診斷證明書英文模板

國(guó)軍桃園總醫(yī)院英文診斷證明申請(qǐng)單

 application for an english version of diagnosis statement at the taoyuan armed forces general hospital註：

 一、軍人免費(fèi)，一般身份英文診斷證明（批價(jià)代碼：doc003）每份壹佰元整。（the english

 version of diagnosis statement is free for military personnel.  the general public will be charged nt$100 for this service.）

 二、本申請(qǐng)單連同醫(yī)師開具之英文診斷證明書交由申請(qǐng)人至掛號(hào)櫃臺(tái)批價(jià)後，再至服務(wù)臺(tái)用印，始完成手續(xù)。（the applicant needs to bring the application and the diagnosis statement

 to the cashier.  after paying the required fees, the applicant needs to have the statement stamped with

 the official tsgh seal at the service counter.）

 三、本申請(qǐng)單由服務(wù)臺(tái)收存，並將英文診斷證明書影印一份備查。（the service counter

 will retain the application and a copy of the diagnosis statement for records.）