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¥ 1.0
STOP AT THE RED LINE ____________________________________________________________________________________ PAYMENT o No Cost Employee___________________ Employee ID number____________ Volunteer/Intern/Student (circle one) Vender/Contractor-Place of work and contact phone __________________________________________________ Received sticker for badge________ FOR NURSES Name of Vaccine: ________________ Lot #: ____________ Exp.日期：_________
2022-2023流感疫苗同意书
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