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["南通市第一人民医院住院医师规范化培训学员信息登记表\n（社会化学员）"]
["拟报培训专业：",{"$nulls":3},"届别",null,2017]
["基本情况","基本情况："]
[null,"姓名",null,null,"身份证\n号码",null,null,"照片"]
[null,"性别",null,null,"民族"]
[null,"医师资格证号",null,null,"执业证书号码"]
[null,"执业范围",null,null,"手机号码"]
[null,"QQ",null,null,"邮箱"]
["教育经历\n（从本科开始）","起止时间",null,"院校","专业","学历","学位","学位类型"]
[null,"（年 月-  年 月）",{"$nulls":5},"（科学/专业）"]
[]
[]
[]
[]
["既往住院医师规范化培训经历","起止时间",null,"单位",null,null,"培训科目"]
[null,"年 月-  年 月"]
[]
[]
["审核意见："]
["单位审核意见：\n\n\n\n\n\n                    盖章：\n                    日期：",{"$nulls":3},"所在地卫计委审核意见：\n\n\n\n\n\n                         盖章：\n                         日期："]