XXXXXX

Certificate of diagnosis

Name: XXXXXX                                 Gender: Female                               Age: 21y

ID. No.: XXXXXX                              Registration No.: XXXXXX                Encounter No.: XXXXXX

Employer or address: XXXXXX

Diagnosis: Insomnia and dreaminess, Cognitive function decline, Low mood, Major depression, Anxiety disorders.

Treatment opinions:

1. Psychological counseling, take medicine on time and regular outpatient follow-up.

2. It is recommended to rest for half a year to cooperate with the treatment.

Physician: XXXXXX   (The First Affiliated Hospital of Harbin Medical University)

Dept: Psychiatric Department, Qunli Campus

Date: 2022-04-20

Note:

The certificate is invalid without doctor's signature and seal or hospital official seal. If there is any alteration, you should stamp the doctor's seal.

Seal: XXXXXX University (161)

Special stamp for diagnosis

第一页律师宣誓页

第二页医院诊断书英文翻译页

第三页医院诊断书中文页

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