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["广西医科大学2020年博士研究生入学考试考生14天体温及健康信息监测表"]
["填报人姓名：",{"$nulls":3},"身份证号：",{"$nulls":4},"报考专业：      ",null,null,"联系电话："]
["第1天   6月12日",null,null,"第2天  6月13日",null,null,"第3天 6月14日",null,null,"第4天 6月15日",null,null,"第5天 6月16日"]
["体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状"]
["早： ",null,null,"早： ",null,null,"早： ",null,null,"早： ",null,null,"早： "]
["晚：",null,null,"晚：",null,null,"晚：",null,null,"晚：",null,null,"晚："]
["第6天  6月17日",null,null,"第7天  6月18日",null,null,"第8天  6月19日",null,null,"第9天 6月20日",null,null,"第10天 6月21日"]
["体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状"]
["早： ",null,null,"早： ",null,null,"早： ",null,null,"早： ",null,null,"早： "]
["晚：",null,null,"晚：",null,null,"晚：",null,null,"晚：",null,null,"晚："]
["第11天 6 月22 日",null,null,"第12天 6 月 23 日",null,null,"第13天 6 月24日",null,null,"第14天  6月25日"]
["体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状","体温℃","有无咳嗽、乏力症状","其它不适症状"]
["早： ",null,null,"早： ",null,null,"早： ",null,null,"早： "]
["晚：",null,null,"晚：",null,null,"晚："]
["来邕交通方式：（写明具体来南宁时间及乘坐交通工具，航班号，动车车次、汽车大巴车牌号）"]
["是否确诊为新冠肺炎或疑似病例（如是，请填写隔离治疗的地址、时间）："]
["备注："]
["说明：1.考生连续观察14天，无发烧、咳嗽、呼吸困难、乏力等症状，方可参加考试。"]
["     2.填报的信息要真实，若信息不真实（如不如实填写有过发烧、咳嗽等症状，不如实填报接触过确诊病例等）造成不良后果的要负法律责任。"]
["     3.每天将体温、有无咳嗽、乏力等症状、是否离开所在地、填写到登记表中。"]
["     4.若因发烧、咳嗽、乏力等原因到医院就诊，请在备注中填写就诊日期和医院名称及病情情况及医生诊断，并填在备注栏。"]