JPS59166968U - medical record form - Google Patents

medical record form

Info

Publication number
JPS59166968U
JPS59166968U JP6168583U JP6168583U JPS59166968U JP S59166968 U JPS59166968 U JP S59166968U JP 6168583 U JP6168583 U JP 6168583U JP 6168583 U JP6168583 U JP 6168583U JP S59166968 U JPS59166968 U JP S59166968U
Authority
JP
Japan
Prior art keywords
medical record
sheet
paper
utility
adhesive
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP6168583U
Other languages
Japanese (ja)
Inventor
内山 登喜男
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to JP6168583U priority Critical patent/JPS59166968U/en
Publication of JPS59166968U publication Critical patent/JPS59166968U/en
Pending legal-status Critical Current

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Abstract

(57)【要約】本公報は電子出願前の出願データであるた
め要約のデータは記録されません。
(57) [Summary] This bulletin contains application data before electronic filing, so abstract data is not recorded.

Description

【図面の簡単な説明】[Brief explanation of the drawing]

図面は本考案の実施例を示し、第1図は歯科診療録の正
面図、第2図は同背面図、第3図は歯科診療録の展開背
面図、第4図はコンピュータ入力用の伝票用紙の部分背
面図、第5図は他の実施例を示す正面図である。 10・・・歯科診療録、12・・・折線部、14・・・
カルテ、16・・・点数計算用紙、18.20・・・剥
離紙、22・・・折線部、24・・・コンピュータ入力
用用紙、26・・・折線部、27・・・ミシン目、28
・・・カルテ、30・・・伝票用紙、32.34・・・
ミシン目、36・・・突出部。
The drawings show an embodiment of the present invention; Fig. 1 is a front view of a dental medical record, Fig. 2 is a rear view of the same, Fig. 3 is an expanded rear view of a dental medical record, and Fig. 4 is a slip for computer input. FIG. 5 is a partial rear view of the sheet, and FIG. 5 is a front view showing another embodiment. 10... Dental medical record, 12... Broken line section, 14...
Medical record, 16...Score calculation sheet, 18.20...Release paper, 22...Fold line section, 24...Computer input paper, 26...Fold line section, 27...Perforation, 28
...Medical record, 30...Slip form, 32.34...
Perforation, 36...protrusion.

Claims (1)

【実用新案登録請求の範囲】 1一枚の紙を折り重ねてなる診療記録保存用紙の内側折
線部に、折り重ねたコンピュータ入力用用紙の折線部を
糊着したことを特徴とする診療記録用紙。 2 コンピュータ入力用用紙がミシン目の入った伝票用
紙である実用新案請求の範囲第1項記載の診療記録用紙
。 3 診療記録保存用紙がカルテと点数計算用紙から成る
実用新案登録請求の範囲第1項または第・2項記載の診
療記録用紙。 4 コンピュータ入力用用紙の横幅が診療記録保存用紙
の横幅よりも幅広である実用新案登録請求の範囲第1項
または第2項または第3項記載の診療記録用紙。 5 コンピュータ入力用用紙がノーカーボン紙である実
用新案登録請求の範囲第1項または第2項または第3項
または第4項記載の診療記録用紙。 6 診療記録保存用紙の自由端の内側外周縁に粘着剤と
その結着剤の上面を覆う剥離紙から成る粘着縁を形成し
た実用新案登録請求の範囲第1項または第2項または第
3項または第4項または第5項記載の診療記録用紙。 7 診療記録保存用紙の内側底縁に粘着剤とその粘着剤
の上面を覆う剥離紙から成る粘着縁を形成した実用新案
登録請求の範囲第6項記載の診療記録用紙。 8 診療記録保存用紙が点数計算用紙のみから成る実用
新案登録請求の範囲第1項または第2項または第4項ま
たは第5項または第6項または第7項記載の診療記録用
紙。
[Scope of Utility Model Registration Request] 1. A medical record paper characterized in that the fold line of a folded computer input paper is glued to the inner fold line of a medical record storage paper made by folding a single sheet of paper. . 2. The medical record sheet according to claim 1 of the utility model claim, wherein the computer input sheet is a slip sheet with perforations. 3. The medical record sheet described in paragraph 1 or 2 of the scope of the utility model registration claim, where the medical record storage sheet consists of a medical record and a score calculation sheet. 4. The medical record form according to claim 1, 2, or 3 of the utility model registration claim, wherein the width of the computer input form is wider than the width of the medical record storage form. 5. The medical record form according to claim 1 or 2 or 3 or 4 of the scope of utility model registration, wherein the computer input form is carbonless paper. 6 Claims for Utility Model Registration Paragraph 1, Paragraph 2, or Paragraph 3 in which an adhesive border is formed on the inner outer periphery of the free edge of the medical record storage form, consisting of an adhesive and a release paper covering the upper surface of its binder. Or the medical record form described in Section 4 or 5. 7. The medical record paper according to claim 6, wherein the medical record storage paper has an adhesive edge made of an adhesive and a release paper covering the top surface of the adhesive formed on the inner bottom edge of the medical record storage paper. 8. The medical record sheet according to claim 1 or 2 or 4 or 5 or 6 or 7, wherein the medical record storage sheet consists only of a score calculation sheet.
JP6168583U 1983-04-25 1983-04-25 medical record form Pending JPS59166968U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP6168583U JPS59166968U (en) 1983-04-25 1983-04-25 medical record form

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP6168583U JPS59166968U (en) 1983-04-25 1983-04-25 medical record form

Publications (1)

Publication Number Publication Date
JPS59166968U true JPS59166968U (en) 1984-11-08

Family

ID=30191902

Family Applications (1)

Application Number Title Priority Date Filing Date
JP6168583U Pending JPS59166968U (en) 1983-04-25 1983-04-25 medical record form

Country Status (1)

Country Link
JP (1) JPS59166968U (en)

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS4836838U (en) * 1971-08-20 1973-05-04
JPS4836834U (en) * 1971-09-06 1973-05-04

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS4836838U (en) * 1971-08-20 1973-05-04
JPS4836834U (en) * 1971-09-06 1973-05-04

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