河北省卫生厅关于印发《河北省现阶段麻疹疫苗查漏补种活动实施方案》的通知 |
附表2 麻疹疫苗查漏补种数据报表(各级通用)
报告单位(盖章): 填表人: 填表日期:
地区
编码
| 地区
名称
| 8-17月龄
| 18-23月龄
| 2岁-学龄前
| 在校学生
| 其他人群补种数
| 摸底情况
| 补种数
| 摸底情况
| 补种数
| 摸底情况
| 补种数
| 摸底情况
| 补种数
| 总数
| 0次数
| 不详数
| 总数
| 0次数
| 1次数
| 不详数
| 总数
| 0次数
| 1次数
| 不详数
| 总数
| 0次数
| 1剂数
| 不详数
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第 [1] [2] [3] [4] [5] [6] [7] 页 共[8]页
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