JPS63151868U - - Google Patents
Info
- Publication number
- JPS63151868U JPS63151868U JP4599887U JP4599887U JPS63151868U JP S63151868 U JPS63151868 U JP S63151868U JP 4599887 U JP4599887 U JP 4599887U JP 4599887 U JP4599887 U JP 4599887U JP S63151868 U JPS63151868 U JP S63151868U
- Authority
- JP
- Japan
- Prior art keywords
- mark
- classification symbols
- inspection request
- request item
- entry frames
- 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.)
- Granted
Links
- 238000007689 inspection Methods 0.000 claims description 8
Description
第１図乃至第５図は本考案の一実施例を示すも
ので、第１図は検査依頼書の斜視図、第２図は１
枚目の検査依頼項目票を示す平面図、第３図は２
枚目の検査依頼項目票を示す平面図、第４図は３
枚目の検査依頼項目票を示す平面図、第５図はマ
ークカードを示す平面図である。
１……マークカード、２Ａ，２Ｂ，２Ｃ……検
査依頼項目票、３……検体用ラベル、６……患者
名記入欄、７……院名記入欄、８……医師名記入
欄、９……書込み空欄、１０……数字列、１１Ａ
〜１１Ｆ……検査項目、１２Ａ〜１２Ｅ……分類
記号、１３……項目記載欄、１４……材料名記載
欄。
Figures 1 to 5 show an embodiment of the present invention. Figure 1 is a perspective view of an inspection request form, and Figure 2 is a perspective view of an inspection request form.
A plan view showing the second inspection request item form, Figure 3 is 2
A plan view showing the 1st inspection request item form, Figure 4 is 3
FIG. 5 is a plan view showing the second inspection request item form, and FIG. 5 is a plan view showing the mark card. 1...Mark card, 2A, 2B, 2C...Test request item form, 3...Sample label, 6...Patient name entry column, 7...Hospital name entry column, 8...Doctor name entry column, 9 ...Write blank field, 10...Number string, 11A
~11F...Inspection item, 12A-12E...Classification symbol, 13...Item entry column, 14...Material name entry column.
Claims (1)
の上に重ねられ、多数の検査項目とその分類記号
やマーク記入枠を印刷した複数枚の検査依頼項目
票と、検体の容器に貼付する検体用ラベルの取付
部とから成り、前記各検査依頼項目票の分類記号
やマーク記入枠の印刷位置を夫々ずらして、マー
クカードのビツトに対応させたことを特徴とする
検査依頼書。 Attachment of a mark card that is marked using pressure, multiple test request item sheets that are stacked on top of this and printed with numerous test items, their classification symbols, and mark entry frames, and a sample label that is affixed to the sample container. The inspection request form is characterized in that the printing positions of the classification symbols and mark entry frames of each of the inspection request item sheets are shifted to correspond to the bits of the mark card.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP4599887U JPH0520543Y2 (en) | 1987-03-27 | 1987-03-27 |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP4599887U JPH0520543Y2 (en) | 1987-03-27 | 1987-03-27 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JPS63151868U true JPS63151868U (en) | 1988-10-05 |
| JPH0520543Y2 JPH0520543Y2 (en) | 1993-05-27 |
Family
ID=30865255
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP4599887U Expired - Lifetime JPH0520543Y2 (en) | 1987-03-27 | 1987-03-27 |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JPH0520543Y2 (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH02111569U (en) * | 1989-02-20 | 1990-09-06 |
-
1987
- 1987-03-27 JP JP4599887U patent/JPH0520543Y2/ja not_active Expired - Lifetime
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH02111569U (en) * | 1989-02-20 | 1990-09-06 |
Also Published As
| Publication number | Publication date |
|---|---|
| JPH0520543Y2 (en) | 1993-05-27 |
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