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["附件3："]
["攀枝花市西区2020年公开考调事业单位工作人员健康情况登记表"]
["姓名",{"$nulls":3},"性别",{"$nulls":3},"身份证号"]
["工作单位",{"$nulls":4},"健康  状况",null,null,"联系电话"]
["14天内是否接触过疫情较重地区人员（境外人员等） (是/否)",null,null,"14天内是否有过病例接触史(是/否)",null,null,"14天内是否到过疫情中高风险地区(是/否)",null,null,"其他说明"]
["时间","身体健康情况监测"]
[null,"体温是否高于37.3摄氏度(是/否)",null,null,"是否有乏力或咳嗽症状(是/否)",null,null,"身体是否有其他异常状况(是/否)",null,null,"备注"]
["2020-07-01"]
["2020-07-02"]
["2020-07-03"]
["2020-07-04"]
["2020-07-05"]
["2020-07-06"]
["2020-07-07"]
["2020-07-08"]
["2020-07-09"]
["本人承诺："]
["        以上情况属实，如有瞒报谎报，自愿承担相应法律责任。"]
[{"$nulls":7},"本人签名："]
[{"$nulls":8},"年     月    日"]

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