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["附件3"]
["新型冠状病毒感染的肺炎死亡患者遗体火化登记表"]
["编号：",null,"填表时间："]
["新型冠状病毒感染\n肺炎死亡患者情况","遗体编号"]
[null,"姓名"]
[null,"性别"]
[null,"年龄"]
[null,"籍贯"]
[null,"身份证类型及号码"]
["丧事承办人情况","姓名"]
[null,"身份证类型及号码"]
[null,"与死亡人员的关系"]
[null,"联系方式"]
["火化时间"]
["装灰用具"]
["骨灰领取方式"]
["骨灰领取人（签字）"]
["备注"]
["火化工作人员（签字）","           （单位盖章）    年  月  日 "]
["注：1.属强制移交殡仪馆或无逝者家属在场的，“丧事承办人情况”可不填。\n    2.本表一式两份，一份遗属保存，一份由殡葬服务机构保存。"]