广西中医学院附属瑞康医院病历书写

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1、住院病历（首页）姓名：籍贯：性别：出生地：年龄：常住地址：民族：单位：职业：入院时间：年月日时婚况：记录时间：年月日时病史陈述者：联系人及电话：发病节气：身份证号码：主诉：现病史：既往史：个人史:theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95o

2、rabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic3过敏史：婚育史：家族史：体格检查体温（T）脉搏（P）呼吸（R）血压（BP）一般状况：皮肤粘膜：淋巴结：头颅及其器官：颈部：胸部：胸廓：_肺脏：望诊：触诊：叩诊：听诊_心脏：望诊：触诊：叩诊theprovisionsofelectricpowerconstruc

3、tionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic3听诊thep

4、rovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearan

5、ce;2.4.1.3boilerhydraulic3theprovisionsofelectricpowerconstructionengineeringqualitysupervisionandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassing

6、rateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic3周围血管：腹部：外生殖器官：肛门直肠：脊柱四肢：神经系统：专科检查：辅助检查：辨病辩证依据：西医诊断依据：入院诊断：中医诊断：中医治法：方药：西医诊断：_治疗方案：实习医师（签名）__________________住院医师（签名）__________________theprovisionsofelectricpowerconstructionengineeringqualitysupervisio

7、nandquality...2.4.1.1theunitworksacceptancerateof100%,thequalityevaluationofatotalscoreof95orabove;2.4.1.2regulatedWeldingNDTinspection100%,regulatedweldingapassingrateof>99%,andweldbeadappearance;2.4.1.3boilerhydraulic3