medical questionnaire; medical history form
A form filled out by patients before a medical consultation, covering symptoms, past illnesses, allergies, and lifestyle.
First-time patients, please fill out the medical questionnaire.
The doctor will ask about your symptoms based on the medical history form.
カルテ is the patient's medical chart created and used by the doctor, while 問診票 is the questionnaire the patient fills out beforehand.
Standard kanji spelling; 票 is the usual character for forms and slips.
Alternate kanji spelling using 表 (table/chart); less common than 問診票 but still seen.
Compound of 問診 (medical interview) and 票 (slip/form).