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["附件12"]
["上海市中医医术确有专长人员医师资格考核申请人员信息汇总表"]
["            区（盖章）：                               填报人：                            联系方式："]
["序号","序号","姓名","性别","身份证号码","申请人员类别","中医医术专长",{"$nulls":3},"手机号码"]
[{"$nulls":6},"中医药技术方法","中医药技术方法具体名称","申报治疗的疾病名称\n（专病或专科）","中医病证代码"]
[1,1,"张三","男","310101*****","《中医药法》施行后从事中医医术实践活动的人员","内服方药","       ","肺系病类","BNF"]
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["      填写说明：1.中医疾病名称、专科分类和中医外治技术种类应分别按照公布的《中医疾病名称与分类代码表》《中医专科名录》和《中医医疗技术目录》填报；2.请确保姓名、身份证号码等信息的准确性，此表信息将用于制作证书等；3.各区卫生行政部门需同时提交此表纸质版（盖单位公章）和提交电子版；4.身份证号请使用文本格式填写；5.申请人员类别应选择下拉菜单3项内容中的1项填写；6.中医药技术方法应选择下拉菜单4项内容中的1项填写。                               "]