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上海医院诊断书翻译认证盖章

Shanghai Changhai Hospital

Medical Record

Name:Department: Emergency department  Inpatient ward: Second Ward of Observation Room  Bed No.: 60  Admission number: D10   ID No.: 063

Certificate of Diagnosis

Name: Age: 21   Gender: Male   Department: Second Ward of Emergency Observation Room   ID No.: 0634

Hospitalization Date: April 6, 2021 to September 26, 2021

Diagnosis:

Discharge diagnosis: multiple injuries from falling from height, traumatic medium-sized craniocerebral injury, bilateral frontal lobe contusion and laceration with intracranial pneumatosis, multiple skull fractures, head and face soft tissue contusion, double lung contusion, multiple pelvic fractures, left ilium fracture, left acetabular fracture, left pubic fracture, left ischial fracture, multiple fractures of the left upper limb, comminuted fracture of the left distal humerus with elbow dislocation, comminuted fracture of the left upper ulna, and left upper tibia fracture , left fibular shaft fracture, part of dividing left calf muscle, skin and soft tissue avulsion of right knee, right foot soft tissue contusion.

Treatment suggestion:

constitutional rest for three months.  

Special Seal for Medical of Emergency Department of Shanghai Changhai Hospital (sealed)

Doctor’s signature (seal): Guangchao Wang

September 26, 2021

Issuing company: Changhai Hospital

This diagnosis certificate must be signed by the doctor with the doctor’s seal and the special seal of the medical institution to be effective.