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

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

1 ( ) ID ADL 1 ( )

2 2 ( ) 16 30 573-1191 2 3 1 8 30 20 8 30 12 30 2 4

3 (12 29 1 3 ) 072-804-2742 072-804-2861 ( ) ( ) ( )