予 診 票(よしんひょう)

よしんひょう

noun

medical questionnaire; pre-examination form

1. medical questionnaire; pre-examination form

A form a patient fills in before seeing a doctor or receiving a vaccination, giving symptoms, medical history, and current condition.

予診票(よしんひょう)に記入(きにゅう)する。

Fill in the medical questionnaire.

I received a pre-examination form at the reception desk.

Before a vaccination, you write out and submit a pre-examination form.

Formed from 予(よ) (beforehand) + 診(しん) (examination) + 票(ひょう) (slip, form). Routinely used at clinics and vaccination sites.

問診票(もんしんひょう): medical interview sheet — near-synonym; both collect a patient's self-reported information before examination.

Related Words

general

Added 2026.7.22 21:20 · Revised 2026.9.6 9:21

30000/30034_yoshinhyou