“病历表”的英语?

“病历表”的英语可以翻译为:
[医]medical history sheet,MHS
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    病历表用纸都已经用完了.All case history sheet paper has been used up.同学须缴交病历表.Students should hand in the anamnesis record sheet.请您把病历表填好,行 吗 ?Will you fill out this medical history form?...
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