外國人體格檢查資料收集-華中農(nóng)業(yè)大學(xué)

外國人體格檢查記錄PHYSICALEXAMINATIONRECORDFORFOREIGNER體

檢

說

明EXPLANATIONOFTHEPHYSICALEXAMINATION1．在華學(xué)習(xí)或工作六個(gè)月以上的外國人，應(yīng)按照“外國人體格檢查記錄”進(jìn)行體格檢查。Theforeigners,whointendtostudyorworkinChinafor6monthsormore,shouldgothroughaphysicalexaminationbeforetheycometoChinaaccordingtotherequirementsofPhysicalExaminationRecordforForeigners.2．外籍人員入境前的健康體檢應(yīng)由所在國公立醫(yī)院或我使館認(rèn)定醫(yī)院檢查，檢查結(jié)果、健康證明書由當(dāng)?shù)毓C機(jī)關(guān)或我國使（領(lǐng)）館證明。體檢表貼照片處，應(yīng)有醫(yī)院印章。健康檢查結(jié)果應(yīng)有醫(yī)院蓋章、醫(yī)師簽字、檢查日期。否則，視體檢表無效。ThephysicalexaminationissupposedbedoneinapublichospitalorahospitalapprovedbyChineseEmbassy.ResultoftheexaminationshouldbenotarizedbylocalnotarizingauthorityorcertifiedbyChineseEmbassy.ThehospitalsealissupposedtobeputacrossthephotoontheExaminationRecord.Sealofhospital,signatureofphysician,anddateofexaminationarerequired.Otherwise,therecordwillbeviewedasinvalid.3．體檢項(xiàng)目應(yīng)包括國際檢疫傳染病、艾滋病、性病、開放性肺結(jié)核病、精神病、麻風(fēng)病等，血清學(xué)檢驗(yàn)報(bào)告單應(yīng)包括Anti-HIV,RPR,TPPA,HbsAg,AntiHCV,ALT/GPT等項(xiàng)目，X光檢查報(bào)告及胸片。體檢表應(yīng)填寫清楚。ExaminationofInternationalQuarantiableDiseases,AIDS,VenerealDisease,OpeningLungTuberculosis,Psychosis,Leprosy,etc.mustbeincluded.LaboratoryExamReport,X-rayExamReportandChestX-rayaresupposedtobeattached.AndAnti-HIV,RPR,TPPA,HbsAg,AntiHCV,ALT/GPTshouldbeshownintheLaboratoryExamReport.Allitemsofthisformhavetobefilledcarefullyandclearly.4．到達(dá)華中農(nóng)業(yè)大學(xué)報(bào)到時(shí)，體檢時(shí)間不得超過五個(gè)月。外國人到華中農(nóng)業(yè)大學(xué)報(bào)到時(shí)，我們將體檢表及化驗(yàn)室檢查報(bào)告送至湖北省出入境檢驗(yàn)檢疫局查驗(yàn)。凡超期或體檢查驗(yàn)不合格者，需在武漢市出入境檢驗(yàn)檢疫局重新體檢，費(fèi)用自理。Theexaminationshouldbedonenolongerthan5monthsagoonthedayofregistration.AfterarrivalattheUniversity,theRecordandlaboratoryexamcertificateswillbesenttoBureauofEntry-ExitInspectionandQuarantineofHubeiProvinceforcheck.ThosewhoserecordisoutofdateornotvalidwillberequiredtodoaphysicalexaminationinWuhan.Theexpensesaresupposedtobecoveredbytheexaminee.5．體檢表及所有體檢報(bào)告原件是辦理在華居留手續(xù)所需文件之一，留學(xué)生到達(dá)華中農(nóng)業(yè)大學(xué)報(bào)到時(shí)，應(yīng)提交正本。建議將表格的第二三頁打印在同一頁紙的正反面。Originalrecordandalloriginalexaminationreports(includingX-rayfilm),whicharerequisiteforresidenceinChina,arerequiredtobesubmittedonregistrationattheuniversity.Itissuggestedtoprintthesecondandthethirdpagesoftheformonthefrontandthebackofthesamepieceofpaper.

外國人體格檢查記錄PHYSICALEXAMINATIONRECORDFORFOREIGNER姓名Name性別Sex□男Male□女Female出生日期BirthDay-Month-Year照片（加蓋檢查單位印章）Photo(StampedOfficialStamp)現(xiàn)在通訊地址Presentmailingaddress血型Bloodtype國籍Nationality出生地址Birthplace過去是否患有下列疾?。海宽?xiàng)后面請回答“否”或“是”）Haveyoueverhadanyofthefollowingdiseases?(Eachitemmustbeanswered“Yes”or“No”)斑疹傷寒Typhusfever□No□Yes菌痢Bacillarydysentery□No□Yes小兒麻痹癥Poliomyelitis□No□Yes布氏桿菌病Brucellosis□No□Yes白喉Diphtheria□No□Yes病毒性肝炎Viralhepatitis□No□Yes猩紅熱Scarletfever□No□Yes產(chǎn)褥期鏈球Puerperalstreptococcusinfection□No□Yes回歸熱Relapsingfever□No□Yes菌感染□No□Yes傷寒和付傷寒Typhoidandparatyphoidfever□No□Yes流行性腦脊髓膜炎Epidemiccerebrospinalmeningitis□No□Yes是否患有下列危及公共秩序和安全的病癥：（每項(xiàng)后面請回答“否”或“是”）Doyouhaveanyofthefollowingdiseasesordisordersendangeringthepublicorderandsecurity?(Eachitemmustbeanswered“Yes”or“No”)毒物癮Toxicomania………………………□No□Yes精神錯(cuò)亂Mentalconfusion…………………□No□Yes精神病Psychosis：躁狂型Manicpsychosis……………□No□Yes妄想癥Paranoidpsychosis…………□No□Yes幻覺型Hallucinatorypsychosis……□No□Yes身高厘米Heightcm體重公斤Weightkg血壓千帕BloodpressureKPa發(fā)育情況Development營養(yǎng)情況Nourishment頸部Neck視力左LVision右R矯正視力左LCorrectedvision右R眼Eyes辨色力Coloursense皮膚Skin淋巴結(jié)Lymphnodes耳Ears鼻Nose扁桃體Tonsils心Heart肺Lungs腹部Abdomen脊柱Spine四肢Extremities神經(jīng)系統(tǒng)Nervoussystem其它所見Otherabnormalfindings胸部X線檢查結(jié)果（附檢查報(bào)告單）ChestX-rayexam(attachedchestX-rayreport)心電圖ECG化驗(yàn)室檢查（包括艾滋病、梅毒等血清學(xué)檢查）Laboratoryexam(attachedtestreportofAIDS,Syphilisetc)未發(fā)現(xiàn)患有下列檢疫傳染病和危害公共健康的疾?。篘oneofthefollowingdiseasesordisordersfoundduring