建國科大COV19隔離-檢疫-自主健康個案通報
個案建檔
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學號(學生請填完整學號,教職員請填職員證末5碼如00123) *
姓名 *
聯絡電話(或手機) *
受 管制/介入 類型 *
選項中請注意括弧內說明,沒有符合的類型不用通報,但要注意自我健康監測
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