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新冠肺炎案例
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班級(處室)
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Your answer
姓名
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Your answer
身分證字號
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Your answer
出生年月日
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MM
/
DD
/
YYYY
家中住址
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Your answer
照顧人姓名
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Your answer
照顧人手機
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Your answer
狀況
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確診
密切接觸者
快篩陽
概述依事情的先後順序說明（自己確診或家人確診時間，身體狀況，其他家人狀況）
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同校的兄弟姐妹(班級 姓名）
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目前所在地方
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家裡
醫院
檢疫旅館
參加的安親班或補習班
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