Name | Sex | Age | |||||
ID Card No. | |||||||
Address | |||||||
Dept. | qualified | Hospitalization No. | |||||
Date of admission | Time of death | ||||||
Place of death | Hospital On the way to hospital At Home Others | ||||||
Diagnosis of death/Cau of death 伊丽莎白美容 | |||||||
Managing physician: Date: | |||||||
Receiver: 酒店英语口语 Relationship with the decead: Contact No.: | |||||||
If there is any objection to the cau of death of the patient, plea go through autopsy procedure within 24 hours after the patient名著阅读’s death. The autopsy should be carried out within 48 hours after the patient’s death. ron | |||||||
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