Typhoid fever, malaria, tropical disease 伤寒，疟疾或热带病
    Operations 曾经动过手术
    Have you ever had a blood transfusion 曾经接受输血

    Is the applicant now taking any medication or receiving treatment which must be continued in the future?(Yes or No)
    申请人是否正在服药或要继续治疗？(是或否)

    Please elaborate on all \"yes\" answers of questions include significant dates and know treatment.
    对以上回答“是”的问题请详细说明，包括治疗日期。

    Physical examination to be completed by the examining physician.
    体格检查，由检验医生完成本报告。

    Upon medical examination are there any abnormalities of the following:
    体检中是否发现以下不正常的情况：

    Head and Neck 头和颈部
    Mouth and throat 口腔和喉部
    Ears 耳
    nose 鼻
    Eyes including fundi 眼睛包括眼底
    Heart 心脏
    Chest, lungs and breast 胸，肺和乳房
    Abdomen, liver, spleen,etc. 腹部，肚，脾等
    Genito-urinary system 泌尿生殖系统
    Hernial sites 疝气
    Extremities and spine 脊柱和四肢
    Nervous system 神经系统
    Skin including surgical scars 皮肤包括手术疤痕
    Lymphatic system 淋巴系统
    Evidence of mental abnormality 精神病症状
    Any other abnormalities 其他不正常情况
    Female applicant pregnant if yes, date of L.M.P. 女申请者是否怀孕？如是，注明最后月经日期
    Is the appllicant now taking medication or receiveing treatment of any kind? If so, specify
    申请人目前是否服用药物或接受其他治疗？如是，请说明
    Height 身高

    Weight 体重

    Visual acuity with glasses if worn 视力(如近视则测矫正视力)

    Hearing whispered voice(normal: 6 meters(20 feet)) 听力