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["健康情况登记表"]
["姓名",null,"性别",null,null,"申请专业"]
["身份证号"]
["联系电话"]
["14天内是否接触过疫情较重地区人员（境外人员等） (是/否)",{"$nulls":4},"14天内是否有过病例或疑似病例接触史(是/否)"]
["14天内是否到过疫情中高风险地区(是/否)",{"$nulls":4},"其他需要说明的情况"]
["时间","身体健康情况监测"]
[null,"体温是否正常（是否低于37.3°C）(是/否)",null,"是否有乏力或咳嗽症状(是/否)",null,"身体是否有其他异常状况(是/否)",null,"当日健康码颜色"]
["2021-03-04",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-05",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-06",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-07",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-08",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-09",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-10",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-11",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-12",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-13",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-14",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-15",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-16",{"$nulls":6},"绿色□  黄色□  红色□   "]
["2021-03-17",{"$nulls":6},"绿色□  黄色□  红色□   "]
[]
[{"$nulls":4},"本人签名："]
[{"$nulls":4},"    年      月      日"]

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