Attachment 23 Appointment Reminder Card_CGMH

Attachment 23_Appointment Reminder Card_CGMH.docx

Human Influenza Surveillance of Health Care Centers in the United States and Taiwan

Attachment 23 Appointment Reminder Card_CGMH

OMB: 0925-0715

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Influenza active and passive surveillance project

流感監測計劃

CEIRS of NIAID 美國國衛院

Chang Gung Memorial Hospital長庚紀念醫院

Appointment card回診預約卡


Name姓名: ___________


History ID病歷號碼: _____________________


Your next appointment to follow up your influenza-like illness infection will be:

您下次預約回來做類流感的血液追蹤檢驗時間是:


____/____/____yyyy/mm/dd


上午am/下午pm



Please call the below number if you have any questions若有相關問題歡迎致電(03)3281200 #3531

Chen Kuan-Fu

11/10/2014


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorChen Kuan-Fu
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File Created2021-01-25

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