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二乙每日防疫簽到表7 /0 2 (五)
每天十點以前回報
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姓 名: 座號:
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你現在的健康狀況 *
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良好
有呼吸道症狀
目前居家簡易自主管理或隔離
今日體溫
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34
34.5
35
35.5
36
36.5
37
37.5
38
家人是否有確診者或居家自主管理 *
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無，我的家人很健康
有，我的家人中有人確診新冠肺炎
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