Medical   payment method: 5

ID   No.: 

Name:    Gender: Female Date of birth: March 31, 1989 Age: 28 years old

Category   of personnel: local

Marital   status: unmarried Occupation: student Place of birth: Haidian District,   Beijing

Nation:   Han        Nationality: China   ID card No.: 

Unit   subordinated to:

Work   unit and address: student

Tel.:                  Postcode:   -

Duty:  

Registered   permanent residence/ permanent   address: No. , Haidian District, Beijing                    Postcode: -

Medical   system:

Name   of contact person: Hou Yali Relation: parents (parents-in-law) Tel.:   

Address   of contact person: No., Haidian District, Beijing 

Identity:   common personnel

Admission   method: outpatient department      Condition at admission: ordinary

Character   of medical fee: in full charge

Diagnosis   of outpatient department: achalasia of cardia          ICD         

Occupation:   other

Date   of reception: July 24, 2017 Outpatient doctor: Linghu Enqiang Handler: 

Military   training injury: □

Admitted   to Rehabilitation ward of gastroenterology department at 15:00 on July 25,   2017

Admitted   to                                         at                 

Discharged from Rehabilitation ward of gastroenterology   department at 10:00 on Aug. 7, 2017

Primary   diagnosis after admission: achalasia of cardia          ICD         

Date   of confirmation: July 25, 2017

Days   of definite diagnosis: 1

Length   of stay: 13

Diagnosis at   discharge

Date   of confirmation

Discharge   condition

Length   of treatment

ICD

Main diagnosis:   achalasia of cardia

July   25, 2017

Improved  

Other   diagnosis:

Infection name   of hospital

Pathological   diagnosis

                                                     ICD

External   reason of injury or poisoning:                                   ICD

Primary   cause of death:                                               ICD              Autopsy  2 1. Yes 2. No