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诊断证明英文翻译模板

发布时间:2018-01-08 17:59:20
 

诊断证明英文翻译

 

People’s Hospital of Zhengzhou

 

Diagnosis Certificate

Card No. 880xxxxxx

Name: Cxxxxxxxx

Gender: Male

Age: 22 years old

Occupation:

Work unit or current address: No. 4, Unit 1, Building 8, Community 5, Youai Road, Zhongyuan District, Zhengzhou

The information records above are true.

Admission No.:

Signature of Patient / authorized person:

Image No.:

Signature time:   :   DD   MM   ,YY  

Examination was made in Ophthalmology Clinic Outpatient of our hospital in Jan. 2, 2018

Main complaint:

The right eye has appeared diminution of vision for six months

Main symptom signs and examinations:

History of present illness: six months ago, the patient appeared diminution of vision after fatigue of the right eye represented as smaller and darker eye images of things and accepted treatment in Outpatient Department of our hospital with being diagnosed with “central serous retinitis of right eye”, after drug therapy, the vision was recovered half a month ago. Here for subsequent visit today. Physical examination: corrected visual acuity R: 0.8, L: 1.0, corneas of two eyes are transparent, anterior chamber is clear, pupils of two eyes are the same of size and shape with diameter being 3mm, lens of two eyes are transparent, optic disks of two eyes have clear bound, round, normal color, retinas of two eyes appear myopia changes, macular area of the right eye appears pigmentation disorder and central reflection point is not clear, macular structure of the left eye is normal and central reflection point is clear. Auxiliary examination:

Preliminary Diagnosis:

Central serous chorioretinopathy

Treatment suggestion:

1.       Recommended rest

2.       Avoid fatigue

Electronic signature of doctor: Wang Yanqing 1358 (signature)

Manual signature of doctor: Wang Yanqing 1358 (signature)

Time of signature: 14:09:21 Jan. 2, 2018

Special seal for diagnosis certificate of People’s Hospital of Zhengzhou (sealed)

Description: 1. Diagnosis Certificate shall be effective and valid only when sealed on the day or the next day of diagnosis;

2. Diagnosis Certificate can only be issued once with a set of original and may be copied and sealed with the official seal for special needs;

3. Diagnosis Certificate cannot be reissued if loses, however, it can be reissued by the original doctor in accordance with the original medical records as required, with noted “reissue” words in the lower right corner of Diagnosis Certificate.

ZY-MCI-BAGL-BG-125-01


 

 

People’s Hospital of Zhengzhou

Clinic Medical Record

Card No.: 8xxxxxx

Name: xxxxxxxxx

Gender: Male

Age: 22 years old

Tel.: xxxxxx

Nation: Han

Nationality: China

Marital status: unmarried

Occupation:

Current address/work unit: No. 4, Unit 1, Building 8, Community 55, Youai Road, Zhongyuan District, Zhengzhou City

Allergic history: none

Treatment time: Jan. 2, 2018 13:57:08        Treatment department: ophthalmology clinic

Main complaint: Intermittent diminution of vision for 6 months

History of present illness:

Six months ago, the patient appeared diminution of vision after fatigue of the right eye represented as smaller and darker eye images of things and accepted treatment in Outpatient Department of our hospital with being diagnosed with “central serous retinitis of right eye”, after drug therapy, the vision was recovered half a month ago. Here for subsequent visit today.

Past medical history: none

Major surgical history: none

Recent history of medicine: none

Physical examination:

Corrected visual acuity R: 0.8, L: 1.0, corneas of two eyes are transparent, anterior chamber is clear, pupils of two eyes are the same of size and shape with diameter being 3mm, lens of two eyes are transparent, optic disks of two eyes have clear bound, round, normal color, retinas of two eyes appear myopia changes, macular area of the right eye appears pigmentation disorder and central reflection point is not clear, macular structure of the left eye is normal and central reflection point is clear.

Auxiliary examination:

Preliminary examination: 1. central serous chorioretinopathy

Treatment suggestion: 1. Suggest resting.

2. Avoid being tired.

Certificate of diagnosis: has been issued

Whereabouts of patient: clinic treatment

Health advice: low salt, low fat diet; pay attention to rest; avoid being tired or excited; see a doctor when symptoms worsen; call medical emergency when there is an emergency at 63945120 or Zhengzhou emergency medical services at 120.

Signature of physician: Wang Yanqing 1358 Wang Yanqing 1358 (signature) Time of Signature: Jan. 2, 2018 13:57:08

Note: the medical record only applies for the treatment experience.