Session XI

Theme :

“ HOSPITAL”
ProverbMAIN
: TEACHING MATERIAL :
QUESTIONER TO
Education is the FILL INlisten
ability to ADMISSION
to FORM
GRAMMAR
almost anything without NOTE :
losing your
temper and self confidence.
MAKING QUESTIONS
(With Question Words)
VOCABULARY :

PROFICIENCY :
SPEAKING – WRITING – READING – LISTENING
Presented by :
TOPIC
Drs. Sukmaya Oong, MA
“ FILLING ADMISSION FORM ”
Presented by :
Drs. Sukmaya Oong, MA
 EXCEPTED ABILITY

1. Understand the expressions and

SESSION terms used in registering patients
(admission) in hospitals in English ;

XI 2. Understand conversation related to

the expressions and terms used in
patient registration (admission) in
hospital in English;
 Using expressions used to fill out the
hospital admission form ;

INDICATORS Using question words in sentences related

to health terms;

Practicing conversation with the topic of

filling out admission form;
MAIN TEACHING MATERIAL

Questioner to fill in admission form;

How to make question with question words;

Conversation with the topic of filling admission

form;
Let’s see
 Some countries in the world, especially in Britain, most people who fall ill
are treated at home, however, so many people are admitted to hospital at
some time during their lives. They are admitted either as arranged
admissions or as emergency admissions.

Arranged Admissions

A patients who goes into hospital as arranged admission has previously

attended an out-patients’ clinic to which he has been sent by his family
doctor. At the clinic he is examined, his previous history is taken and all the
necessary investigations are carried out. If admissions recommended, his
name is put on a writing list and when a bed in appropriate ward becomes
vacant, he is sent a letter which tells him when to report to the hospital for
admission. With this letter, most hospitals enclose a leaf-let telling the
patient what he will need while he is in hospital. The leaflet also outlines the
general ward routine and gives details of visiting hours.
Emergency Admission

Nowadays, many people go into hospital as a result of accidents or sudden

illnesses. These patients are called emergency admissions. They are often
seriously ill and in need of immediate care and attention. Unlike arranged
admissions, little or nothing is known about emergency admissions or their
previous histories. They are usually taken to the casualty and emergency
department by ambulance. They are often unconscious. Sometimes they are
accompanied by friends or relatives who are able to supply at least their
personal particulars. In the casualty department, they are examined and the
necessary emergency treatment is carried out. If possible their previous
histories are taken. The appropriate ward is notified that a patient is being
sent up so that the necessary preparations can be made.
Here is the model of Admission Card that must be filled in

BROMEOS HOSPITAL
Hosp. Reg. No. :
Admission Card Ward/ Dept. :
SURNAME (IN BLOCK LETTERS) FIRST NAME
………………………………………………………. …………………………………………………………….

ADDRESS & TELEPHONE NO. DATE OF BIRTH

………………………………………………………. ……………………………………………………………

CIVIL STATE OCCUPATION

Married – Single – Widower – Other (In the case of a child, father’s occupation)
……………………………………………………………
RELIGION NAME & ADDRESS OF NEXTOF KIN
……………………………………………………… …………………………………………………………..

NAME & ADDRESS OF G.P. TELEPHONE NO.

…………………………………………………….. (If not on the phone, give a number where
messages may be sent. “Messages Only”
SURGEON OR PHYSICIAN IN CHARGE OF CASE

………………………………………………………………………
 LET’S PRACTICE
How to fill in this form
Speaking Practice
Ask the type question the sister used in the dialogue and fill in this form

Surname ……………………………………………………………………………………………………………..
First Name ……………………………………………………………………………………………………………..
Address ……………………………………………………………………………………………………………..
Phone Number ……………………………………………………………………………………………………………..
Date of Birth ……………………………………………………………………………………………………………..
Civil State ……………………………………………………………………………………………………………..
Religion ……………………………………………………………………………………………………………..
Occupation ……………………………………………………………………………………………………………..

Next of Kin ……………………………………………………………………………………………………………..

 OPENING
CONVERSATION

S1 Excuse me.
S2 Yes, Anything I can do for you?
S1 Let’s practice telling about how to fill in the admission form.
S2 Yes, let’s.
S1 Well… I pretend to be a nurse and you are a patient.
S2 That’s right.
 CONTENTS

S1 Would you come in and sit down, please ?

S2 Thanks.
S1 Well, I’m Sintya. The Sister in charge of your case.
S2 That’s right, Ms. Sintya.
S1 Your surname, please ?
S2 FAHRY.

S1 What’s your first name ?

S2 FIYA
S1 Would you mind spelling, please ?
S2 F–I–Y–A
S1 Where do you live ? (What’s your address ?)
S2 Arwinda street no. 19, Cianjur
S1 What’s your phone numer ?
S2 (0263)-267-309
S1 When were you born ? (What’s your birth date ?)
S2 July 21st 2001
S1 What’s your marital status ? (Are you married ?)
S2 No, I am single
S1 What’s your religion ?
S2 Moslem
S1 And what’s your occupation ?
S2 I’m a flight attendance.
S1 What’s the name and address of your next of kind ?
S2 Mr. Fahry Hamid. He is my father.
S1 Well… that’s all. And thanks for your information.
S2 You’re welcome.
S1 Would you wait for a few minutes, please ?
S2 Thank you, sister.
 LET’S DO
LECTURE ASSIGNMENT

See Model XI
PAGE 2