Patient Treatment Tracking Form

就诊跟踪表

Notice
This form is used to track the symptoms changes during the treatment period. Please fill at least once between two consecutive treatments or according to the TCM practitioner's requirement. If you have a FEVER, please submit the form everyday.

IMPORTANT: We won't have any immediate feedback after you submit this form. If you have emergency situation, please visit hospital immediately.

本表格用于治疗期间跟踪患者症状变化,请在两次治疗之间至少填写一次,如果有发热现象则每日更新一次。注意如遇紧急情况时请及时就近就医。
General questions