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[]
["河北省护士执业注册培训考核-考核表"]
[]
["姓名",null,null,"性别",null,"出生年月",{"$nulls":3},"贴照片处"]
[]
["毕业学校",{"$nulls":4},"毕业时间"]
["原执业证书",{"$nulls":4},"身份证号"]
["执业机构",{"$nulls":4},"联系电话"]
["培训原因\n                  ",null,"逾期申请执业注册（  ）;中断护理执业活动超过3年申请重新注册(  )"]
["培训时间\n                                     ",null,"年  月  日   至          年  月  日"]
["培训科室",{"$nulls":6},"带教人员"]
["培训情况",null,"\n\n\n\n\n\n\n\n\n带教人员签字：              护士长签字："]
["考\n核\n情\n况","基本\n能力\n考核"]
[null,"操作\n项目\n考核","1、"]
[null,null,"2、"]
[null,null,"3、"]
[null,null,"4、"]
[null,"考核小组签字                /                  /                 年  月  日"]
["培训机构\n评价意见",null,"\n负责人签字（公章）                                             \n                                                            年  月  日"]

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