姓名: 学号: 专业: 班级: 批改意见: 指导老师:
科别: 病床号: 住院号:
住院病例
姓名:______________________________ 性别:_____________________________ 年龄:______________________________ 婚况:_____________________________ 民族:______________________________ 职业:_____________________________ 出生地:____________________________ 单位:_____________________________ 常住地:____________________________ 发病节气:_________________________ 入院时间:__________________________ 病史采集时间:_____________________ 病史陈述者:________________________ 可靠程度:_________________________
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科别: 病床号: 住院号: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
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科别: 病床号: 住院号:
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