="Anne Adı:"/>
    <TfrxMemoView Name="Memo7" Left="40,7953" Top="275,78421286" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="Doğum Tarihi:"/>
    <TfrxMemoView Name="Memo8" Left="40,7953" Top="294,98219857" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="İzlem Tarihi:"/>
    <TfrxMemoView Name="Memo9" Left="40,7953" Top="313,95971429" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="Telefon:"/>
    <TfrxMemoView Name="Memo10" Left="40,7953" Top="332,93723" Width="170,07885" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="Adres:"/>
    <TfrxMemoView Name="data2TCKIMLIKNO" Left="226,7718" Top="218,21274" Width="294,80334" Height="18,89765" DataField="TCKIMLIKNO" DataSet="frxdata1" DataSetName="data2" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="[data2.&#34;TCKIMLIKNO&#34;]"/>
    <TfrxMemoView Name="data2ADI" Left="226,7718" Top="237,37023333" Width="453,5436" Height="18,89765" DataSet="frxdata1" DataSetName="data2" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="[data2.&#34;ADI&#34;] [data2.&#34;SOYADI&#34;]"/>
    <TfrxMemoView Name="data2ANAADI" Left="226,7718" Top="256,52772667" Width="400,63018" Height="18,89765" DataField="ANAADI" DataSet="frxdata1" DataSetName="data2" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="[data2.&#34;ANAADI&#34;]"/>
    <TfrxMemoView Name="data2TELEFON" Left="226,7718" Top="314,22067667" Width="400,63018" Height="18,89765" DataField="TELEFON" DataSet="frxdata1" DataSetName="data2" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="[data2.&#34;TELEFON&#34;]"/>
    <TfrxMemoView Name="data2ADRES" Left="226,7718" Top="333,37817" Width="453,5436" Height="83,14966" DataField="ADRES" DataSet="frxdata1" DataSetName="data2" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="[data2.&#34;ADRES&#34;]"/>
    <TfrxMemoView Name="data2IZLEMTARIHI" Left="226,7718" Top="295,06318333" Width="143,62214" Height="18,89765" DataField="IZLEMTARIHI" DataSet="frxdata1" DataSetName="data2" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="[data2.&#34;IZLEMTARIHI&#34;]"/>
    <TfrxMemoView Name="data2DOGUMTARIHI" Left="226,7718" Top="275,68522" Width="143,62214" Height="18,89765" DataField="DOGUMTARIHI" DataSet="frxdata1" DataSetName="data2" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="[data2.&#34;DOGUMTARIHI&#34;]"/>
    <TfrxMemoView Name="Memo11" Left="39,7953" Top="419,52783" Width="638,74057" Height="268,34663" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="Risk faktörleri&#13;&#10;-GKD’li kardeş,&#13;&#10;-GKD’li anne, baba, dede, nine, teyze, hala, amca, dayı, kuzen,&#13;&#10;-İlk doğan kız bebek,&#13;&#10;-Çoğul gebelik,&#13;&#10;-Amniyon Sıvısı Anormallikleri (sıvı azlığı ya da fazlalığı)&#13;&#10;-Makat duruş,&#13;&#10;-Bebeğin ayağında şekil bozukluğu (içe, dışa, yukarı dönüklük),&#13;&#10;-Plajiosefali&#13;&#10;-Skolyoz&#13;&#10;-Pelvik oblisite&#13;&#10;-Kalça abduksiyon kısıtlığı&#13;&#10;-Doğumsal tortikollis (boyunda eğrilik)&#13;&#10;-Kundaklama"/>
    <TfrxMemoView Name="Memo12" Left="45,35436" Top="702,99258" Width="181,41744" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" ParentFont="False" Text="RİSK FAKTÖRLERİ;"/>
    <TfrxMemoView Name="Memo13" Left="45,35436" Top="740,78788" Width="181,41744" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" ParentFont="False" Text="MUAYENE BULGUSU;"/>
