history, Personal historyIdentification ?[Name] 姓名?[Sex] 性别?[Age] 年龄?[Occupation] 职业?[Date of birth] 出生日期?[Marriage (Marital status)] 婚姻Identification?[Race] 民族?[Place of birth (Birth place)] 籍贯?[Identification No. (code of ID card No.)] 身份证号码?[Department of work and TEL. No. (Unit and Business phone No.)] 工作单位及电话?[Home address and phone No.] 家庭住址及电话Identification?[Post code] 邮政编码?[Person to notify (Correspondent) and phone No.] 联系人及电话?[Source (Complainer; offerer; supplier; provider) of history] 病史陈术者?[Reliability of history] 病史可靠程试?[Medical security (Type of payment)] 医疗费用Identification?[Medical record No.] 病历号?[Clinic diagnosis] 门诊诊断?[Date of admission (admission date)] 入院日期?[Date of record] 记录日期?What’s your name??How old are you??Where were you born??Are you a student??What’s your job?