JPS60155509U - Gynecological health checkup card - Google Patents

Gynecological health checkup card

Info

Publication number
JPS60155509U
JPS60155509U JP4377784U JP4377784U JPS60155509U JP S60155509 U JPS60155509 U JP S60155509U JP 4377784 U JP4377784 U JP 4377784U JP 4377784 U JP4377784 U JP 4377784U JP S60155509 U JPS60155509 U JP S60155509U
Authority
JP
Japan
Prior art keywords
health checkup
card
gynecological health
free
checkup card
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
JP4377784U
Other languages
Japanese (ja)
Inventor
四位例　章
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 JP4377784U priority Critical patent/JPS60155509U/en
Publication of JPS60155509U publication Critical patent/JPS60155509U/en
Pending legal-status Critical Current

Links

Landscapes

  • Medical Treatment And Welfare Office Work (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (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

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

゛　　　第１図は本考案の表面図、第２図は本考案の裏
面図。 １は診察に来た産婦の年度を記入する欄、２は診察に来
た産婦のカルテ番号を記入する欄、３は□　産婦の氏名
を記入する欄、４は婦人科的総合健康診断が無料で受け
られる旨の文言、５は婦人科的健康診断を受けた年月日
を記入する欄、６は病院または医院の名称、住所、電話
番号。゛ Figure 1 is a front view of the present invention, and Figure 2 is a back view of the present invention. 1 is a column to write the year of the pregnant woman who came to the examination, 2 is a column to write the medical record number of the pregnant woman who came to the examination, 3 is a column to write the name of the pregnant woman, and 4 is a free comprehensive gynecological health checkup. 5 is a column to write the date of your gynecological health checkup, and 6 is the name, address, and phone number of the hospital or clinic.

Claims (1)

【実用新案登録請求の範囲】[Scope of utility model registration request] 長方形のカードの表面に、患者が診察に来た年度１、そ
の患者のカルテの番号２、名前３を記入することが出来
るようにし、カードの裏面に、その病院で出産した患者
が婦人科的総合健康診断が、自己負担分無料で受けられ
る文言４、自己負担分無料の健康診断を受けた年月日５
が記入出来るようにしたカード。On the front of the rectangular card, you can write the year in which the patient visited the hospital (1), the patient's medical record number (2), and the name (3). Statement 4: Comprehensive health checkup is free of co-payments 4. Date of receiving the medical check-up free of co-pays 5
A card that can be filled out.
JP4377784U 1984-03-26 1984-03-26 Gynecological health checkup card Pending JPS60155509U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP4377784U JPS60155509U (en) 1984-03-26 1984-03-26 Gynecological health checkup card

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP4377784U JPS60155509U (en) 1984-03-26 1984-03-26 Gynecological health checkup card

Publications (1)

Publication Number Publication Date
JPS60155509U true JPS60155509U (en) 1985-10-16

Family

ID=30555755

Family Applications (1)

Application Number Title Priority Date Filing Date
JP4377784U Pending JPS60155509U (en) 1984-03-26 1984-03-26 Gynecological health checkup card

Country Status (1)

Country Link
JP (1) JPS60155509U (en)

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