    <TfrxMemoView Name="Memo14" Left="264,5671" Top="740,78788" Width="49,13389" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" ParentFont="False" Text="VAR"/>
    <TfrxMemoView Name="Memo15" Left="264,5671" Top="702,99258" Width="49,13389" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" ParentFont="False" Text="VAR"/>
    <TfrxMemoView Name="Memo16" Left="445,98454" Top="740,78788" Width="49,13389" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" ParentFont="False" Text="YOK"/>
    <TfrxMemoView Name="Memo17" Left="445,98454" Top="702,99258" Width="49,13389" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" ParentFont="False" Text="YOK"/>
    <TfrxMemoView Name="Memo18" Left="316,48052" Top="740,78788" Width="22,67718" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" Frame.Typ="15" HAlign="haCenter" ParentFont="False" VAlign="vaCenter" Text="[data2.&#34;MUAYENE_BULGUSU&#34;]"/>
    <TfrxMemoView Name="Memo19" Left="316,48052" Top="702,99258" Width="22,67718" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" Frame.Typ="15" HAlign="haCenter" ParentFont="False" VAlign="vaCenter" Text="[data2.&#34;RISK_FAKTORLERI&#34;]"/>
    <TfrxMemoView Name="Memo20" Left="497,11843" Top="740,78788" Width="22,67718" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" Frame.Typ="15" HAlign="haCenter" ParentFont="False" VAlign="vaCenter" Text="[data2.&#34;MUAYENE_BULGUSU&#34;]"/>
    <TfrxMemoView Name="Memo21" Left="497,11843" Top="702,99258" Width="22,67718" Height="18,89765" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="1" Frame.Typ="15" HAlign="haCenter" ParentFont="False" VAlign="vaCenter" Text="[data2.&#34;RISK_FAKTORLERI&#34;]"/>
    <TfrxMemoView Name="Memo22" Left="37,7953" Top="782,36271" Width="668,97681" Height="102,04731" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" HAlign="haBlock" ParentFont="False" Text="Kliniğinize başvuran ve yukarıda kimlik bilgileri bulunan bebeğin tanı ve tedavi bilgilerinin Aile Hekimine geri bildiriminin yapılması Ulusal Gelişimsel Kalça Displazisi Tarama Programı’nın takibi açısından büyük önem taşımaktadır. Bu sevk formu arka yüzündeki klinik tanı kısmı doldurularak aileye verilmeli ve aile aracılığıyla Aile Hekimliğine gönderilmelidir.&#13;&#10;İlginize teşekkür ederiz."/>
    <TfrxMemoView Name="Memo23" Left="37,7953" Top="891,96908" Width="668,97681" Height="41,57483" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" HAlign="haBlock" ParentFont="False" Text="………………………………………………………………İl Sağlık Müdürlüğü Adres ve Telefonu:&#13;&#10;…………………………………………………………………………………………………………"/>
    <TfrxMemoView Name="Memo24" Left="215,43321" Top="934,54391" Width="207,87415" Height="26,45671" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" HAlign="haCenter" ParentFont="False" Text="[Date]"/>
    <TfrxMemoView Name="Memo25" Left="215,43321" Top="964,78015" Width="147,40167" Height="22,67718" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" HAlign="haRight" ParentFont="False" Text="Dr. Adı ve Soyadı :"/>
    <TfrxMemoView Name="Memo26" Left="215,43321" Top="991,23686" Width="147,40167" Height="26,45671" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" HAlign="haRight" ParentFont="False" Text="İmza :"/>
    <TfrxMemoView Name="hekimadisoyadi" Left="362,83488" Top="963,78015" Width="343,93723" Height="52,91342" Font.Charset="1" Font.Color="-16777208" Font.Height="-16" Font.Name="Arial" Font.Style="0" ParentFont="False" Text="DR RECAİ ALDEMİR"/>
  </TfrxReportPage>
</TfrxReport>
