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电子病历
EMR
 
时间就是生命!
为了您或您的家人早日康复,尽快电话(电话：0311-88832685、85938812 传真：0311-87043889)与我们联系并认真填写以下内容,
我们会根据您的实际情况制定出最佳治疗方案.

Time is life!
For the early recovery of you or your family, Contact with us (Tel: 0311-88832685, 85938812 Fax: 0311-87043889) as quickly as possible and fill in the following contents. We will make out best therapeutic plan according to your actual situation.
   患者姓名*
(Name of Patient)
   性别(Gender) 男(Male) 女(Female)
   年龄(Age)
   详细收件地址*
(Detailed Correspondence Addressl)
   邮政编码*
(Postcode)
   收件人真实姓名*
(True Name of Addressee)
   E-MAIL*
   联系电话( Contact Phone Number)*
   患者病情简述* A Brief Description of Disease Condition of Patient
   
   需要咨询的问题

Questions to Enquire
   
   您填写此病历是用于 A 家人或自己治疗康复
Your Filling in this Medical Record is for:

A. Treatment and recovery of you or your family
B 家人或自己预防及了解知识
 

B. Prevention of you or your family and understanding knowledge
  C有此需要的亲人和朋友
 

C. Have relatives and friends in need of it

  D 其他原因
 

D. Other reasons.

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All rights reserved：Zhengzhou Shunming TCM Institute for Hemopathy
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