JPS59166968U - medical record form - Google Patents
medical record formInfo
- 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
Links
Landscapes
- Sheet Holders (AREA)
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)
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.
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)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPS4836838U (en) * | 1971-08-20 | 1973-05-04 | ||
| JPS4836834U (en) * | 1971-09-06 | 1973-05-04 |
-
1983
- 1983-04-25 JP JP6168583U patent/JPS59166968U/en active Pending
Patent Citations (2)
| 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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