Hepatitis Testing & Vaccination Card (Chi)

Stop B. Cure C.

Testing &Vaccination Appointments

Hello,

The bearer of this card is from a high-risk group for hepatitis B and/or hepatitisC. Requested tests:

HBsAg, antiHBs, anti-HBc ¨ anti-HCV, with option for HCV RNA test if ¨ anti-HCV returns positive.

If needed, please help the patient to record results and appointments on this card.

Hepatitis BTest Results

RESULTS

TEST

NEXT STEPS

Hepatitis B Immunisation Record

Dose 1

Date given: / /

Next Due: / /

Dose 2

Date given: / /

Next Due: / /

Dose 3

Date given: / /

Post Vaccination

Blood Test

Date given: / /

Result:

如果您有感染过乙肝，也有乙肝体，请 虑乙肝苗，保护自己受乙肝感染。可 向生询苗事，或请生开荐 前往中心。扫描二维码，看你是否符 合费苗的件。

HepatitisCTest Results

RESULTS

TEST

Anti-HCV

STEPS