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109-2南寮國小「防範新型冠狀病毒肺炎」入校健康聲明卡（教職員）2021.05.17更新
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A1.您的工號(3位數字，例999)
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A2.填報日期
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B1.請問您當日上班前是否有下列情形（可複選）(發燒定義：額溫≥37.5 ；耳溫≥38)
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呼吸急促
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呼吸急促
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症狀調查
B2.請問您當日上班前是否有就醫
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