病历翻译No.1-Medical report/Admission note

住院病历Medical report/Admission note

工作单位及电话department of work and telephone number:

家庭住址及电话 home address and phone number:浙江省杭州市吉祥路3号【No.3 Ji Xiang Road, Hangzhou, Zhejiang province】

病史陈述者(complainer/supplier/provider)of history : 患者本人patient himself/herself 患者的丈夫her husband

患者的妻子his wife 患者的同事patient’s colleague 患者的邻居patient’s neighbor

患者的亲属（父亲、母亲、儿子、女儿、兄弟、姐妹）：patient’s kin(father/mother/son/daughter/brother/sister

病史可靠程度；source reliability of history:可靠reliable 不完全可靠not entirely 不可靠unreliable 无法获得unobtainable

住院日期 date of admission/admissiondate: 2016年10月1日【10-1-2016/Oct.1^st,2016】美国

2016年10月1日【1-10-2016/1 Oct.,2016/1st of Oct.2016】英国

记录日期 date of record病人入院后的24个小时内完成

身份证号码identification No./code of ID card No.

出生日期date of birth

邮政编码 post code

联系人及电话person to notify(correspondent) and phone No.

医疗费用medical security(Type of payment): 自费self pay/individual medical care

公费governmentinsurance /public medical care

保险insurance

本地医保local insurance

外地医保non-local insurance

劳保 labor protection care

住院类别Type of admission：急诊emergent/(emergency call) 一般（普通）elective/general 危重urgent

入院时病情： patient condition : 稳定stable 危重critical/Imminent 不稳定unstable 一般fair/general

相对稳定relative stable

病历号 medical record No.

门诊诊断 clinical diagnosis