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廣興國小每日防疫調查表
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日期
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MM
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DD
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YYYY
一、學生出席狀況
班級
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Choose
1甲
1乙
2甲
2乙
3甲
3乙
4甲
4乙
5甲
5乙
6甲
6乙
應到人數
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Your answer
實到人數
*
Your answer
其他假別(如事假等)人數
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Your answer
病假人數
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若有病假學生,請於下題敘明學生病假原因
Your answer
承上題,請分別敘明病假原因( 疾病/ 座號 ) 疾病代號:A Covid-19感染 B腸病毒 C流感 D一般感冒 E腸胃炎(病毒.細菌) F其他疾病 G黴漿菌
Your answer
二、到校學生現況(近24小時)
到校學生是否有發燒、咳嗽、流鼻水、喉嚨痛等情形(因過敏所引起的症狀不算)
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是
否
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