14.12.2018 yilda ro‘yxatdan o‘tgan, ro‘yxat raqami 3099
O‘zbekiston Respublikasi Sog‘liqni saqlash vazirligi, O‘zbekiston Respublikasi Ichki ishlar vazirligi, O‘zbekiston Respublikasi Oliy sudi, O‘zbekiston Respublikasi Bosh prokuraturasining qarori, 14.12.2018 yilda ro‘yxatdan o‘tgan, ro‘yxat raqami 3099
Дата вступления в силу
15.12.2018
Oldingi tahrirga qarang.
Oldingi tahrirga qarang.
(8-band O‘zbekiston Respublikasi adliya vazirining 2021-yil 28-iyuldagi 16-mh-sonli buyrug‘i (ro‘yxat raqami 3313, 28.07.2021-y.) tahririda — Qonunchilik ma’lumotlari milliy bazasi, 28.07.2021-y., 10/21/3313/0724-son)
25. Tibbiy tekshiruv natijalari bo‘yicha mazkur Nizomning 1-ilovasiga muvofiq ikki nusxada bayonnoma tuziladi. Bayonnomada tekshiruv sanasi va tartib raqami alkogolli ichimliklar, giyohvandlik vositalari ta’siridan yoki o‘zgacha tarzda mast holatda ekanligini aniqlash bo‘yicha tibbiy tekshiruvdan o‘tgan shaxslar hisobini yuritish daftarining tartib raqamiga muvofiq holda ko‘rsatiladi.
28. O‘tkazilgan tibbiy tekshiruv to‘g‘risidagi ma’lumot mazkur Nizomning 2a-ilovasida keltirilgan maxsus tikilgan, raqamlangan, tibbiyot muassasasi rahbari imzosi va tashkilot muhri bosilgan daftarda qayd etilishi shart.
Oldingi tahrirga qarang.
(35-band O‘zbekiston Respublikasi adliya vazirining 2021-yil 28-iyuldagi 16-mh-sonli buyrug‘i (ro‘yxat raqami 3313, 28.07.2021-y.) tahririda — Qonunchilik ma’lumotlari milliy bazasi, 28.07.2021-y., 10/21/3313/0724-son)

Mastlik holatini aniqlash
bo‘yicha tibbiy tekshiruvdan o‘tkazilganlik to‘g‘risidagi
__ son BAYoNNOMA

20___y. “____”____________
Familiyasi, ismi, otasining ismi __________________________________________________________
______________________________________________________________________
Yoshi (tug‘ilgan yili) _____________________________________________________________________
Qayerda va kim bo‘lib ishlaydi ______________________________________________________________
Kim tomonidan va qachon (aniq vaqti) tekshirishga yuborilgan _____________________________________
______________________________________________________________________
Tekshiruv o‘tkazilgan kun va aniq vaqt _______________________________________________________
Kim tomonidan tekshirilgan (shifokor) _____________________________________________________
______________________________________________________________________
Tekshirilish sababi: transport boshqarayotganlik vaqtida mastlik holatiga gumon, tibbiy yordam ko‘rsatish va boshqa holatlarda tekshirish (sababi ko‘rsatilsin) ___________________________________________
______________________________________________________________________
______________________________________________________________________
Tekshiriluvchining tashqi ko‘rinishi: kiyimlari holati, teri qoplami, jarohat (yaralanish, lat yeyish va boshqalar) _____________________________________________________________________________
______________________________________________________________________
______________________________________________________________________
O‘zini tutishi: zo‘riqqan, indamas, ta’sirchan, qo‘zg‘aluvchan, jahldor, eyforik holatda, ezma, mijg‘ov, kayfiyati o‘zgaruvchan, uyqusiragan, o‘z holatidan shikoyat qiladi (aynan nimaga) ________________________
______________________________________________________________________
______________________________________________________________________
Es-hush holati, turgan joyiga, vaqtga va o‘z shaxsiga bo‘lgan mo‘ljali _______________________________
______________________________________________________________________
Nutq qobiliyati: fikrlarning bog‘liqligi, artikulatsiyaning buzilishi, so‘zlarni noaniq talaffuz qiladi va boshqalar _____________________________________________________________________________
______________________________________________________________________
Vegetativ qon-tomir reaksiyalari: (teri qoplamlari holati, ko‘z shilliq pardasi, til, terlash, uyquchanlik)
______________________________________________________________________
______________________________________________________________________
Nafas olishi: tezlashgan, sekinlashgan _______________________________________________________
______________________________________________________________________
Puls ____________ Qon bosimi__________________________________________________________
