文档介绍：.
《诊断证明书》—.4
1.
4. 住址（或工作单位）
6. 航程：航班号日期月日自至.
联程：航班号日期月日自至_
7. 诊断结果：
8. 症状、程度、愈后（如系孕妇需注明预产期ecessary,stateanymalfunctionofthebladderorbowels,oranyspecialdietormedicationrequiredinflight)Measofcarriage(encircleanappropriateitemineachcolumn)
Seating
Attendants
Notrequired,Doctor,Nurse,Others(specify)
Forboarding
Wheelchair
Notrequired,Required
anddeplaning
Stretcher
Notrequired,Required
Ambulanee
Notrequired,Required
Havingreadtheguidingprinciplesonthereversesideofthispage,Idiagnosethatthispassengerismedicallyfittoundertaketheabovejourneybyair;isnon-infectiousandhasnomaladywhichmightcausedistress,inconvenienceorembarrassmenttootherpassengers.
Doctor'sName(Signature)GUIDANCEFORTHEPHYSICIAN
Thefollowingfactorstobeconsideredwhendiagnosingthephysicalandmentaifitnessforairtravel:
1. Cabinconditions:
a) Theairpressurewithinthepressurisedcabinmayfalltotheequivalentofaheightof2300meters(7000ft)withconsequentexpansionofanygaswithinbodycavitiesandreductionofalveolaroxygenpressure.
b) Technicallimitationsofspaceandcomfort.
c) ,theynotexpectedtopayparticularattentiontotheinvalidpeopletothedetrimentofservicetootherpassengers.
d) Theactivityrangeandcomfortabledegreearespeciallyrestrictedbythetechnologicalequipmentinth