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["乡村医生考核结果登记表"]
[]
["服务中心名称：",{"$nulls":4},"填报时间：2009年______月______日"]
["序号","姓名","性别","年龄","执业机构名称","执业证书编号\n（后四位）","考评情况",{"$nulls":3},"考核结果"]
[{"$nulls":6},"职业道德","完成任务","学习培训","考试得分"]
{"$rows_empty":16}
["考核小组名称（盖章）：",{"$nulls":4},"考核小组组长签名：_____________",null,null,"填表人：____________"]
["附报：应参考人数：_________    实参考人数:_________  考核合格人数：_________  考核不合格人数：_________"]
["注：此表一式三份，报市考委二份，考核小组自存一份。"]

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