Ko‘z qorachig‘lari: toraygan, kengaygan, yorug‘likka reaksiyasi _______________________________________
______________________________________________________________________
Tomonlarga qaraganda nistagm _____________________________________________________________
Harakat doirasi ________________________________________________________________________
Mimikasi: bo‘shashgan, jonlangan __________________________________________________________
Qadam bosishi: (gandiraklangan, oyoqlarini har tomonga tashlab yuradi) _____________________________
______________________________________________________________________
koordinator sinamalar: tez burilishlar bilan yurish (burilishlarda gandiraklash) ____________________
______________________________________________________________________
______________________________________________________________________
Tashen sinamasi ________________________________________________________________________
Romberg holatida sinama (oddiy va murakkablashtirilgan) ______________________________________
______________________________________________________________________
Aniq harakatlar (poldan tangani olish, barmoq-burun sinamasi) ___________________________________
______________________________________________________________________
______________________________________________________________________
Qovoqlar, til, qo‘l barmoqlarining titrashi __________________________________________________
______________________________________________________________________
Tekshiriluvchida markaziy asab tizimining organik buzilishlari, ruhiy-asab kasalliklar belgilari bor-yo‘kligi, jismoniy toliqqanlik ____________________________________________________________
______________________________________________________________________
______________________________________________________________________
Ilgari olgan jarohatlari (tekshiriluvchining so‘zlaridan) ______________________________________
______________________________________________________________________
Oxirgi iste’mol qilingan alkogolli ichimliklar yoki dori vositalari haqida ma’lumot: subyektiv, obyektiv (hujjatlar bo‘yicha va boshqa manbalardan) ___________________________________________
______________________________________________________________________
______________________________________________________________________
Og‘iz bo‘shlig‘idan alkogolli yoki boshqa moddalar hidi __________________________________________
______________________________________________________________________
Chiqarilgan nafas va organizmning boshqa biologik muhitlarida alkogol va boshqa moddalar mavjud yoki mavjud emasligi:
a) chiqarilgan nafas alkotester yoki Rappoport usuli yordamida tekshirildi _________________________
______________________________________________________________________
______________________________________________________________________
Tekshirish natijalari va o‘tkazilgan vaqti ____________________________________________________
______________________________________________________________________
Qayta tekshirish natijalari _______________________________________________________________
______________________________________________________________________
b) biologik muhit (peshob, so‘lak, lab yuzasidan, qo‘l barmoqlaridan olingan surtma) __________________
______________________________________________________________________
qaysi usul bo‘yicha _______________________________________________________________________
sinamaning olingan vaqti ________________________________________________________________
Tekshiruv vaqti va natijalari _____________________________________________________________
______________________________________________________________________
Tekshirish o‘tkazgan tibbiy xodimlar O‘z.R.JKning 238 va 240-moddalari bo‘yicha javobgar hisoblanadi va ogohlantirilgan ________________________________________________________________________
______________________________________________________________________
Xulosa: ______________________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Tekshiruv o‘tkazgan shifokor imzosi ________________________________________________________
______________________________________________________________________
Tekshiriluvchi�ing tekshirish natijalari bilan tanishganligi haqidagi yozma bildiruvi va imzosi _______
______________________________________________________________________