Certificate of Diagnosis of the People's Hospital of Sanya
Out-patient No.:
Name: xxxxx Sex: Male Age: 72 years’ old Admission No.:
Diagnosis: Herpes zoster
Recommendation: Ambulatory treatment
Sealed by stamp dedicated for disease certificate of the People's Hospital of Sanya City
Head of department: Physician: Li Tang Jul. 28, 2014
(This certificate is valid after sealed.)
Certificate of Diagnosis of the People's Hospital of Sanya
Out-patient No.:
Name: xxxxx Sex: Male Age: 72 years’ old Admission No.:
Diagnosis: Eczema
Recommendation: Ambulatory treatment
Sealed by stamp dedicated for disease certificate of the People's Hospital of Sanya City
Head of department: Physician: Li Tang Sep. 20, 2013
(This certificate is valid after sealed.)
People’s hospital of sanya
Cooperative hospital with First Affiliated Hospital of Sun yat-senuniversity
Clinic medical record
Name: xxxxx Sex: Male Date of birth: 72 years’ old
Nationality: Han Marriage: Married Occupation:
Work unit: Address: in Henan Tel. No.:
Allergic history: Negative
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Clinic medical record
Continued
Division: Outpatient
Clinic time: Sep. 10, 2014
Symptoms of chronic eczema and herpes zoster.
Take medicine.
Clinic medical record
Continued
Division: Outpatient
Clinic time: Nov. 20, 2014
Symptoms of chronic eczema and herpes zoster.
Clinic medical record
Date: Sep. 20, 2013 Division: dermatological department
Self-reported Symptom: red rash on both lower extremities, accompanied by pruritus for 2 months.
History of present illness: no obvious inducement was found.
Previous history: the patient was healthy.
Physical examination: multiple red rashes can be seen on both lower extremities.
Auxiliary examination:
Diagnosis: chronic eczema
Treatment: 1. Flumetasone Ointment 5 doses
Etofesalamide Ointment 5 doses
2Epinastine capsule 9 d×30 days
3. Further consultation after one month
Physician: xxxxx
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