| 淄博市卫生局关于印发2011年淄博市扩大国家免疫规划和疫苗管理工作检查方案的通知 |
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免疫
| 麻疹疫苗
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| 脊灰疫苗1
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| 脊灰疫苗2
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| 建卡
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| 建证
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| 纳入客户端
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调查人： 调查日期： 年 月 日
附件6：
淄博市2010年补种乙肝疫苗项目接种率快速评估调查表
被调查单位： 县 乡 小学（中学）
调查时间：：_______年_______月________日 调查人
编号
| 性别
| 出生年份
| 居住形式1
| 补种后乙肝疫苗接种情况2
| 接种针次
| 未全程免疫原因3
| 0
| 1
| 2
| ≥3针
| 不详
| 1
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| A B C
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| 2
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| A B C
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| 3
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| A B C
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| 4
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| A B C
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| 5
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| A B C
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| 6
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| A B C
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| 7
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| A B C
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| 8
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| A B C
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| 9
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| A B C
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| 10
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| A B C
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| 11
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| A B C
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| 12
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| A B C
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| 13
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| A B C
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| 14
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| A B C
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| 15
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| A B C
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| 16
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| A B C
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| 17
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| A B C
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| 18
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| A B C
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| 19
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| A B C
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| 20
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| A B C
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| 21
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| A B C
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| 22
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| A B C
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| 23
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| A B C
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| 24
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| A B C
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| 25
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| A B C
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| 26
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| A B C
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| 27
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| A B C
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| 28
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| A B C
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| 29
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| A B C
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| 30
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| A B C
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第 [1] [2] [3] [4] [5] 页 共[6]页 |
