(完整word版)住院病案首页模板.docxVIP

(完整word版)住院病案首页模板 Medical Institution (Organizational Code: ) Medical Payment Method: □ Hospitalization Medical Record Health Card Number: Admission Number: Name Gender 1. Male 2. Female Date of Birth Year Month Day Age Nationality (for those under 1 week old) Age Months Birth Weight Grams Admissio