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["学 生 身 体 检 查 表"]
["检查时间：       年   月  日",{"$nulls":3},"准考证编号："]
["学校",null,"辽宁大学","院系专业",null,"哲学与公共管理学院公共管理（MPA）",null,"贴照片"]
["姓名",null,null,"性别",null,"年龄"]
["籍贯",{"$nulls":3},"联系电话"]
["既往病史",null,"（一）曾患过何种重症疾病？    是 / 否"]
[null,null,"（二）家中是否有人咳嗽咳血？  是 / 否",{"$nulls":4},"检查医师    签名或盖章"]
["检   查   项   目","身高","CM","体重 ","KG","肺活量"]
[null,"皮肤",null,"甲状腺",null,"关节"]
[null,"脊柱",null,"四肢",null,"痉挛性平趾足"]
[null,"心电图（复查使用）",{"$nulls":3},"B超（复查使用）"]
[null,"砂眼",null,"辨色力",null,"视力：  左    右"]
[null,"鼻",null,"耳"]
[null,"血压        /         mmHg",{"$nulls":3},"脉搏：     次/分"]
[null,"肺部听诊"]
[null,"心脏听诊"]
[null,"痰",null,"血沉",null,"血液（康氏或瓦氏反应）血色素"]
[null,"化验检查"]
[null,"其他疾病"]
[null,"X光检查"]
[null,"尿检"]
["免疫注射"]
["复查项目"]
["体检结论"]
["备注"]

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