The first model of hospitalization certificate:
certificate of diagnosis
Name: Jiangdaoquan Clinic CardNo.: H45676878
Sex: Male Age: 38 Diagnosis Date: 20 1409 17.
Diagnosis: 1. History: Recurrent fever and cough for 45 days.
2. Symptoms and signs: fever, cough, expectoration, vomiting of stomach contents once, earache, anorexia, poor sleep, and rotten stool. Pharyngeal congestion (++), double tonsils II? It's huge. Breathing sounds in both lungs are thick, and a small amount of dry and wet rales can be heard in both lower lungs.
3. Auxiliary examination: blood analysis: WBC 12.6x 10e9/L, GRAN%76.2%, chest film: bronchogenic infection of both lungs. Hospital diagnosis TCM diagnosis: cough wind-heat type
Western medicine diagnosis: acute bronchitis
Others: Not suitable for follow-up.
Doctor's signature:
Note: It is a diagnosis certificate and cannot be used as other certificates. No doctor's signature or hospital seal is invalid.
Model essay on hospitalization certificate 2:
Hospitalization certificate
Name year category name
Due to hospitalization reasons, the hospitalization time is from June to the hospital, and the hospitalization time is from June to June. Hereby certify that
Parent signature
Xxx school
date month year
Hospital certificate Fan Wensan:
Stub of hospitalization certificate of basic medical insurance for urban workers (residents)
Unit name:
Attending physician (signature):
date month year
Unit number:
ID number:
The fourth model of hospitalization certificate:
Number:
Provincial medical insurance hospitalization certificate
Hospital:
According to the relevant regulations of medical insurance of provincial units, if there is my unit, the ID number is to go to your hospital for hospitalization. This is to certify that.
(official seal)
date month year