0-36个月儿童随访登记表2

单位：洮南市大通乡卫生院已报随访人次数随访人数540其中时间：2013年 6 月 30 日本次上报随访人次数合计建立0-6岁儿童健康档案数第十次其中：随访人数随访二次人数130第二次随访人数054第三次随访人数0合计随访人次数54第五次随访人数随访五次人数54第六次随访人数随访六次人数一岁血二岁血常规检常规检查人数查人数110第八次随访人数随访八次人数54540第四次随访人数004070第七次随访人数随访七次人数190020随访一次人数随访三次人数随访四次人数5000*注：1.此表一式两份，单位存档一份备查，上报妇社科一份，表内无联系电话的视为无效。序号个人编码(后八位）姓名刘雨琪韩琳王雪李佳蕊李佳琪刁金莉郑贺文马红涛贾佳雨李喆王浩张语涵闫雨桐周跃龙张学博李雨冯骁周蕴赵伟琪李鸿达葛宇寒刘旭曹云博性别年龄女女女男女女女男女男男男女男男男男女男男男男男详细住址联系电话1594467123613894670902159436716236751345675134515590172983138436773251594361569615944611809136743615111584366444813943612414187436194531594361454313943613790158861741816751259159436170101340441796315834614534135968315272012-06-0415843615993一岁血二岁血三岁血第十次随访时第二次随访时第三次随访时第四次随访时第五次随访时第六次随访时第七次随访时第八次随访时常规检常规检常规检次随访间随访间随访间随访间随访间随访间随访间随访间查查查22088120720120353220881207201203592208812072012033522088120720230263220881207202302642208812072023025422088120720230259220881207202302522208812072023023922088120721210801220881207212107992208812072121070922088120721210776220881207209103732208812072091037822088120720910390220881207209107872208812072091104422088120720911062220881207209111052208812072112078722088120721120788220881207211207951爱国村委会1爱国村委会2爱国村委会1德信村委会1德信村委会2德信村委会2德信村委会2德信村委会2德信村委会2丰收村委会2丰收村委会3丰收村委会3丰收村委会3湖沧村委会3湖沧村委会3湖沧村委会3湖沧村委会1湖沧村委会1湖沧村委会2湖沧村委会1黄花村委会1黄花村委会1黄花村委会√√2013-6-152013-6-25√√√2013-6-252013-6-252013-6-25√√√√√√√√√√√√√√√2013-6-252013-6-262013-6-252013-6-252013-6-252013-6-252013-6-252013-6-252013-6-252013-6-252013-6-252013-6-302013-6-252013-6-52013-6-25√√√2013-6-252013-6-152013-6-250-36个月儿童随访登记表

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