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診斷證明

Medical Certificate(醫療證明)

Medical Record(醫療記錄)

Medical Report(醫療報告)

Attending Physician's Statement (主治醫師的陳述)

事故人基本資料:確認是誰在接受治療

醫院院所基本資料

診斷、診療日期、診療內容

醫師簽名或蓋章

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