TUGAS MATA KULIAH BAHASA INGGRIS

DISUSUN OLEH :

PUTRI LUSI HANDAYANI (191540102009)

DOSEN PENGAMPUH :

ERLAN AGUSRIJAYA, M.Pd

PROGRAM STUDI DIPLOMA III KEBIDANAN SEKOLAH TINGGI

ILMU KESEHATAN STIKES ‘AISYIYAH PALEMBANG TAHUN
AKADEMIK 2020/2021
 PARAF & ACC DOSEN:

PATIENT REGISTRATION FORM

Nurse : Good morning, I'm a midwife Putri Lusi, can I help you?

Patient : good morning too, I want to register for treatment in here

Nurse : Okay sir, please fill out the registration first

Patient : Alright then

Nurse : Okay sir, what's your name?

Patient : My name is Respi Antomi

Nurse : Is there a telephone number that can be contacted sir?

Patient : 0857 89952619 this is the number

Nurse : Do you have an email address?

Patient : Sorry I don't have an email address

Nurse : Where is the address sir?

Patient : Ahmad Yani street, Baturaja city, Indonesia

Nurse : Yes sir, your date of birth?

Patient : My date of birth, 11 june 1997

Nurse : How old are you sir?

Patient : 23 years old

Nurse : Married status sir?

Patient : not yet, im single.

Nurse : Is there a family number that we can call sir?

Patient : Yes, you can call number 085866705543

Nurse : His relationship with you sir ?

Patient :he’s my brother

Nurse : Is the address the same as you sir?

Patient : Yes our address is the same, Ahmad Yani street, Baturaja city, Indonesia

Nurse : Does this treatment use insurance or pay for yourself?

Patient : I didn't apply for insurance so I paid for it personally

Nurse : Okey sir if so, Yes sir, is there any family we can provide information about your
situation?

Patient : Can, just call my brother

Nurse : Okey sir, before you want to go to poly? And what is your complaint?

Patient : I want to go to ENT clinic, because I want to have my sore ears checked

Nurse : Are there any complaints with your ears, sir?

Patient : Yes, my ears are sore and ringing

Nurse : Have you used the medicine while your ear hurts?

Patient : I only use ear drops, when my ears hurt

Nurse : Do you have a history of drug allergy, sir?

Patient : I have no history of allergies to drugs

Nurse : Have you had it checked if you have no history of allergies to drugs?

Patient : Yes, I have had it checked before and I have no history of allergies to drugs

Nurse : Okey sir, we have saved all your information data so if you are going to seek treatment
again, you are already registered

Patient : Okay, thank you!

Nurse : Thank you sir, please wait and then your name will be called

Patient : Where should I wait?

Nurse : Just wait here, I'll inform you when your name has been called
Patient : Okey, Thank you!

Nurse : You’re welcome, sir!