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患者保険情報連絡票 FAX送信用 - kmu.ac.jp

( ) ID ADL 1

adl: 独歩 車いす 寝たきり→ 来院方法( ) 紹介目的: 受診. 検査( ) セカンドオピニオン. 身障診断 家族相談

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Transcription of 患者保険情報連絡票 FAX送信用 - kmu.ac.jp