111學年第二學期含氟水漱口實施記錄表
填報期限 : 期末最後一週(6/26-6/30)
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1.班級名稱 (  例 : 一丁 ) *
2.實施含氟水漱口週別? *
3未參加含氟漱口水計畫的名單 (請勾選學生座號) *
Required
4. 本班(應施作)學生每週皆已完成含氟水漱口施作?
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5.本學期應施作學生(未施作)記錄。
( 例 : 1號2次，18號1次 )
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