疾病診斷證明書翻譯模板

北京XX醫(yī)院
疾病診斷證明書
2015年第95XXXX號
姓名：XX  年齡：18   性別：女科別：呼吸科就診ID號：658XX
單位或住址：
住院病案號：OT520XX

主要檢查結(jié)果：經(jīng)臨床診斷，患者確診為急性肺炎，白細胞檢查：白細胞總數(shù)增高，約為15～20×109/L。中性粒細胞增高，有核左移及胞漿內(nèi)中毒顆粒，堿性磷酸酶活性測定陽性及積分均增高，積分多達200以上。
建議：積極配合治療，住院治療兩個月，臥床休息，飲食清淡，合理飲食，避免疲勞和壓力過大。

主任（副主任/主治）醫(yī)師審核：XX
醫(yī)師（研究/進修/實習(xí)生）：
北京XX醫(yī)院醫(yī)務(wù)專用章
注：
1、此證需加蓋專用章方為有效
2、注意保存、憑原件輸有關(guān)證明及查詢
3、此證內(nèi)容與出院醫(yī)囑一致

Peking XXCollege Hospital
Aegrotat
NO.959XX, 2015
Name: XX. Age: 18. Gender: Female. Department: Respiratory Department. Consulting ID: 658XX.
Working address or housing address:
Hospitalization Number: OT520XX.

Pathological Results: the clinical diagnosis shows that the patient is diagnosed with acute pneumonia. As to the inspection of Leukocyte, the total leukocytes increase to about 15×109/L to 20×109/L. With regard to neutrophile granulocyte, its number increases, and there is nuclear left shift and intracytoplasmic toxic granules. The Alkaline phosphatase activity shows positive, and its integration increases to more than 200.
Advice: you should involve in treatment actively, and be under treatment in hospital for two months. It’s best to rest in bed and eat lightly and healthily. Excessive stress and tiredness is forbidden.

Chief ( associate chief/ doctor-in-charge) physician:XX
( postgraduate/ advanced/ intern) doctor:
Special seal of Peking Union Medical College Hospital
Notes:
1.this certification is valid only under special seal.
2.Please keep the original document. If you have to inquire something, please input the information of original document.
3.All information in this document is in accordance with that of medical advice when you discharge from hospital.