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["福能总医院健康体检中心体检单"]
[]
[" 姓名",null,null,"性别",null,null,"  年龄",null,null,"照片        (背面请          写姓名）"]
["身份证号",{"$nulls":4},"手机号"]
[" 序号","无需填写",null,"体检日期",null,"     年   月   日",null," 上午"]
[{"$nulls":7}," 下午"]
["家族病史",{"$nulls":4},"既往病史"]
[" 团体","   国网福建电力"]
[]
[" 体检完成请交回一楼收单处！谢谢合作。条码多出属正常，如缺请到总台补打！"]
[]
["  检验科室",null,"样本",null,"检查项目"]
["  □检验科"]
[null,null,"生化◇",null,"肝功3项"]
[null,null,"尿常规◇",null,"尿液分析（10项）"]
[null,null,"血常规◇",null,"血常规"]
[null,null,"血◇",null,"肾功能3项"]
["  □眼科"]
[null,null,"◇",null,"眼科检查"]
["  □耳鼻喉科"]
[null,null,"◇",null,"耳鼻喉科检查"]
["  □心电图室"]
[null,null,"◇",null,"心电图检测"]
["  □一般检查"]
[null,null,"◇",null,"一般检查"]
["  □DR摄影"]
[null,null,"◇",null,"X线胸部正位（无片）"]
["  □普检"]
[null,null,"◇",null,"普检（内、外科）"]

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